PMID- 27300472 OWN - NLM STAT- MEDLINE DCOM- 20170314 LR - 20181202 IS - 1439-4286 (Electronic) IS - 0018-5043 (Linking) VI - 48 IP - 10 DP - 2016 Sep TI - Lower Circulating Irisin Level in Patients with Diabetes Mellitus: A Systematic Review and Meta-Analysis. PG - 644-652 AB - Studies measuring circulating irisin levels in patients with insulin resistance conditions such as type 2 diabetes mellitus (T2DM) and gestational diabetes mellitus (GDM) have achieved controversial results. Our systematic review and meta-analysis aim to assess the circulating irisin levels in patients with diabetes mellitus. Pubmed, EMBASE, CENTRAL, ISI Web of Science, and CNKI were searched to identify observational studies of circulating irisin levels in patients with diabetes mellitus. Two reviewers independently searched the databases and screened studies according to the inclusion criteria. Data were extracted using a standardized collection form. Meta-analysis was performed. A total of 23 studies (17 cross-sectional and 6 case control) involving 1 745 diabetic patients and 1 337 non-diabetic controls were selected. Compared with non-diabetic controls, circulating irisin concentrations were significantly lower in patients with T2DM (SMD -1.72, 95%CI -2.49, -0.96; p<0.00001) and GDM (SMD -0.76, 95CI -1.31, -0.22; p=0.006), but 30 percent higher in patients with T1DM. Circulating irisin in Asian diabetic patients decreased more than European patients. The findings of our current review suggest that circulating irisin levels were decreased in patients with T2DM and GDM, but not in patients with T1DM. CI - (c) Georg Thieme Verlag KG Stuttgart . New York. FAU - Du, X-L AU - Du XL AD - Nursing Management Department, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Jiang, W-X AU - Jiang WX AD - Department of Otorhinolaryngology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Lv, Z-T AU - Lv ZT AD - Department of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20160614 PL - Germany TA - Horm Metab Res JT - Hormone and metabolic research = Hormon- und Stoffwechselforschung = Hormones et metabolisme JID - 0177722 RN - 0 (Biomarkers) RN - 0 (FNDC5 protein, human) RN - 0 (Fibronectins) SB - IM MH - Biomarkers/*blood MH - Case-Control Studies MH - Diabetes Mellitus/*blood/diagnosis MH - Diabetes, Gestational/*blood/diagnosis MH - Female MH - Fibronectins/*blood MH - Humans MH - Pregnancy MH - Prognosis EDAT- 2016/06/15 06:00 MHDA- 2017/03/16 06:00 CRDT- 2016/06/15 06:00 PHST- 2016/06/15 06:00 [pubmed] PHST- 2017/03/16 06:00 [medline] PHST- 2016/06/15 06:00 [entrez] AID - 10.1055/s-0042-108730 [doi] PST - ppublish SO - Horm Metab Res. 2016 Sep;48(10):644-652. doi: 10.1055/s-0042-108730. Epub 2016 Jun 14.