Reduction in Endogenous Insulin Secretion is a Risk Factor of Sarcopenia in Men with Type 2 Diabetes Mellitus

Verfasser / Beitragende:
[Ken-ichiro Tanaka, Ippei Kanazawa, Toshitsugu Sugimoto]
Ort, Verlag, Jahr:
2015
Enthalten in:
Calcified Tissue International, 97/4(2015-10-01), 385-390
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00223-015-9990-8  |2 doi 
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245 0 0 |a Reduction in Endogenous Insulin Secretion is a Risk Factor of Sarcopenia in Men with Type 2 Diabetes Mellitus  |h [Elektronische Daten]  |c [Ken-ichiro Tanaka, Ippei Kanazawa, Toshitsugu Sugimoto] 
520 3 |a Sarcopenia has recently attracted widespread attention, because it increases risks of fall and bedridden. Although patients with type 2 diabetes mellitus (T2DM) are known to have lower muscle mass of limbs than healthy people, the mechanism is still unclear. We thus examined the association of muscle mass with parameters of endogenous insulin secretion such as fasting immunoreactive insulin, fasting C-peptide immunoreactivity(CPR), and daily urine CPR in 191 men with T2DM. Muscle mass of arms and legs was evaluated by dual-energy X-ray absorptiometry, and we calculated relative skeletal muscle index (RSMI), which is useful for the diagnosis of sarcopenia. Multiple regression analyses adjusted for age, duration of T2DM, serum creatinine, HbA1c, and insulin-like growth factor-I showed that each parameter of endogenous insulin was significantly and positively correlated with muscle mass of arms and legs as well as RSMI (p<0.05). Moreover, logistic regression analyses adjusted for confounding factors mentioned above showed that each parameter of endogenous insulin was significantly lower in subjects with sarcopenia than those without it (p<0.05). In conclusion, reduction in endogenous insulin secretion is an independent risk factor of sarcopenia in men with T2DM. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Sarcopenia  |2 nationallicence 
690 7 |a Insulin secretion  |2 nationallicence 
690 7 |a Diabetes mellitus  |2 nationallicence 
690 7 |a Skeletal muscle mass  |2 nationallicence 
690 7 |a IGF-Ι  |2 nationallicence 
700 1 |a Tanaka  |D Ken-ichiro  |u Department of Internal Medicine, Shimane University Faculty of Medicine, 693-8501, Izumo, Japan  |4 aut 
700 1 |a Kanazawa  |D Ippei  |u Department of Internal Medicine, Shimane University Faculty of Medicine, 693-8501, Izumo, Japan  |4 aut 
700 1 |a Sugimoto  |D Toshitsugu  |u Department of Internal Medicine, Shimane University Faculty of Medicine, 693-8501, Izumo, Japan  |4 aut 
773 0 |t Calcified Tissue International  |d Springer US; http://www.springer-ny.com  |g 97/4(2015-10-01), 385-390  |x 0171-967X  |q 97:4<385  |1 2015  |2 97  |o 223 
856 4 0 |u https://doi.org/10.1007/s00223-015-9990-8  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00223-015-9990-8  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Tanaka  |D Ken-ichiro  |u Department of Internal Medicine, Shimane University Faculty of Medicine, 693-8501, Izumo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kanazawa  |D Ippei  |u Department of Internal Medicine, Shimane University Faculty of Medicine, 693-8501, Izumo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Sugimoto  |D Toshitsugu  |u Department of Internal Medicine, Shimane University Faculty of Medicine, 693-8501, Izumo, Japan  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Calcified Tissue International  |d Springer US; http://www.springer-ny.com  |g 97/4(2015-10-01), 385-390  |x 0171-967X  |q 97:4<385  |1 2015  |2 97  |o 223