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Effect of Lifestyle Modification and Metformin on Fetuin-A in Metabolic Syndrome

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      Abstract

      Objective. To evaluate the effects of lifestyle modification and metformin on fetuin-A in metabolic syndrome (MetS) as defined in 2006 by the International Diabetes Federation (IDF). Methodology. Forty MetS subjects were randomly assigned to treatment with placebo (n=20) or metformin (n=20) in addition to lifestyle modification for 12 weeks. Results. All 40 participants completed the study. After 12 weeks, both groups had significant reductions in weight (p<0.001), body mass index (BMI) (p<0.001), waist circumference (WC) (p<0.001), systolic blood pressure (SBP) (p<0.001), and diastolic blood pressure (DBP) (p<0.001). The placebo group also had significant improvement in fasting plasma glucose (FPG) (p<0.001) and C-reactive protein (CRP) (<0.05). Weight, BMI, WC, FPG, 2-hour postprandial glucose (2h-PPG), high density lipoprotein cholesterol (HDL-C), triglycerides (TG) and fetuin-A in the metformin group decreased significantly compared to the placebo group. Reduction of plasma fetuin-A was significantly associated with TG in the metformin group. Conclusion. Lifestyle modification and treatment with metformin for 12 weeks improved cardio-metabolic risk factors in MetS and reduced fetuin-A levels. Further investigations are required to confirm the effects of lifestyle modification and metformin after an extended follow-up period.

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      Affiliations
      [1 ]Division of Endocrinology-Metabolism, Department of Internal Medicine, Faculty of Medicine, Sumatra University /H. Adam Malik Hospital, Medan, Indonesia
      Journal
      Journal of the ASEAN Federation of Endocrine Societies
      JAFES
      Journal of the ASEAN Federation of Endocrine Societies (JAFES)
      08571074
      2308118X
      May 31 2014
      May 31 2014
      : 29
      : 1
      : 48-52
      10.15605/jafes.029.01.07
      © 2014

      CC BY 3.0

      Endocrinology & Diabetes, Medicine, Internal medicine

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