PMID- 32189318 OWN - NLM STAT- MEDLINE DCOM- 20211126 LR - 20211126 IS - 1439-3646 (Electronic) IS - 0947-7349 (Linking) VI - 129 IP - 6 DP - 2021 Jun TI - HOMA-Adiponectin Closely Associates with Cardiometabolic Risk Markers in Middle-Aged Indians with Metabolic Syndrome. PG - 449-456 LID - 10.1055/a-1120-8163 [doi] AB - BACKGROUND: Unhealthy dietary habits and sedentary lifestyles have raised alarming concerns for the rising prevalence of metabolic syndrome (MetS) and associated cardiometabolic risk among Indians at an early age. Insulin resistance and adiposity are the important risk factors associated with MetS. The present study aimed to investigate the relationship between a modified marker of insulin resistance (homeostatic model assessment-adiponectin (HOMA-AD)) and cardiometabolic risk among middle-aged Indians. METHODS: The study comprised of 144 subjects of age-group 31-50 years, where 83 subjects were diagnosed for MetS according to the guidelines given by the International Diabetes Federation. We measured cardiometabolic risk indicators such as fasting blood glucose (FPG), fasting plasma insulin (FPI), homeostatic model assessment- insulin resistance (HOMA-IR), adiponectin, high sensitivity C-reactive protein (hs-CRP), oxidized LDL (oxLDL), monocyte chemoattractant protein-1 (MCP-1), and atherogenic index, among others. We calculated HOMA-AD by the formula: [FPG (mmol/l) x FPI (microIU/ml)] / [22.5 x Adiponectin (microg/ml)]. RESULTS: HOMA-IR and HOMA-AD were highly increased (p<0.001) in the MetS subjects than controls. Adiponectin was significantly (p<0.01) lower whereas cardiac risk markers such as atherogenic index, hs-CRP, oxLDL, and MCP-1 were significantly (p<0.01) elevated in MetS group than controls. Linear regression showed positive and significant associations (p<0.01) of HOMA-AD with all the cardiometabolic risk markers except MCP-1. HOMA-AD showed higher AUC (0.806) than HOMA-IR (0.791) for predicting MetS. CONCLUSION: HOMA-AD could be a surrogate adipokine-based marker correlated significantly with components of MetS and cardiometabolic risk indicators. It appeared to be a better predictor of MetS among middle-aged Indians than HOMA-IR. CI - Thieme. All rights reserved. FAU - Banerjee, Joyita AU - Banerjee J AD - Symbiosis School of Biological Sciences, Symbiosis International (Deemed University), Lavale, Pune, India. FAU - Dhas, Yogita AU - Dhas Y AD - Symbiosis School of Biological Sciences, Symbiosis International (Deemed University), Lavale, Pune, India. FAU - Mishra, Neetu AU - Mishra N AD - Symbiosis School of Biological Sciences, Symbiosis International (Deemed University), Lavale, Pune, India. LA - eng PT - Journal Article DEP - 20200318 PL - Germany TA - Exp Clin Endocrinol Diabetes JT - Experimental and clinical endocrinology & diabetes : official journal, German Society of Endocrinology [and] German Diabetes Association JID - 9505926 RN - 0 (ADIPOQ protein, human) RN - 0 (Adiponectin) RN - 0 (Biomarkers) SB - IM MH - Adiponectin/*blood MH - Adult MH - Biomarkers/blood MH - Cardiovascular Diseases/*blood MH - Female MH - Homeostasis/physiology MH - Humans MH - India MH - Insulin Resistance/*physiology MH - Male MH - Metabolic Syndrome/*blood MH - Middle Aged COIS- The authors declare that they do not have any conflicts. EDAT- 2020/03/20 06:00 MHDA- 2021/11/27 06:00 CRDT- 2020/03/20 06:00 PHST- 2020/03/20 06:00 [pubmed] PHST- 2021/11/27 06:00 [medline] PHST- 2020/03/20 06:00 [entrez] AID - 10.1055/a-1120-8163 [doi] PST - ppublish SO - Exp Clin Endocrinol Diabetes. 2021 Jun;129(6):449-456. doi: 10.1055/a-1120-8163. Epub 2020 Mar 18.