A predominance of small, dense low-density lipoproteins (LDL) is characteristic of the dyslipidemic state seen in type 2 diabetes. However, no study has investigated the association in gestational diabetes mellitus (GDM), which is pathophysiologically similar to type 2 diabetes. We hypothesized that LDL particle size is reduced in GDM cases compared with controls. Gradient gel electrophoresis was used to characterize LDL subclass phenotypes in non-fasting intrapartum plasma from 105 GDM cases and 96 controls. All participants were free of pre-existing diabetes or hypertension. The authors used logistic regression to estimate odds ratios (OR) and 95 % confidence intervals (CI) adjusted for confounders. Women with this phenotype had a significant 4.9-fold (95 % CI: 1.1-23.2) increased risk of GDM compared with those with the large, buoyant phenotype. The magnitude of this association was attenuated when plasma triglyceride and other confounders were included in the model (OR=4.2, 95 % CI: 0.5-39.5). Mean LDL particle size in GDM cases was smaller compared with controls (270.1 vs. 272.7Å, p=0.003). The OR of GDM risk was 1.8 (95 % CI: 0.9-3.3) for every 10-Å reduction in LDL particle size. Large prospective studies are needed to evaluate the association between smaller LDL particle size in early pregnancy with subsequent GDM risk., C. Qiu, C. Rudra, M. A. Austin, M. A. Williams., and Obsahuje bibliografii a bibliografické odkazy
The subclass of triglyceride -rich lipoproteins - remnant -like particles (RLP) seems to be strong and independent risk factor for cardiovascular disease. We eva luated the role of RLP and other risk factors (RF) with sonographically measured intima - media thickness of carotid arteries (IMT CCA) in a cohort of Czech population including women defined according to the time after menopause. We investigated relation of IMT CCA to age, weight, central obesity, plasma lipids including remnant -like particles cholesterol (RLP -C) and triglycerides (RLP -TG) in 136 men and 160 women. Using multiple linear regression analysis, significant association between IMT CCA and RLP -C was found in women 1 -7 years after menopause. In the whole group of women, only age and fasting blood glucose were independently associated with IMT CCA. In men only age significantly correlated wit h IMT CCA. Significant decrease of all plasma lipids betwe en 1988 and 1996 in men was detected, while in women significant increase in triglycerides and no change in non -HDL cholesterol was observed. RLP -C was the strongest independent RF for atherosclerosis in postmenopausal women but its as sociation with IMT CC A was limited to several years after menopause. In conclusion, women changing reproductive status could be more sensitive to atherogenic impact of remnant lipoproteins., J. Piťha, J. Kovář, Z. Škodová, R. Cífková, P. Stávek, L. Červenka, T. Šejda, V. Lánská, R. Poledne., and Obsahuje bibliografii
Insulin resistance is present in patients with Type 2 diabetes mellitus as well as in obese patients without diabetes. The aim of our study was to compare insulin action in diabetic and control persons with or without obesity and to evaluate the influence of serum cholesterol, serum triglyceride and blood pressure on metabolic variables of insulin action. We examined 42 Type 2 diabetic patients and 41 control persons with body mass index (BMI) from 21.1 to 64.5 kg.m-2, and 33 to 71 years old. The isoglycemic hyperinsulinemic clamp technique was performed at an insulin infusion rate of 1 mU.kg-1.min-1 during 120 min. We evaluated the metabolic clearance rate of glucose (MCRG, ml.kg-1.min-1) as the most important indicator of insulin action by isoglycemic clamp. The Pearson's correlation and multiple regression models were used to compare studied factors with the insulin action. We found following predictors of insulin resistance expressed in the relationship with MCRG: BMI (r = -0.68, p<0.001), plasma glucose concentration (r = -0.66, p<0.001), cholesterol (r=-0.55, p<0.001), triglycerides (r = -0.54, p<0.001) and mean blood pressure (r = -0.38, p<0.01). From the multiple regression analysis we conclude that obesity may have even greater influence on the insulin action than diabetes mellitus itself., G. Šindelka, J. Škrha, M. Prázný, T. Haas., and Obsahuje bibliografii
To compare circulating pigment epithelium derived factor (PEDF)
levels in type 2 diabetes patients (T2D) with and without
metabolic syndrome (MetS+/-) to healthy controls and assess
PEDF association with plasminogen activator inhibitor-1 (PAI-1)
and von Willebrand factor (vWF) as markers of endothelial
dysfunction. Fifty T2D individuals and forty healthy controls were
included. PEDF, PAI-1, vWF, anthropological parameters, lipids,
and markers of insulin resistance were investigated in all
subjects. Compared to controls only MetS+ diabetics had higher
PEDF levels [14.2 (10.2-16.0) mg/l vs. 11.1 (8.6-14.4) mg/l;
p<0.05]. PEDF significantly correlated: positively with body mass
index (ρ=0.25), smoking (ρ=0.21), C-reactive protein (ρ=0.22),
triglycerides (ρ=0.38), non-HDL-cholesterol (ρ=0.39),
apolipoprotein B (ρ=0.38), fasting glucose (ρ=0.22), glycated
hemoglobin (ρ=0.24), C-peptide (ρ=0.28), insulin (ρ=0.26); and
negatively with HDL-cholesterol (ρ=-0.42) and apolipoprotein A1
(ρ=-0.27). Independent association of PEDF with vWF in
T2DMetS- subjects was found. Significantly elevated PEDF in
T2DMet+ patients and its association with adverse metabolic
profile confirmed PEDF as a marker of insulin resistance.
Negative independent association of PEDF with vWF in T2DMetSpatients may reveal its angio-protective role.
Obesity in childhood increases the risk of obesity in adulthood and is predictive for the development of metabolic disorders. The fatty acid composition is associated with obesity and obesityassociated disorders. We investigated the relationship between serum fatty acids composition, adiposity, lipids profile, parameters of glucose metabolism and leptin. The study subjects were 380 adolescents aged 15.0-17.9 years. The study's variables included anthropometric measurements, levels of serum lipids and hormonal parameters. Individual fatty acids were determined in plasma by gas-liquid chromatography. Palmitoleic acid (16:1n-7, PA) significantly positively correlated with percentage of body fat. Saturated fatty acids in phospholipids (PL) positively correlated with BMI and percentage of body fat. PA content in all lipids classes positively correlated with total cholesterol (TC), HDL cholesterol, triglycerides (TG) levels. Stearoyl-CoA desaturase (SCD) activity positively correlated with percentage of body fat and positive correlations of SCD and PA level with leptin were found. Plasma PA content and SCD are associated with adiposity and leptin in obese adolescents. No significant correlation between PA level and insulin resistance was found. Palmitoleate positively correlated with TC, HDL cholesterol, TG and LDL cholesterol levels., P. Hlavaty, E. Tvrzicka, B. Stankova, H. Zamrazilova, B. Sedlackova, L. Dusatkova, V. Hainer, M. Kunesova., and Obsahuje bibliografii
The associativity of n-dimensional copulas in the sense of Post is studied. These copulas are shown to be just n-ary extensions of associative 2-dimensional copulas with special constraints, thus they solve an open problem of R. Mesiar posed during the International Conference FSTA 2010 in Liptovský Ján, Slovakia.
Preliminary results are present of an attempt to define threshold values of eccentricity and inclination for which a second order - fourth degree analytical theory of asteroid moion still provides mean semimajor axes of acceptable accuracy.
This work describes ocular astigmatism and factors which affect it. Further, total and corneal astigmatism are described and it is analyzed their relationship. An analysis of a diameter of a geometric circle of confusion is performed for the case of defocus and astigmatism. The formulas for modeling fundamental image characteristics of an eye are described. The paper is completed with an example of an experimental analysis of corneal and total astigmatism measured by aberrometry and an analysis of the influence of astigmatism on visual acuity. and V práci je popsána stručně problematika astigmatismu oka a faktorů, které jej ovlivňují. Je charakterizován celkový astigmatismus a tzv. rohovkový astigmatismus. Dále je provedena analýza průměru geometrického rozptylového kroužku na sítnici pro případ defokusace a astigmatismu a jsou popsány vztahy, kterými lze modelovat základní obrazové charakteristiky v důsledku aberací optické soustavy oka. Článek je doplněn příkladem experimentální analýzy astigmatismu při aberometrickém měření a vlivu astigmatismu na zrakovou ostrost.