PMID- 33627254 OWN - NLM STAT- MEDLINE DCOM- 20220113 LR - 20220113 IS - 1873-460X (Electronic) IS - 1056-8727 (Linking) VI - 35 IP - 5 DP - 2021 May TI - Adiponectin predicts the antioxidant capacity and size of high-density lipoprotein (HDL) in individuals with diabetes mellitus. PG - 107856 LID - S1056-8727(21)00010-6 [pii] LID - 10.1016/j.jdiacomp.2021.107856 [doi] AB - AIMS: The relationship between adiponectin and type 2 diabetes mellitus (T2DM) is established; however the evidence on its role in high-density lipoprotein (HDL) functionality is still scant. The aim of this study was to assess the association of adiponectin with HDL functionality especially on the antioxidant capacity and HDL subfractions in individuals with T2DM. METHODS: This case-control study enrolled 356 individuals who were divided into two groups: diabetics [T2DM (n = 188)] and non-diabetic [nT2DM (n = 168)]. The association of adiponectin level on HDL functionality parameters was done in function of the cut-off point for adiponectin [percentile p < 75 = 12.9 mug/mL versus p >/= 75 = 12.9 mug/mL] and multiple adjustments applied in the logistic regression models. RESULTS: Body mass index (BMI), waist circumference (WC) and body fat mass (FM) were higher in T2DM. The larger HDL particles (HDL(LARGE)) were lower in T2DM group in comparison with nT2DM (28.20% versus 30.40%; p = 0.016). Individuals with T2DM and simultaneous highest adiponectin (p >/= 75) had 2.25 OR (95% CI = 1.03-4.91) and 5.14 OR (95% CI = 2.37-11.15) to present higher HDL-C and HDL(LARGE) concentrations. After adjustment for multiple confounders, high level of adiponectin was independently related with improvement of the HDL antioxidant capacity (OR = 2.78; 95% CI = 1.16-6.67). CONCLUSIONS: High adiponectin level associates with a lesser negative impact of T2DM on HDL functionality by increase in APO AI, particles size, and cholesterol content. On the same token, higher adiponectin was associated with greater odds to have high antioxidant capacity. CI - Copyright (c) 2021 Elsevier Inc. All rights reserved. FAU - Dias, G D AU - Dias GD AD - Department of Nutrition, Faculty of Public Health, University of Sao Paulo (FSP-USP), Sao Paulo, Brazil. FAU - Cartolano, F C AU - Cartolano FC AD - Department of Nutrition, Faculty of Public Health, University of Sao Paulo (FSP-USP), Sao Paulo, Brazil. FAU - Freitas, M C P AU - Freitas MCP AD - Department of Nutrition, Faculty of Public Health, University of Sao Paulo (FSP-USP), Sao Paulo, Brazil. FAU - Santa-Helena, E AU - Santa-Helena E AD - University of Blumenau, Santa Catarina, Brazil. FAU - Markus, M R P AU - Markus MRP AD - Universitatsklinikum Greifswald, Greifswald, Germany. FAU - Santos, R D AU - Santos RD AD - Lipid Clinic, Heart Institute (InCor), University of Sao Paulo Medical School Hospital (HC-FMUSP), Sao Paulo, Brazil. FAU - Damasceno, N R T AU - Damasceno NRT AD - Department of Nutrition, Faculty of Public Health, University of Sao Paulo (FSP-USP), Sao Paulo, Brazil. Electronic address: nagila@usp.br. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210122 PL - United States TA - J Diabetes Complications JT - Journal of diabetes and its complications JID - 9204583 RN - 0 (Adiponectin) RN - 0 (Antioxidants) RN - 0 (Cholesterol, HDL) RN - 0 (Lipoproteins, HDL) SB - IM MH - *Adiponectin/blood MH - Antioxidants MH - Case-Control Studies MH - Cholesterol, HDL MH - *Diabetes Mellitus, Type 2/blood MH - Humans MH - Lipoproteins, HDL/*blood OTO - NOTNLM OT - Adiponectin OT - Antioxidant capacity OT - High-density lipoprotein OT - Lipoprotein size OT - Type 2 diabetes mellitus COIS- Declaration of competing interest RDS has received honoraria related to consulting, research and/or speaker activities from: Ache, Amgen, Astra Zeneca, Esperion, EMS, Kowa, Novo-Nordisk, Merck, MSD, Pfizer, PTC and Sanofi/Regeneron. Others have none to declare. EDAT- 2021/02/26 06:00 MHDA- 2022/01/14 06:00 CRDT- 2021/02/25 05:34 PHST- 2020/09/19 00:00 [received] PHST- 2020/12/09 00:00 [revised] PHST- 2021/01/03 00:00 [accepted] PHST- 2021/02/26 06:00 [pubmed] PHST- 2022/01/14 06:00 [medline] PHST- 2021/02/25 05:34 [entrez] AID - S1056-8727(21)00010-6 [pii] AID - 10.1016/j.jdiacomp.2021.107856 [doi] PST - ppublish SO - J Diabetes Complications. 2021 May;35(5):107856. doi: 10.1016/j.jdiacomp.2021.107856. Epub 2021 Jan 22.