Potential involvement of adiponectin in obesity-associated erosive esophagitis

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

A strong causal relationship between obesity and erosive esophagitis has been proposed. Obesity may affect the pathogenesis of erosive esophagitis through adipokines as well as acid reflux. We evaluated the involvement of adiponectin in obesity-associated erosive esophagitis. In total, 1,902 patients who underwent endoscopy during medical checkups were selected for study. Variables including the body mass index (BMI) and adiponectin level were compared between subjects with erosive esophagitis and normal controls. The subjects were classified by quartiles (Qs) of adiponectin level. Q4 was the reference group. The median adiponectin level differed by gender (men, 5.3 µg/ml vs women, 9.3 µg/ml; p<0.001). As the severity of erosive esophagitis increased in men, the BMI increased (p<0.001) while the adiponectin level decreased (p = 0.026). The multivariate odds ratio for erosive esophagitis was 1.79 for Q1, 1.73 for Q2, 2.34 for obesity, and 27.40 for hiatal hernia in men. When classified by obesity, the multivariate odds ratio for erosive esophagitis was 1.94 for Q1, 2.10 for Q2, and 18.47 for hiatal hernia only in obese men. In women, there were no trends in BMI, adiponectin levels, or severity of erosive esophagitis. We demonstrated that low adiponectin levels are involved in obesity-associated erosive esophagitis in men but not women.

Original languageEnglish
Pages (from-to)206-213
Number of pages8
JournalJournal of Clinical Biochemistry and Nutrition
Volume67
Issue number2
DOIs
StatePublished - Sep 2020

Keywords

  • Adiponectin
  • Gastroesophageal reflux disease
  • Gender difference
  • Obesity

Fingerprint

Dive into the research topics of 'Potential involvement of adiponectin in obesity-associated erosive esophagitis'. Together they form a unique fingerprint.

Cite this