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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ometendo</journal-id><journal-title-group><journal-title xml:lang="ru">Ожирение и метаболизм</journal-title><trans-title-group xml:lang="en"><trans-title>Obesity and metabolism</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2071-8713</issn><issn pub-type="epub">2306-5524</issn><publisher><publisher-name>Endocrinology Research Centre</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.14341/2071-8713-5313</article-id><article-id custom-type="elpub" pub-id-type="custom">ometendo-5313</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Статьи</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Articles</subject></subj-group></article-categories><title-group><article-title>Методы количественной оценки инсулинорезистентности</article-title><trans-title-group xml:lang="en"><trans-title>Methods for guantificative assessment of insulin resistance</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Mayorov</surname><given-names>A Yu</given-names></name></name-alternatives><email xlink:type="simple">foot@endocrincent.ru</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Urbanova</surname><given-names>K A</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Galstyan</surname><given-names>G R</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Mayorov</surname><given-names>A Yu</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Urbanova</surname><given-names>K A</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Galstyan</surname><given-names>G R</given-names></name></name-alternatives><email xlink:type="simple">-</email></contrib></contrib-group><pub-date pub-type="collection"><year>2009</year></pub-date><pub-date pub-type="epub"><day>15</day><month>06</month><year>2009</year></pub-date><volume>6</volume><issue>2</issue><issue-title>№2 (2009)</issue-title><fpage>19</fpage><lpage>23</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Mayorov A.Y., Urbanova K.A., Galstyan G.R., Mayorov A.Y., Urbanova K.A., Galstyan G.R., 2009</copyright-statement><copyright-year>2009</copyright-year><copyright-holder xml:lang="ru">Mayorov A.Y., Urbanova K.A., Galstyan G.R., Mayorov A.Y., Urbanova K.A., Galstyan G.R.</copyright-holder><copyright-holder xml:lang="en">Mayorov A.Y., Urbanova K.A., Galstyan G.R., Mayorov A.Y., Urbanova K.A., Galstyan G.R.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.omet-endojournals.ru/jour/article/view/5313">https://www.omet-endojournals.ru/jour/article/view/5313</self-uri><abstract><p>В статье представлено определение понятия инсулинорезистентности, а также факторы, определяющие чувствительность тканей к инсулину, описана концепция синдрома инсулинорезистентности (метаболического синдрома), представлены его критерии, перечислены основные заболевания, сопровождающиеся инсулинорезистентностью. Подчеркнуто, что золотым стандартом количественной оценки действия инсулина является гиперинсулинемический эугликемический клэмп. Обсуждаются также различные индексы для косвенной оценки инсулинорезистентности и возможности использования математических моделей для этих целей.
            </p></abstract><trans-abstract xml:lang="en"><p>The article delineates the definition of concept of insulin resistance as well as the factors that determine tissue insulin sensitivity; defines the conception of «insulin resistance syndrome» (metabolic syndrome), its criteria and diseases that it accompanies. It is pointed that the golden standard for quantitative assessment of insulin action is hyperinsulinemic euglycemic clamp. Different indexes for indirect measurement of insulin resistance and possibilities of use of mathematical models for this matter are discussed.
            </p></trans-abstract><kwd-group xml:lang="ru"><kwd>инсулинорезистентность</kwd><kwd>сахарный диабет</kwd><kwd>метаболический синдром</kwd><kwd>дислипидемия</kwd><kwd>ожирение</kwd><kwd>гиперинсулинемический эугликемический клэмп</kwd></kwd-group><kwd-group xml:lang="en"><kwd>insulin resistance</kwd><kwd>diabetes mellitus</kwd><kwd>metabolic syndrome</kwd><kwd>dyslipidemia</kwd><kwd>obesity</kwd><kwd>hyperinsulinemic euglycemic clamp</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Diabetes Atlas. International Diabetes Federation, 2006.</mixed-citation><mixed-citation xml:lang="en">Diabetes Atlas. International Diabetes Federation, 2006.</mixed-citation></citation-alternatives></ref><ref id="cit2"><label>2</label><citation-alternatives><mixed-citation xml:lang="ru">Report of WHO Consultation. Geneve, 1999.</mixed-citation><mixed-citation xml:lang="en">Report of WHO Consultation. Geneve, 1999.</mixed-citation></citation-alternatives></ref><ref id="cit3"><label>3</label><citation-alternatives><mixed-citation xml:lang="ru">Балаболкин М.И. Эндокринология. М., 1998.</mixed-citation><mixed-citation xml:lang="en">Балаболкин М.И. Эндокринология. М., 1998.</mixed-citation></citation-alternatives></ref><ref id="cit4"><label>4</label><citation-alternatives><mixed-citation xml:lang="ru">Дедов И.И., Мельниченко Г.А., Фадеев В.В. Эндокринология. М., Медицина, 2000.</mixed-citation><mixed-citation xml:lang="en">Дедов И.И., Мельниченко Г.А., Фадеев В.В. Эндокринология. М., Медицина, 2000.</mixed-citation></citation-alternatives></ref><ref id="cit5"><label>5</label><citation-alternatives><mixed-citation xml:lang="ru">Дедов И. И., Шестакова М.В. Сахарный диабет. М., Универсум Паблишинг, 2003.</mixed-citation><mixed-citation xml:lang="en">Дедов И. И., Шестакова М.В. Сахарный диабет. М., Универсум Паблишинг, 2003.</mixed-citation></citation-alternatives></ref><ref id="cit6"><label>6</label><citation-alternatives><mixed-citation xml:lang="ru">Himsworth H.P., Kerr R.B. Insulin-sensitive and Insulin-insensitive types diabetes mellitus. // Clin Sei, 1939, 4: 119-152.</mixed-citation><mixed-citation xml:lang="en">Himsworth H.P., Kerr R.B. Insulin-sensitive and Insulin-insensitive types diabetes mellitus. // Clin Sei, 1939, 4: 119-152.</mixed-citation></citation-alternatives></ref><ref id="cit7"><label>7</label><citation-alternatives><mixed-citation xml:lang="ru">Шестакова М.В., О.Ю. Брескина. Инсулинорезистентность: патофизиология, клинические проявления, подходы к лечению // Consilium medieum, 2002, № 10.</mixed-citation><mixed-citation xml:lang="en">Шестакова М.В., О.Ю. Брескина. Инсулинорезистентность: патофизиология, клинические проявления, подходы к лечению // Consilium medieum, 2002, № 10.</mixed-citation></citation-alternatives></ref><ref id="cit8"><label>8</label><citation-alternatives><mixed-citation xml:lang="ru">Дедов И.И., Балаболкин М.И. Инсулиновая резистентность в патогенезе сахарного диабета типа 2 и медикаментозная возможность ее преодоления // Врач, 2006, №11.</mixed-citation><mixed-citation xml:lang="en">Дедов И.И., Балаболкин М.И. Инсулиновая резистентность в патогенезе сахарного диабета типа 2 и медикаментозная возможность ее преодоления // Врач, 2006, №11.</mixed-citation></citation-alternatives></ref><ref id="cit9"><label>9</label><citation-alternatives><mixed-citation xml:lang="ru">Bock G., Chittilapilly E., Basu R., et al Contribution of hepatic and extrahepatie insulin resistance to the pathogenesis of impaired fasting glucose. Role of increased rates of gluconeogenesis // Diabetes, 2007, 56: 1703-1710.</mixed-citation><mixed-citation xml:lang="en">Bock G., Chittilapilly E., Basu R., et al Contribution of hepatic and extrahepatie insulin resistance to the pathogenesis of impaired fasting glucose. Role of increased rates of gluconeogenesis // Diabetes, 2007, 56: 1703-1710.</mixed-citation></citation-alternatives></ref><ref id="cit10"><label>10</label><citation-alternatives><mixed-citation xml:lang="ru">The IDF consensus worldwide definition of the metabolic syndrome. International Diabetes Federation, 2005.</mixed-citation><mixed-citation xml:lang="en">The IDF consensus worldwide definition of the metabolic syndrome. International Diabetes Federation, 2005.</mixed-citation></citation-alternatives></ref><ref id="cit11"><label>11</label><citation-alternatives><mixed-citation xml:lang="ru">Cowie C.C., Rust K.F., Byrd-Holt D.D. et al. Prevalence of diabetes and impaired fasting glucose in adults in the U.S. population Diabetes Care, 2006, 29: 1263-1268.</mixed-citation><mixed-citation xml:lang="en">Cowie C.C., Rust K.F., Byrd-Holt D.D. et al. Prevalence of diabetes and impaired fasting glucose in adults in the U.S. population Diabetes Care, 2006, 29: 1263-1268.</mixed-citation></citation-alternatives></ref><ref id="cit12"><label>12</label><citation-alternatives><mixed-citation xml:lang="ru">Nathan D. M., Davidson M.B., DeFronzo R.A. et al. Impaired fasting glucose and impaired glucose tolerance // Diabetes Care, 2007, 30: 753-759.</mixed-citation><mixed-citation xml:lang="en">Nathan D. M., Davidson M.B., DeFronzo R.A. et al. Impaired fasting glucose and impaired glucose tolerance // Diabetes Care, 2007, 30: 753-759.</mixed-citation></citation-alternatives></ref><ref id="cit13"><label>13</label><citation-alternatives><mixed-citation xml:lang="ru">Reaven G.M. Role of insulin resistance in human disease (syndrome X): an expanded definition // Annual Review of Medicine 1993; 44: 121-131.</mixed-citation><mixed-citation xml:lang="en">Reaven G.M. Role of insulin resistance in human disease (syndrome X): an expanded definition // Annual Review of Medicine 1993; 44: 121-131.</mixed-citation></citation-alternatives></ref><ref id="cit14"><label>14</label><citation-alternatives><mixed-citation xml:lang="ru">Engl J., M. Laimer, W. W. Fleischhacker, C. F. Ebenbichler To: Mackin P., Watkinson H.M., Young A.H. (2005) Prevalence of obesity, glucose homeostasis disorders and metabolic syndrome in psychiatric patients taking typical or atypical antipsychotic drugs: a cross-sectional study // Diabetologia, 2005, 48: 215-221.</mixed-citation><mixed-citation xml:lang="en">Engl J., M. Laimer, W. W. Fleischhacker, C. F. Ebenbichler To: Mackin P., Watkinson H.M., Young A.H. (2005) Prevalence of obesity, glucose homeostasis disorders and metabolic syndrome in psychiatric patients taking typical or atypical antipsychotic drugs: a cross-sectional study // Diabetologia, 2005, 48: 215-221.</mixed-citation></citation-alternatives></ref><ref id="cit15"><label>15</label><citation-alternatives><mixed-citation xml:lang="ru">Kahn S. E. The relative contributions of insulin resistance and beta-cell dysfunction to the patophysiology of Type 2 diabetes // Diabetologia, 2005, 48: 3-19.</mixed-citation><mixed-citation xml:lang="en">Kahn S. E. The relative contributions of insulin resistance and beta-cell dysfunction to the patophysiology of Type 2 diabetes // Diabetologia, 2005, 48: 3-19.</mixed-citation></citation-alternatives></ref><ref id="cit16"><label>16</label><citation-alternatives><mixed-citation xml:lang="ru">Reaven G. M. Role of insulin resistance in human disease // Diabetes, 1988, 37, 1595-1607.</mixed-citation><mixed-citation xml:lang="en">Reaven G. M. Role of insulin resistance in human disease // Diabetes, 1988, 37, 1595-1607.</mixed-citation></citation-alternatives></ref><ref id="cit17"><label>17</label><citation-alternatives><mixed-citation xml:lang="ru">Clausen J.O., Bergman R.N., Hougaard P., Pedersen O. et al. / Insulin sensitivity index, acute insulin response, and glucose effectiveness in a population-based sample of 380 young healthy Caucasians. Analysis of the impact of gender, body fat, physical fitness, and life-style factors // Journal Clinical Investigations, 1996, 98(5): 1195-209.</mixed-citation><mixed-citation xml:lang="en">Clausen J.O., Bergman R.N., Hougaard P., Pedersen O. et al. / Insulin sensitivity index, acute insulin response, and glucose effectiveness in a population-based sample of 380 young healthy Caucasians. Analysis of the impact of gender, body fat, physical fitness, and life-style factors // Journal Clinical Investigations, 1996, 98(5): 1195-209.</mixed-citation></citation-alternatives></ref><ref id="cit18"><label>18</label><citation-alternatives><mixed-citation xml:lang="ru">Del Prato S., Leonetti F., Matsuda M., DeFronzo R.A. et al. Effect of sustained physiologic hyperinsulinemia and hyperglycaemia on insulin secretion and insulin sensitivity in man. // Diabetologia, 1994, 37: 1025-1035.</mixed-citation><mixed-citation xml:lang="en">Del Prato S., Leonetti F., Matsuda M., DeFronzo R.A. et al. Effect of sustained physiologic hyperinsulinemia and hyperglycaemia on insulin secretion and insulin sensitivity in man. // Diabetologia, 1994, 37: 1025-1035.</mixed-citation></citation-alternatives></ref><ref id="cit19"><label>19</label><citation-alternatives><mixed-citation xml:lang="ru">Groop L.C., WidTn E., Ferrannini E. Insulin resistance and insulin deficiency in the pathogenesis of type 2 (non-insulin-dependent) diabetes mellitus: errors of metabolism or of methods? // Diabetologia, 1993, 36: 1326-1331.</mixed-citation><mixed-citation xml:lang="en">Groop L.C., WidTn E., Ferrannini E. Insulin resistance and insulin deficiency in the pathogenesis of type 2 (non-insulin-dependent) diabetes mellitus: errors of metabolism or of methods? // Diabetologia, 1993, 36: 1326-1331.</mixed-citation></citation-alternatives></ref><ref id="cit20"><label>20</label><citation-alternatives><mixed-citation xml:lang="ru">DeFronzo R.A., Tobin J.D., Andres R. Glucose clamp technique: a method for quantifying insulin secretion and resistance // American Journal of Physiology, 1979, 237(3): E214-E223.</mixed-citation><mixed-citation xml:lang="en">DeFronzo R.A., Tobin J.D., Andres R. Glucose clamp technique: a method for quantifying insulin secretion and resistance // American Journal of Physiology, 1979, 237(3): E214-E223.</mixed-citation></citation-alternatives></ref><ref id="cit21"><label>21</label><citation-alternatives><mixed-citation xml:lang="ru">Bergman R.N., Ider Y.Z., Bowden R., Cobelli C. Quantitative estimation of insulin sensitivity // American Journal of Physiology, 1979, 236(6): E667-E677.</mixed-citation><mixed-citation xml:lang="en">Bergman R.N., Ider Y.Z., Bowden R., Cobelli C. Quantitative estimation of insulin sensitivity // American Journal of Physiology, 1979, 236(6): E667-E677.</mixed-citation></citation-alternatives></ref><ref id="cit22"><label>22</label><citation-alternatives><mixed-citation xml:lang="ru">Bergman R.N. Insulin sensitivity from minimal model // Research methodologies in human diabetes. Edit. By Mogensen C.E., Standl E. Berlin, New-York, 1995, vol. V, part 2: 55-71.</mixed-citation><mixed-citation xml:lang="en">Bergman R.N. Insulin sensitivity from minimal model // Research methodologies in human diabetes. Edit. By Mogensen C.E., Standl E. Berlin, New-York, 1995, vol. V, part 2: 55-71.</mixed-citation></citation-alternatives></ref><ref id="cit23"><label>23</label><citation-alternatives><mixed-citation xml:lang="ru">Bergman R.N., Prager R., Volund A., Olefsky J.M. Equivalence of the insulin sensitivity index in men derived by the minimal model method and the euglycaemic glucose clamp // Journal Clinical Investigations, 1987, 79: 790-800.</mixed-citation><mixed-citation xml:lang="en">Bergman R.N., Prager R., Volund A., Olefsky J.M. Equivalence of the insulin sensitivity index in men derived by the minimal model method and the euglycaemic glucose clamp // Journal Clinical Investigations, 1987, 79: 790-800.</mixed-citation></citation-alternatives></ref><ref id="cit24"><label>24</label><citation-alternatives><mixed-citation xml:lang="ru">Haffner S.M., Mykkinen L., D'Agostino R., Saad M.F. et al. Insulin sensitivity in subject with type 2 diabetes: relationship to cardiovascular risk factors: the Insulin Resistance Atherosclerosis Study // Diabetes Care, 1999, 22: 562-568.</mixed-citation><mixed-citation xml:lang="en">Haffner S.M., Mykkinen L., D'Agostino R., Saad M.F. et al. Insulin sensitivity in subject with type 2 diabetes: relationship to cardiovascular risk factors: the Insulin Resistance Atherosclerosis Study // Diabetes Care, 1999, 22: 562-568.</mixed-citation></citation-alternatives></ref><ref id="cit25"><label>25</label><citation-alternatives><mixed-citation xml:lang="ru">Mari A., Pacini G., Murphy E., Nolan J.J. et al. A model-based methods for assessing insulin sensitivity from the oral glucose tolerance test. // Diabetes Care, 2001, 24: 539-548.</mixed-citation><mixed-citation xml:lang="en">Mari A., Pacini G., Murphy E., Nolan J.J. et al. A model-based methods for assessing insulin sensitivity from the oral glucose tolerance test. // Diabetes Care, 2001, 24: 539-548.</mixed-citation></citation-alternatives></ref><ref id="cit26"><label>26</label><citation-alternatives><mixed-citation xml:lang="ru">Robbins D.C., Andersen L., Haffner S., Polonsky K., et al. Report of the / American Diabetes Association's task force on standardization of the insulin assay // Diabetes, 1996, 45: 242-256.</mixed-citation><mixed-citation xml:lang="en">Robbins D.C., Andersen L., Haffner S., Polonsky K., et al. Report of the / American Diabetes Association's task force on standardization of the insulin assay // Diabetes, 1996, 45: 242-256.</mixed-citation></citation-alternatives></ref><ref id="cit27"><label>27</label><citation-alternatives><mixed-citation xml:lang="ru">Caro F., Insulin resistance in obese and nonobese man // J Clin Endocrinol Metabol, 1991, 73: 691-695.</mixed-citation><mixed-citation xml:lang="en">Caro F., Insulin resistance in obese and nonobese man // J Clin Endocrinol Metabol, 1991, 73: 691-695.</mixed-citation></citation-alternatives></ref><ref id="cit28"><label>28</label><citation-alternatives><mixed-citation xml:lang="ru">Matthews D.R., Hosker J.P., Rudenski A.S., Turner R.C. et al. Homeostasis model assessment: insulin resistance and Я-cell function from fasting plasma glucose and insulin concentration in man // Diabetologia, 1985, 28: 412-419.</mixed-citation><mixed-citation xml:lang="en">Matthews D.R., Hosker J.P., Rudenski A.S., Turner R.C. et al. Homeostasis model assessment: insulin resistance and Я-cell function from fasting plasma glucose and insulin concentration in man // Diabetologia, 1985, 28: 412-419.</mixed-citation></citation-alternatives></ref><ref id="cit29"><label>29</label><citation-alternatives><mixed-citation xml:lang="ru">Wallace T.M., Levy J.C., Matthews D.R. Use and abuse of HOMA modeling // Diabetes Care, 2004, 27: 1487-1495.</mixed-citation><mixed-citation xml:lang="en">Wallace T.M., Levy J.C., Matthews D.R. Use and abuse of HOMA modeling // Diabetes Care, 2004, 27: 1487-1495.</mixed-citation></citation-alternatives></ref><ref id="cit30"><label>30</label><citation-alternatives><mixed-citation xml:lang="ru">Levy J.C., Matthews D.R., Hermans M.P. Correct homeostasis model assessment (HOMA) evaluation uses the computer program // Diabetes Care, 1998, 22: 2191(Letter).</mixed-citation><mixed-citation xml:lang="en">Levy J.C., Matthews D.R., Hermans M.P. Correct homeostasis model assessment (HOMA) evaluation uses the computer program // Diabetes Care, 1998, 22: 2191(Letter).</mixed-citation></citation-alternatives></ref><ref id="cit31"><label>31</label><citation-alternatives><mixed-citation xml:lang="ru">Duncan M.N., Singh B.M., Wise P.H. et al. A simple measure of insulin resistance // Lancet, 1995, 346: 120-121.</mixed-citation><mixed-citation xml:lang="en">Duncan M.N., Singh B.M., Wise P.H. et al. A simple measure of insulin resistance // Lancet, 1995, 346: 120-121.</mixed-citation></citation-alternatives></ref><ref id="cit32"><label>32</label><citation-alternatives><mixed-citation xml:lang="ru">Katz A., Nambi S.S., Mather K., Quon M.J. et al. Quantitative Insulin Sensitivity Check Index: A Simple, Accurate Method for Assessing Insulin Sensitivity In Humans // J Clin Endocrinol Metabol, 2000, 85: 2402-2410.</mixed-citation><mixed-citation xml:lang="en">Katz A., Nambi S.S., Mather K., Quon M.J. et al. Quantitative Insulin Sensitivity Check Index: A Simple, Accurate Method for Assessing Insulin Sensitivity In Humans // J Clin Endocrinol Metabol, 2000, 85: 2402-2410.</mixed-citation></citation-alternatives></ref></ref-list><fn-group><fn fn-type="conflict"><p>The authors declare that there are no conflicts of interest present.</p></fn></fn-group></back></article>
