Relationship between levels of inflammatory markers and the degree of obesity in patients with metabolic syndrome

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Currently, metabolic syndrome (MS) is interpreted as a symptom complex of disorders of carbohydrate and lipid metabolism and arterial hypertension. Impaired carbohydrate metabolism or insulin resistance with a decrease in the sensitivity of peripheral tissues to insulin provokes the accumulation of visceral fat, which in turn initiates systemic inflammation. Obesity is clearly associated with cardiovascular pathology with progression of risk and development of diabetes mellitus. Aim is to identify the relationship between traditional markers of inflammation and interleukins -8, -10 with the degree of obesity in patients with MS. Materials and methods: the study included 160 male patients with MS and hypertension. Depending on the degree of obesity, patients were divided into 5 groups: the number of subjects in group 1 (n=36), in group 2 (n=76), in group 3 (n=39), in group 4 (n=6) and in group 5 (n=3). All patients with hypertension of 1-3 degrees, with the target blood pressure level achieved. The age of the subjects was 31-65 years. All patients underwent: collection of complaints and medical history, assessment of body mass index (BMI); determination of lipid spectrum, blood glucose. Microalbuminuria and glomerular filtration rate were determined. Interleukins 8, 10 were determined using the ELISA method. Instrumental studies were performed: ABPM, echocardiography. Results: when assessing traditional risk factors, the following was revealed: a direct relationship between the degree of obesity and BMI (r=0.94; p=0.001), with TG levels (r=0.34; p=0.001), with blood glucose levels (r=0 .24; p=0.004), inverse with MAU (r= -0.92; p=0.003) and direct with SBP level (r=0.35; p=0.0007). Inflammation indicators CRP and ESR were correlated with IL-10 levels, which is associated with activation of anti-inflammatory activity (r=0.83; p=0.01; r=0.78; p=0.02, respectively). Heredity and smoking also determined their contribution to the initiation of inflammation - direct relationships were identified with CRP and fibrinogen levels (r=0.30; p=0.04; r=0.36; p=0.01). Correlation analysis of echocardiography data showed that correlations between LVMI and age were identified (r=0.494; p=0.0001); duration of hypertension (r=0.504; p=0.0001); with blood glucose level (r=0.242; p=0.047).