Skeletal muscle microvascular exchange capacity is associated with hyperglycaemia in subjects with central obesity


Turzyniecka, M., Wild, S.H., Krentz, A.J., Chipperfield, A.J., Gamble, J., Clough, G.F. and Byrne, C.D. (2009) Skeletal muscle microvascular exchange capacity is associated with hyperglycaemia in subjects with central obesity. Diabetic Medicine, 26, (11), 1112-1119. (doi:10.1111/j.1464-5491.2009.02822.x).

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Description/Abstract

Aims: poor glycaemic control is associated with increased risk of microvascular disease in various organs including the eye and kidney, but the relationship between glycated haemoglobin (HbA1c) and microvascular function in skeletal muscle has not been described. We tested the association between HbA1c and a measure of microvascular exchange capacity (Kf) in skeletal muscle in people with central obesity at risk of developing Type 2 diabetes.

Methods: microvascular function was measured in 28 women and 19 men [mean (± sd) age 51 ± 9 years] with central obesity who did not have diabetes. We estimated insulin sensitivity by hyperinsulinaemic–euglycaemic clamp, visceral and total fatness by magnetic resonance imaging, fitness (VO2 max by treadmill testing), physical activity energy expenditure [metabolic equivalents of tasks (METS) by use of the SenseWear Pro armband] and skeletal muscle microvascular exchange capacity (Kf) by venous occlusion plethysmography.

Results: in regression modelling, age, sex and fasting plasma glucose accounted for 30.5% of the variance in HbA1c (r2 = 0.31, P = 0.001). Adding Kf to this model explained an additional 26.5% of the variance in HbA1c (r2 = 0.57, P = 0.0001 and Kf was strongly and independently associated with HbA1c (standardized B coefficient −0.45 (95% confidence interval −0.19, −0.06), P = 0.001).

Conclusions: we found a strong negative independent association between a measure of skeletal muscle microvascular exchange capacity (Kf) and HbA1c. Kf was associated with almost as much of the variance in HbA1c as fasting plasma glucose

Item Type: Article
ISSNs: 0742-3071 (print)
Related URLs:
Keywords: glycated haemoglobin, insulin sensitivity, microcirculation, obesity
Subjects: Q Science > Q Science (General)
R Medicine > R Medicine (General)
Divisions: University Structure - Pre August 2011 > School of Medicine
University Structure - Pre August 2011 > School of Engineering Sciences > Computational Engineering and Design
ePrint ID: 71747
Date Deposited: 04 Jan 2010
Last Modified: 27 Mar 2014 18:51
URI: http://eprints.soton.ac.uk/id/eprint/71747

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