Potential involvement of adiponectin in obesity-associated erosive esophagitis
- 주제(키워드) adiponectin , gastroesophageal reflux disease , obesity , gender difference
- 주제(기타) Nutrition & Dietetics
- 설명문(일반) [Tae, Chung Hyun; Jung, Hye-Kyung; Kim, Seong-Eun; Jung, Sung-Ae] Ewha Womans Univ, Coll Med, Dept Internal Med, 1071 Anyangcheon Ro, Seoul 07985, South Korea; [Jee, Sun Ha] Yonsei Univ, Grad Sch Publ Hlth, Dept Epidemiol & Hlth Promot, Inst Hlth Promot, 50 Yonsei Ro, Seoul 03722, South Korea
- 등재 SCIE, SCOPUS
- 발행기관 JOURNAL CLINICAL BIOCHEMISTRY & NUTRITION
- 발행년도 2020
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000183442
- 본문언어 영어
- Published As http://dx.doi.org/10.3164/jcbn.17-65
초록/요약
A strong causal relationship between obesity and erosive esophagitis has been proposed. Obesity may affect the pathogenesis of erosive esophagitis through adipokines as well as acid reflux. We evaluated the involvement of adiponectin in obesity-associated erosive esophagitis. In total, 1,902 patients who underwent endoscopy during medical check-ups were selected for study. Variables including the body mass index (BMI) and adiponectin level were compared between subjects with erosive esophagitis and normal controls. The subjects were classified by quartiles (Qs) of adiponectin level. Q4 was the reference group. The median adiponectin level differed by gender (men, 5.3 mu g/ml vs women, 9.3 mu g/ml; p<0.001). As the severity of erosive esophagitis increased in men, the BMI increased (p<0.001) while the adiponectin level decreased (p = 0.026). The multivariate odds ratio for erosive esophagitis was 1.79 for Q1, 1.73 for Q2, 2.34 for obesity, and 27.40 for hiatal hernia in men. When classified by obesity, the multivariate odds ratio for erosive esophagitis was 1.94 for Q1, 2.10 for Q2, and 18.47 for hiatal hernia only in obese men. In women, there were no trends in BMI, adiponectin levels, or severity of erosive esophagitis. We demonstrated that low adiponectin levels are involved in obesity-associated erosive esophagitis in men but not women.
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