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Leptin independently predicts development of sepsis and its outcome
Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap.
Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap.
Umeå universitet, Medicinska fakulteten, Institutionen för kirurgisk och perioperativ vetenskap.
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa.
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2017 (engelsk)Inngår i: Journal of Inflammation, ISSN 1476-9255, E-ISSN 1476-9255, Vol. 14, 19Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Background: Sepsis is a life-threatening condition and obesity is related to the clinical outcome. The underlying reasons are incompletely understood, but the adipocyte derived hormones leptin and adiponectin may be involved.

Methods: Patients aged 18 years or more with documented first time sepsis events were included in a nested case-referent study if they had participated in previous health surveys. Two matched referents free of known sepsis were identified. Circulating levels of leptin and adiponectin were determined in stored plasma, and their impact on a future sepsis event and its outcome was evaluated.

Results: We identified 152 patients (62% women) with a sepsis event and a previous participation in a health survey. Eighty-three % had also blood samples from the acute event. Hyperleptinemia at health survey associated with a future sepsis event (OR 1.77, 95% CI 1.04-3.00) and with hospital death. After adjustment for BMI leptin remained associated with sepsis in men, but not in women. High levels in the acute phase associated with increased risk for in hospital death in women (OR 4.18, 95% CI 1.17-15.00), while being protective in men (OR 0.05, 95% CI 0.01-0.48). Furthermore, leptin increased more from baseline to the acute phase in men than in women. Adiponectin did not predict sepsis and did not relate to outcome.

Conclusions: Hyperleptinemia independently predicted the development of sepsis and an unfavourable outcome in men, and inertia in the acute response related to worse outcome.

sted, utgiver, år, opplag, sider
BIOMED CENTRAL LTD , 2017. Vol. 14, 19
Emneord [en]
Sepsis, Leptin, Adiponectin, Obesity, Case-referent study, Sex
HSV kategori
Identifikatorer
URN: urn:nbn:se:umu:diva-140039DOI: 10.1186/s12950-017-0167-2ISI: 000410649100001PubMedID: 28919840OAI: oai:DiVA.org:umu-140039DiVA: diva2:1147388
Tilgjengelig fra: 2017-10-05 Laget: 2017-10-05 Sist oppdatert: 2017-10-05bibliografisk kontrollert

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Jacobsson, SofieLarsson, PeterJohansson, GöranNorberg, MargaretaWadell, GöranHallmans, GöranWinso, OlaSöderberg, Stefan
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