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Shaheer Kamal  (Kamal S) 1 Article
Complications
Impact of Gender on the Association between Low Serum Prolactin and Left Ventricular Mass in Subjects with Prediabetes
Mervat M. El-Eshmawy, Enas M. Elkhamisy, Eman Elsayed, Shaheer Kamal
Diabetes Metab J. 2017;41(3):195-204.   Published online June 21, 2017
DOI: https://doi.org/10.4093/dmj.2017.41.3.195
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AbstractAbstract PDFSupplementary MaterialPubReader   
Background

Low circulating prolactin hormone was associated with increased risk for type 2 diabetes mellitus. An inverse association of serum prolactin with cardiac remodeling was also previously suggested. Thus, the first question arises whether low serum prolactin is associated with adverse cardiac remodeling in subjects with prediabetes and if so what the impact of gender is? Second, could serum prolactin be considered a predictor of cardiac morbidity in those subjects? This study was conducted to assess prolactin level variations in relation to echocardiographic indices of cardiac remodeling among adult men and women with prediabetes.

Methods

This cross sectional study enrolled 80 subjects with prediabetic; 40 men and 40 women. Anthropometric measurements, plasma glucose, lipid profile, homeostasis model assessment of insulin resistance, white blood cells count, prolactin and echocardiography were assessed.

Results

Prolactin was significantly lower in men than in women with prediabetes. Left ventricular mass (LVM) was significantly higher in men than in women with prediabetes. The proportion of left ventricular hypertrophy (LVH) in men with prediabetes was 45% compared with 22.5% in women (P=0.03). We also found inverse independent associations of serum prolactin with LVM and LVH in men, but not in women.

Conclusion

In prediabetes, physiologically low serum prolactin is an independent predictor of increased LVM and LVH in adult men, but not in women. Prolactin may be a potential diagnostic biomarker for cardiac remodeling in adult men with prediabetes.

Citations

Citations to this article as recorded by  
  • The influence of diabetes and prediabetes on left heart remodeling: A population-based study
    Tan Li, Guangxiao Li, Xiaofan Guo, Zhao Li, Jun Yang, Yingxian Sun
    Journal of Diabetes and its Complications.2021; 35(2): 107771.     CrossRef
  • The regulatory effect of bromocriptine on cardiac hypertrophy by prolactin and D2 receptor modulation
    Karla Aidee Aguayo-Cerón, Claudia Camelia Calzada-Mendoza, Enrique Méndez-Bolaina, Rodrigo Romero-Nava, María Esther Ocharan-Hernández
    Clinical and Experimental Hypertension.2020; 42(7): 675.     CrossRef
  • Serum Prolactin and Cardiac Remodeling in Subjects with Prediabetes
    Jin Hwa Kim
    Diabetes & Metabolism Journal.2017; 41(3): 168.     CrossRef

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