PMID- 29395811 OWN - NLM STAT- MEDLINE DCOM- 20180928 LR - 20181001 IS - 1878-1780 (Electronic) IS - 1262-3636 (Linking) VI - 44 IP - 2 DP - 2018 Mar TI - Can persistent organic pollutants distinguish between two opposite metabolic phenotypes in lean Koreans? PG - 168-171 LID - S1262-3636(18)30001-6 [pii] LID - 10.1016/j.diabet.2017.12.008 [doi] AB - AIMS: This study investigated the association of persistent organic pollutants (POPs), an emerging new risk factor for type 2 diabetes and the metabolic syndrome, with the presence of opposite phenotypes of glucose and lipid metabolism among normal-weight Koreans of similar body composition. METHODS: Fifty subjects, randomly selected from an ongoing community-based cohort study, from two opposite phenotype groups - metabolically unhealthy normal weight (MUHNW) and metabolically healthy normal weight (MHNW) - were matched for waist circumference, visceral fat mass and demographic variables, then compared for serum concentrations of POPs. RESULTS: Most POPs (10 out of 13 compounds) were present in higher serum concentrations in the MUHNW than in the MHNW. In particular, serum concentrations of all compounds of the organochlorine pesticide class were 2.2 to 4.7 times higher in cases than in controls. Compared with the lowest tertile of summary measures of POPs, Odds ratios (95% confidence interval) for the second and third tertiles were 7.4 (1.9-29.4) and 10.4 (2.6-41.2), respectively. Adjusting for possible confounders did not change the results. CONCLUSION: Taken altogether, these findings from the present and previous studies suggest that increased serum POP concentrations may play an important role in the development of unhealthy metabolic phenotypes in lean people. CI - Copyright (c) 2018 Elsevier Masson SAS. All rights reserved. FAU - Ha, K H AU - Ha KH AD - Department of Endocrinology and Metabolism, Ajou University, School of Medicine, Suwon, Republic of Korea; Cardiovascular and Metabolic Disease Etiology Research Center, Ajou University School of Medicine, Suwon, Republic of Korea. FAU - Kim, S A AU - Kim SA AD - Department of Biomedical Science, Kyungpook National University, Daegu, Republic of Korea; BK21 Plus KNU Biomedical Convergence Program, Department of Biomedical Science, Kyungpook National University, Daegu, Republic of Korea. FAU - Lee, Y M AU - Lee YM AD - Department of Preventive Medicine, School of Medicine, Kyungpook National University, 680, Gukchaebosang-ro Jung-gu, Daegu 41944, Republic of Korea. FAU - Kim, D J AU - Kim DJ AD - Department of Endocrinology and Metabolism, Ajou University, School of Medicine, Suwon, Republic of Korea; Cardiovascular and Metabolic Disease Etiology Research Center, Ajou University School of Medicine, Suwon, Republic of Korea. Electronic address: djkim@ajou.ac.kr. FAU - Lee, D H AU - Lee DH AD - Department of Biomedical Science, Kyungpook National University, Daegu, Republic of Korea; BK21 Plus KNU Biomedical Convergence Program, Department of Biomedical Science, Kyungpook National University, Daegu, Republic of Korea; Department of Preventive Medicine, School of Medicine, Kyungpook National University, 680, Gukchaebosang-ro Jung-gu, Daegu 41944, Republic of Korea. Electronic address: lee_dh@knu.ac.kr. LA - eng PT - Journal Article DEP - 20180106 PL - France TA - Diabetes Metab JT - Diabetes & metabolism JID - 9607599 RN - 0 (Environmental Pollutants) SB - IM MH - Adult MH - Case-Control Studies MH - Diabetes Mellitus, Type 2/*blood/*epidemiology MH - Environmental Pollutants/*blood MH - Female MH - Humans MH - Ideal Body Weight/physiology MH - Male MH - Metabolic Syndrome/*blood/*epidemiology MH - Phenotype MH - Republic of Korea/epidemiology MH - Risk Factors OTO - NOTNLM OT - Adipose tissue OT - Diabetes OT - Dyslipidemia OT - Obesity OT - Persistent organic pollutants EDAT- 2018/02/06 06:00 MHDA- 2018/10/03 06:00 CRDT- 2018/02/04 06:00 PHST- 2017/09/20 00:00 [received] PHST- 2017/12/02 00:00 [revised] PHST- 2017/12/19 00:00 [accepted] PHST- 2018/02/06 06:00 [pubmed] PHST- 2018/10/03 06:00 [medline] PHST- 2018/02/04 06:00 [entrez] AID - S1262-3636(18)30001-6 [pii] AID - 10.1016/j.diabet.2017.12.008 [doi] PST - ppublish SO - Diabetes Metab. 2018 Mar;44(2):168-171. doi: 10.1016/j.diabet.2017.12.008. Epub 2018 Jan 6.