GLP-2 and leptin are associated with hyperinsulinemia in non-obese female migraineurs

被引:29
作者
Bernecker, Claudia [1 ]
Pailer, Sabine [1 ]
Kieslinger, Petra [1 ]
Horejsi, Renate [1 ]
Moeller, Reinhard [1 ]
Lechner, Anita [1 ]
Wallner-Blazek, Mirja [1 ]
Weiss, Sabine [1 ]
Fazekas, Franz [1 ]
Truschnig-Wilders, Martini [1 ]
Gruber, Hans-Juergen [1 ]
机构
[1] Med Univ Graz, Clin Inst Med & Chem Lab Diagnost, A-8036 Graz, Austria
关键词
migraine; leptin; GLP-2; insulin; GLUCAGON-LIKE PEPTIDE-1; ADIPOSE-SPECIFIC PROTEIN; BODY-MASS INDEX; INSULIN-RESISTANCE; CELL-PROLIFERATION; ADIPONECTIN; OBESITY; WOMEN; INCREASES; HEADACHE;
D O I
10.1177/0333102410364674
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Objective: Impaired insulin metabolism has been implicated in migraine. However, to date only some putative effects, especially regarding the involvement of adipocytokines and glucagon-like peptides (GLPs), have been described. The aim of the present study was to investigate adipocytokines and GLPs in non-obese female migraineurs. Methods: Various parameters of the insulin metabolism and body measurements were determined in 84 non-obese female subjects. Results: We found highly significantly increased insulin levels with an odds ratio of 10.62 for migraine. Leptin and GLP-2 levels were also increased and correlated with insulin. Logistic regression analysis of leptin and GLP-2 revealed odds ratios of 3.79 and 4.26 for migraine, respectively, when comparing the lowest with the highest quartile of the test variable in the complete study cohort. Discussion: We show that non-obese female migraineurs suffer from hyperinsulinemia, which is associated with elevated leptin and GLP-2 levels. Increased leptin and GLP-2 are risk factors for migraine. Our data suggest that migraine is associated with a higher risk for insulin resistance and its clinical consequences.
引用
收藏
页码:1366 / 1374
页数:9
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