A current examine carried out collectively by Fortis C-DOC Hospital for Diabetes and Allied sciences and companions concluded that Leucocyte Telomere Size (LTL) is linked to weight problems in pre-diabetic and kind 2 diabetic ladies. The examine additional addressed the elationship between prediabetes, truncal weight problems and LTL, shortening of which, signifies quicker growing old and untimely dying. LTL is the measure mostly used to review age-dependent shortening and disease risk in human populations.
The examine was collectively carried out by Dr Anoop Misra, Padma Shri, Govt Chairman and Director, Diabetes and Endocrinology, Fortis C-DOC Hospital for Diabetes and Allied Sciences and Surya Prakash Bhatt, Ravindra Mohan Pandeyand Ashish Datt Upadhyay. The important thing findings of the examine have been revealed in BMJ Open Diabetes Analysis & Care.
LTL is understood to be linked with growing old and associated diseases, reminiscent of weight problems, kind 2 diabetes, and heart problems. This examine investigated the connection of LTL in pre-diabetic ladies, and particularly, the connection of LTL with obesity in ladies. This examine is the primary of its type.
Analysis design and methodology
On this examine from July 2015 to December 2020, 1,361 ladies have been chosen from North India, inside the age group of 20–60 years. Amongst them, 797 pre-diabetic ladies (overweight, 492; non-obese, 305) have been enlisted and their demographic, scientific profiles and fasting blood glucose have been evaluated. LTL was quantified by a quantitative Polymerase Chain Response (PCR), which is a laboratory approach for quickly amplifying hundreds of thousands of copies of a selected section of DNA. Together with that, the telomere size was detected from DNA samples and expressed because the imply T/S ratio (telomere repeats per single-copy gene). The examine topics have been randomly designated to have an approximate illustration of upper, medium and decrease revenue teams from 41 residential areas in Delhi.
A few of the examine topics have been excluded primarily based on the usage of oral antidiabetic medicine, alcohol, tobacco, or drug abuse, any treatment which may have an effect on insulin sensitivity, being pregnant, extreme end-organ harm or persistent ailments, malignancy and different endocrine problems and vital liver, kidney, thyroid, or different endocrine ailments.
• The examine specifies the hyperlink between LTL in ladies with irregular fasting glycemia (pre-diabetes). The connection of LTL with fatness, significantly within the truncal a part of the physique is being reported.
• The common LTL was considerably shorter in overweight ladies with pre-diabetes.
• The R-squared (R2) statistic for the multivariable linear mannequin after adjusting for age, household revenue, training, and hypertension confirmed that LTL was inversely correlated with physique mass index (BMI), waist and hip circumference, waist-hip and waist-to-height ratio, truncal skinfolds (triceps ratio, central and complete skinfolds), fats mass (kg) and proportion physique fats.
• Apart from age, weight problems, and fats distribution within the truncal a part of the physique are main contributors to telomere shortening in ladies with irregular fasting glycemia.
Dr Anoop Misra, Padma Shri, Govt Chairman and Director, Diabetes and Endocrinology, Fortis C-DOC shared, “Apart from age, weight problems and subcutaneous adiposity (predominantly truncal) are main contributors to telomere shortening in Asian Indian ladies with irregular fasting glycemia (impaired fasting glucose). This implies Indian ladies who’re extra fats over trunk and are prediabetes, might have decrease longevity. It has connotation to mortality statistics of females in India as properly large implications of prevention of prediabetes.”
Lead writer, Dr Surya Prakash acknowledged; “Weight problems in Indian ladies begins to extend within the 30-40 age group, and that’s the place a lot of the way of life efforts needs to be concentrated.”