PMID- 32431107 OWN - NLM STAT- MEDLINE DCOM- 20211015 LR - 20240219 IS - 2233-6087 (Electronic) IS - 2233-6079 (Print) IS - 2233-6079 (Linking) VI - 45 IP - 2 DP - 2021 Mar TI - Insulin Resistance Increases Serum Immunoglobulin E Sensitization in Premenopausal Women. PG - 175-182 LID - 10.4093/dmj.2019.0150 [doi] AB - BACKGROUND: Although studies have shown that obesity is associated with aeroallergen sensitization (atopy), controversy still exists. We aimed to investigate the association between metabolic status, obesity, and atopy stratified by sex and menopausal status. METHODS: A total of 1,700 adults from the 2010 Korean National Health and Nutrition Examination Survey were classified into metabolically healthy nonobese (MHNO), metabolically unhealthy nonobese (MUNO), metabolically healthy obese (MHO), and metabolically unhealthy obese (MUO) by body mass index and insulin resistance. Atopy was defined as a positive response to at least one aeroallergen. Multiple regression analysis was used to evaluate the risk of immunoglobulin E (IgE) elevation or atopy in relation to the degree of metabolic abnormality and obesity. RESULTS: In premenopausal women, total IgE was positively correlated with obesity and insulin resistance. MUNO participants had a higher risk of having elevated total IgE compared to MHNO participants (odds ratio [OR], 2.271; 95% confidence interval [CI], 1.201 to 4.294), while MHO participants did not show a significant difference (OR, 1.435; 95% CI, 0.656 to 3.137) in premenopausal women. MUNO, but not MHO was also associated with atopy (OR, 2.157; 95% CI, 1.284 to 3.625). In men and postmenopausal women, there was no significant difference between metabolic status, obesity, and atopy among groups. CONCLUSION: Increased insulin resistance is associated with total IgE and atopy in premenopausal women but not in postmenopausal women or men. FAU - Lee, Seung Eun AU - Lee SE AD - Department of Internal Medicine, Dongguk University Ilsan Hospital, Dongguk University College of Medicine, Goyang, Korea. FAU - Baek, Ji Yeon AU - Baek JY AD - Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. FAU - Han, Kyungdo AU - Han K AD - Department of Biostatistics, The Catholic University of Korea, Seoul, Korea. FAU - Koh, Eun Hee AU - Koh EH AD - Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. LA - eng PT - Journal Article DEP - 20200414 PL - Korea (South) TA - Diabetes Metab J JT - Diabetes & metabolism journal JID - 101556588 RN - 37341-29-0 (Immunoglobulin E) SB - IM MH - Adult MH - Cross-Sectional Studies MH - Female MH - Humans MH - Immunoglobulin E MH - *Insulin Resistance MH - Male MH - Nutrition Surveys MH - Risk Factors PMC - PMC8024158 OTO - NOTNLM OT - Immunoglobulin E OT - Insulin resistance OT - Metabolic syndrome OT - Obesity COIS- CONFLICTS OF INTEREST No potential conflict of interest relevant to this article was reported. EDAT- 2020/05/21 06:00 MHDA- 2021/10/16 06:00 PMCR- 2021/03/01 CRDT- 2020/05/21 06:00 PHST- 2019/07/31 00:00 [received] PHST- 2019/12/10 00:00 [accepted] PHST- 2020/05/21 06:00 [pubmed] PHST- 2021/10/16 06:00 [medline] PHST- 2020/05/21 06:00 [entrez] PHST- 2021/03/01 00:00 [pmc-release] AID - 44.e15 [pii] AID - dmj-2019-0150 [pii] AID - 10.4093/dmj.2019.0150 [doi] PST - ppublish SO - Diabetes Metab J. 2021 Mar;45(2):175-182. doi: 10.4093/dmj.2019.0150. Epub 2020 Apr 14.