Yıl: 2021 Cilt: 27 Sayı: 2 Sayfa Aralığı: 89 - 92 Metin Dili: Türkçe DOI: 10.4274/vhd.galenos.2021.2021-2-6 İndeks Tarihi: 04-06-2022

Insulin Resistance in Patients with Chronic Hepatitis B Virus Infection: A Case-control Study

Öz:
Objectives: It was aimed to compare the rate of insulin resistance (IR) in patients with chronic hepatitis B virus (CHB) infection with the general population. Materials and Methods: The files of the patients were retrospectively examined. Patients testing for insulin and fasting blood glucose were included. For detecting IR, Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) index was used. All patients were divided into 2 groups in terms of HOMA-IR. All data were compared between two groups. The rate of IR was compared with the general population. Results: Forty-seven were female and the mean age was 38. Seventy-one had hepatitis B e antigen (HBeAg)-negative CHB infection, 44 had CHB and 5 had HBeAg-positive CHB infection. IR was detected in 47 patients. The rates of IR were similar between females and males. The rates of IR was 38% in HBeAg negative CHB infection, 36.4% in CHB and 80% in HBeAg positive CHB infection. The rate of IR in patients with CHB infection was found to be 39% in our study. Conclusion: This study showed higher rate of IR in patients with CHB infection than in the general population and thus these patients should be carefully monitored in terms of the occurrence of IR and diabetes mellitus.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Alberti KGMM, Zimmet P, Shaw J. Metabolic syndrome - A new world-wide definition. A consensus statement from the International Diabetes Federation. Diabet Med 2006;23:469-480.
  • 2. Chen CL, Yang HI, Yang WS, Liu CJ, Chen PJ, You SL, Wang LY, Sun CA, Lu SN, Chen DS, Chen CJ. Metabolic Factors and Risk of Hepatocellular Carcinoma by Chronic Hepatitis B/C Infection: A Follow-up Study in Taiwan. Gastroenterol 2008;135:111-121.
  • 3. Reaven GM. Banting Lecture 1988. Role of insulin resistance in human disease. Diabet1988;37:1595-1607.
  • 4. McMahon BJ. Natural history of chronic hepatitis B. Clinics in liver disease. 2010;14:381-196.
  • 5. Li WC, Lee YY, Chen IC, Sun C, Chiu FH, Chuang CH. Association between the hepatitis B and C viruses and metabolic diseases in patients stratified by age. Liver Int 2013;33:1194-1202.
  • 6. Li X, Ren N, Ling W, Chen F, Zhang W, Fan X, Tian M, Zhang T, Li B, Pfeffer LM, Wu H, Zhang J. Adiponectin and its receptors in chronic hepatitis B patients with metabolic syndrome in China. Hepatogastroenterology 2012;59:1735-1743.
  • 7. Wong VW, Wong GL, Chu WC, Chim AM, Ong A, Yeung DK, Yiu KK, Chu SH, Chan HY, Woo J, Chan FK, Chan HL. Hepatitis B virus infection and fatty liver in the general population. J Hepatol 2012;56:533–540.
  • 8. Kim K, Kim KH, Cheong J. Hepatitis B virus X protein impairs hepatic insulin signaling through degradation of IRS1 and induction of SOCS3. PloS One 2010;5:e8649.
  • 9. Alizadeh AHM, Fallahian F, Alavian SM, Ranjbar M, Hedayati M, Rahimi F, Khedmat H, Etemadi A, Zali MR, Azizi F. Insulin resistance in chronic hepatitis B and C. Indian J Gastroenterol 2006;25:286-289.
  • 10. Narita R, Abe S, Kihara Y, Akiyama T, Tabaru A, Otsuki M. Insulin resistance and insulin secretion in chronic hepatitis C virus infection. J Hepatol 2004;41:132-138.
  • 11. Lecube A, Hernández C, Genescà J, Simó R. Proinflammatory cytokines, insulin resistance, and insulin secretion in chronic hepatitis C patients: A case-control study. Diabetes Care 2006;29:1096-1101.
  • 12. European Association For The Study Of The Liver. EASL 2017 Clinical Practice Guidelines on the management of hepatitis B virus infection. J Hepatol 2017;67:370-398.
  • 13. Wang CC, Hsu CS, Liu CJ, Kao JH, Chen DS. Association of chronic hepatitis B virus infection with insulin resistance and hepatic steatosis. J Gastroenterol Hepatol (Australia) 2008;23:779-782.
  • 14. Wang CC, Tseng TC, Kao JH. Hepatitis B virus infection and metabolic syndrome: Fact or fiction? J Gastroenterol Hepatol (Australia) 2015;30:14-20.
  • 15. Huang ZS, Huang TS, Wu TH, Chen MF, Hsu CS, Kao JH. Asymptomatic chronic hepatitis B virus infection does not increase the risk of diabetes mellitus: A ten-year observation?. J Gastroenterol Hepatol (Australia) 2010;25:1420-1425.
  • 16. Lee JG, Lee S, Kim YJ, Cho BM, Park JS, Kim HH, Cheong J, Jeong DW, Lee YH, Cho YH, Bae MJ, Choi EJ. Association of chronic viral hepatitis B with insulin resistance. World J Gastroenterol 2012;18:6120-6126.
  • 17. Wang CC, Cheng PN and Kao JH. Systematic review: chronic viral hepatitis and metabolic derangement. Aliment Pharmacol Ther 2020;51:216-230.
  • 18. Senoymak MC and Ozkan H. Evaluation of the Relationship between Insulin Resistance and HBV DNA Level in Patients with HBeAg-negative Chronic HBV Infection (Natural Course Phase 3). Euroasian J Hepatogastroenterology 2020;10:85.
  • 19. Hong YS, Chang Y, Ryu S, Cainzos-Achirica M, Kwon MJ, Zhang Y, Choi Y, Ahn J, Rampal S, Zhao D, Pastor-Barriuso R, Lazo M, Shin H, Cho, J and Guallar E. Hepatitis B and C virus infection and diabetes mellitus: A cohort study. Scientific Rep 2017;7:4606.
  • 20. Ye J, Hu X, Wu T, Wu Y, Shao C, Li F, Lin Y, Feng S, Wang W, Zhong B. Insulin resistance exhibits varied metabolic abnormalities in nonalcoholic fatty liver disease, chronic hepatitis B and the combination of the two: a cross-sectional study. Diabetol Metab Syndr 2019;11:1-13.
  • 21. Epstein FH, Moller DE, Flier JS. Insulin resistance-mechanisms, syndromes, and implications. N Eng J Med 1991;325:938-948.
  • 22. Semple RK, Savage DB, Cochran EK, Gorden P, O’Rahilly S. Genetic syndromes of severe insulin resistance. Endocr Rev 2011;32:498-514.
  • 23. Hollenbeck C, Reaven GM. Variations in insulin-stimulated glucose uptake in healthy individuals with normal glucose tolerance. Clin Endocrinol Metab 1987;64:1169-1173.
APA KAYA a, Yıldız Kaya S, Mete B, BALKAN İ, Saltoglu N, Tabak F (2021). Insulin Resistance in Patients with Chronic Hepatitis B Virus Infection: A Case-control Study. , 89 - 92. 10.4274/vhd.galenos.2021.2021-2-6
Chicago KAYA abdurrahman,Yıldız Kaya Sibel,Mete Bilgul,BALKAN İlker İnanç,Saltoglu Nese,Tabak Fehmi Insulin Resistance in Patients with Chronic Hepatitis B Virus Infection: A Case-control Study. (2021): 89 - 92. 10.4274/vhd.galenos.2021.2021-2-6
MLA KAYA abdurrahman,Yıldız Kaya Sibel,Mete Bilgul,BALKAN İlker İnanç,Saltoglu Nese,Tabak Fehmi Insulin Resistance in Patients with Chronic Hepatitis B Virus Infection: A Case-control Study. , 2021, ss.89 - 92. 10.4274/vhd.galenos.2021.2021-2-6
AMA KAYA a,Yıldız Kaya S,Mete B,BALKAN İ,Saltoglu N,Tabak F Insulin Resistance in Patients with Chronic Hepatitis B Virus Infection: A Case-control Study. . 2021; 89 - 92. 10.4274/vhd.galenos.2021.2021-2-6
Vancouver KAYA a,Yıldız Kaya S,Mete B,BALKAN İ,Saltoglu N,Tabak F Insulin Resistance in Patients with Chronic Hepatitis B Virus Infection: A Case-control Study. . 2021; 89 - 92. 10.4274/vhd.galenos.2021.2021-2-6
IEEE KAYA a,Yıldız Kaya S,Mete B,BALKAN İ,Saltoglu N,Tabak F "Insulin Resistance in Patients with Chronic Hepatitis B Virus Infection: A Case-control Study." , ss.89 - 92, 2021. 10.4274/vhd.galenos.2021.2021-2-6
ISNAD KAYA, abdurrahman vd. "Insulin Resistance in Patients with Chronic Hepatitis B Virus Infection: A Case-control Study". (2021), 89-92. https://doi.org/10.4274/vhd.galenos.2021.2021-2-6
APA KAYA a, Yıldız Kaya S, Mete B, BALKAN İ, Saltoglu N, Tabak F (2021). Insulin Resistance in Patients with Chronic Hepatitis B Virus Infection: A Case-control Study. Viral Hepatitis Journal, 27(2), 89 - 92. 10.4274/vhd.galenos.2021.2021-2-6
Chicago KAYA abdurrahman,Yıldız Kaya Sibel,Mete Bilgul,BALKAN İlker İnanç,Saltoglu Nese,Tabak Fehmi Insulin Resistance in Patients with Chronic Hepatitis B Virus Infection: A Case-control Study. Viral Hepatitis Journal 27, no.2 (2021): 89 - 92. 10.4274/vhd.galenos.2021.2021-2-6
MLA KAYA abdurrahman,Yıldız Kaya Sibel,Mete Bilgul,BALKAN İlker İnanç,Saltoglu Nese,Tabak Fehmi Insulin Resistance in Patients with Chronic Hepatitis B Virus Infection: A Case-control Study. Viral Hepatitis Journal, vol.27, no.2, 2021, ss.89 - 92. 10.4274/vhd.galenos.2021.2021-2-6
AMA KAYA a,Yıldız Kaya S,Mete B,BALKAN İ,Saltoglu N,Tabak F Insulin Resistance in Patients with Chronic Hepatitis B Virus Infection: A Case-control Study. Viral Hepatitis Journal. 2021; 27(2): 89 - 92. 10.4274/vhd.galenos.2021.2021-2-6
Vancouver KAYA a,Yıldız Kaya S,Mete B,BALKAN İ,Saltoglu N,Tabak F Insulin Resistance in Patients with Chronic Hepatitis B Virus Infection: A Case-control Study. Viral Hepatitis Journal. 2021; 27(2): 89 - 92. 10.4274/vhd.galenos.2021.2021-2-6
IEEE KAYA a,Yıldız Kaya S,Mete B,BALKAN İ,Saltoglu N,Tabak F "Insulin Resistance in Patients with Chronic Hepatitis B Virus Infection: A Case-control Study." Viral Hepatitis Journal, 27, ss.89 - 92, 2021. 10.4274/vhd.galenos.2021.2021-2-6
ISNAD KAYA, abdurrahman vd. "Insulin Resistance in Patients with Chronic Hepatitis B Virus Infection: A Case-control Study". Viral Hepatitis Journal 27/2 (2021), 89-92. https://doi.org/10.4274/vhd.galenos.2021.2021-2-6