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Potential involvement of adiponectin in obesity-associated erosive esophagitis

Authors
 Chung Hyun Tae  ;  Hye-Kyung Jung  ;  Seong-Eun Kim  ;  Sung-Ae Jung  ;  Sun Ha Jee 
Citation
 JOURNAL OF CLINICAL BIOCHEMISTRY AND NUTRITION, Vol.67(2) : 206-213, 2020-09 
Journal Title
 JOURNAL OF CLINICAL BIOCHEMISTRY AND NUTRITION 
ISSN
 0912-0009 
Issue Date
2020-09
Keywords
adiponectin ; gastroesophageal reflux disease ; gender difference ; obesity
Abstract
A strong causal relationship between obesity and erosive esophagitis has been proposed. Obesity may affect the pathogenesis of erosive esophagitis through adipokines as well as acid reflux. We evaluated the involvement of adiponectin in obesity-associated erosive esophagitis. In total, 1,902 patients who underwent endoscopy during medical check-ups were selected for study. Variables including the body mass index (BMI) and adiponectin level were compared between subjects with erosive esophagitis and normal controls. The subjects were classified by quartiles (Qs) of adiponectin level. Q4 was the reference group. The median adiponectin level differed by gender (men, 5.3 µg/ml vs women, 9.3 µg/ml; p<0.001). As the severity of erosive esophagitis increased in men, the BMI increased (p<0.001) while the adiponectin level decreased (p = 0.026). The multivariate odds ratio for erosive esophagitis was 1.79 for Q1, 1.73 for Q2, 2.34 for obesity, and 27.40 for hiatal hernia in men. When classified by obesity, the multivariate odds ratio for erosive esophagitis was 1.94 for Q1, 2.10 for Q2, and 18.47 for hiatal hernia only in obese men. In women, there were no trends in BMI, adiponectin levels, or severity of erosive esophagitis. We demonstrated that low adiponectin levels are involved in obesity-associated erosive esophagitis in men but not women.
Files in This Item:
T202005367.pdf Download
DOI
10.3164/jcbn.17-65
Appears in Collections:
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Jee, Sun Ha(지선하) ORCID logo https://orcid.org/0000-0001-9519-3068
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/181298
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