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3 7 ( ). Downloaded from ijdld.tums.ac.ir at 5:5 IRDT on Friday March 22nd ( ) GOD/PAP HPLC (HbAC) (High Pressure Liquid Chromatography) DS5 Ingland. Bioscience (Nortic Bioscience Diagnostic A/S (CV),Denmark) 2.. % /7 %2/6 Bioscience (Nortic Bioscience Diagnostic A/S,Denmark) % 5/. % 6/6 ELISA 0pg/ml % 7/5 % / 5 Human visfatin ELISA kit,adipogen ).(Pharmaceuticals, Belmont, Seoul Korea ELISA 00pg/ml %/82 %5/5 Human Adiponectin ELISA kit, AdipoGen ).(Pharmaceuticals, Belmont Seoul, Korea (Camellia sinensis). 86 F.P Coefficient of variation - Inter-assay - Intra-assay 5- Intra-assay.[26] (WHO ) 0 kg/m 2 25 (BMI). 2 - ) (.. Stratified. 8. ). ) (0/ kg. (0/ cm C GPO-PAP GOD/PAP Endpoint. (HDL) Randox.(Hitachi 902) (OGTT). [27] - World Health Organization

4 ... : 72 Downloaded from ijdld.tums.ac.ir at 5:5 IRDT on Friday March 22nd /) 0-0/0.( % 22/2 %/.(P=0/09). ] HbAC (P =0/02) 89/5±6/7 2/5±57/ [(P=0/0) 7/7±/5 5/9± 0/5 2/±2/9 8/± 8/6). (P=0/0). %7 HbAC %7) HbAc %75 ( HbAc > %/.(P= 0/05) ) 500. ( ± 5 SPSS Paired t-test. t-test... Chi-square 0 / (%9.5) 6 ±. (%80.5) 0/9±0/06 kg/m 2 29/90±/9 5± (P=0/07) 2 (P= 0/00). HbAC 2 - Microcrystalline cellulose

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6 ... : 7 Downloaded from ijdld.tums.ac.ir at 5:5 IRDT on Friday March 22nd 209-6= 29/8± 29/7± (kg/m2) 0/9±0/07 0/8±0/ 05 85±72 75± 62 (mg/dl) 206±6 2± 8 (mg/dl) 2 8/±2 7 /6± 2 (%)Hb AC 5/5±7 /±/ (µlu/ml) 7/±5/ 7/±/ (µg/ml) 6/±/9 8/6±5/ 6 (ng/ml) 0/9±0/ 0/9±0/ (ng/ml) 5/±0/2 5±0/ (ng/ml) -0/±0/ -0/±0/ 6 /±0/ /±0/ HbAc; glycosylated hemoglobin AC.(P> 0/05) P *. ± [2] Fukino 2 HbAC Ryu. []. HbAC.[0]... mrna.[] 2.[28] 2..[29] 2...[0 ] HbAC.

7 75 ( ). Downloaded from ijdld.tums.ac.ir at 5:5 IRDT on Friday March 22nd 209.[7 9] [0] Okazaki Rosato. []. HbAC....[2]. [] Shen In vivo 6 In. mrna vitro.[5].[6]. [7] Kanazawa. HbAC BMI BMI Kanazawa [8 6 22].. HbAC - Deoxypyridinoline - Fenton reaction 2- Caspase

8 ... : 76 Downloaded from ijdld.tums.ac.ir at 5:5 IRDT on Friday March 22nd 209. Räkel, A., Sheehy, O., Rahme, E., LeLorier, J.Osteoporosis among patients with type and type 2 diabetes, Diabetes Metab 2008; : Forsen, L., Meyer, H.E., Midthjell, K., Edna, T.H. Diabetes mellitus and the incidence of hip fracture: results from the Nord-Trondelag Health Survey. Diabetologia 999; 2: Herskind, A.M., Christensen, K., Norgaard- Andersen, K., Andersen, J.F. Diabetes mellitus and healing of closed fractures. Diabetes Metab 992; 8:6 6.. Hofbauer, L., Brueck, C.C., Singh, S.K., Dobnig, H. Osteoporosis in patients with diabetes mellitus. J Bone Miner Res 2007; 22: Inzerillo, A., Epstein, S. Osteoporosis and diabetes mellitus. Rev Endocrine Metab Disord 200; 5: Yasuda, H., Shima, N., Nakagawa, N., Mochizuki, S.I., Yano, K., Fujise, N., Sato, Y., Goto, M., Yamaguchi, K., Kuriyama, M., Kanno, T., Murakami, A., Tsuda, E., Morinaga, T., Higashio, K. Identity of osteoclastogenesis inhibitory factor (OCIF) and osteoprotegerin (OPG): a mechanism by which OPG/OCIF inhibits osteoclastogenesis in vitro. Endocrinology 998; 9: Hakeda, Y., Kobayashi, Y., Yamaguchi, K., Yasuda, H., Tsuda, E., Higashio, K., Miyata, T., Kumegawa, M. Osteoclastogenesis inhibitory factor (OCIF) directly inhibits bone-resorbing activity of isolated mature osteoclasts, Biochem. Biophys. Res. Commun 998; 25: Suzuki, K., Kurose, T., Takizawa, M., Maruyama, M., Ushikawa, K., Kikuyama, M. Sugimoto, C., Seino, Y., Nagamatsu, S., Ishida, H. Osteoclastic function is accelerated in male patients with type 2 diabetes mellitus: the preventive role of osteoclatogenesis inhibitory factor/osteoprotegerin (OCIF/OPG) on the decrease of bone mineral, Diabetes Res. Clin. Pract 2005; 68: Epstein, S. Bone-derived proteins. Trends Endocr Metab 989; :9-0. Ishida, H., Seino, Y., Takeshita, N., Kurose, T., Tsuji, K., Okamoto, Y. Someya, Y., Hara, K., Akiyama, Y., Imura, H. Effect of pancreas transplantation on decreased levels of circulating bone gamma-carboxyglutamic acid-containing protein and osteopenia in rats with streptozotocin-induced diabetes. Acta Endocrinol (Copenh.) 992; 27: Suzuki, K., Ishida, H., Takeshita, N., Taguchi, Y., Sugimoto, C., Nosaka, K.Circulating levels of tartrate-resident acid phosphatase in rat models of non-insulin-dependent diabetes mellitus. J. Diabetes Complications 998; 2: Suzuki, K., Kurose, T., Takizawa, M., Maruyama, M., Ushikawa, K., Kikuyama, M., Sugimoto, C., Seino, Y., Nagamatsu, S., Ishida, H., Osteoclastic function is accelerated in male patients with type 2 diabetes mellitus: the Ĥ preventive role of osteoclatogenesis inhibitory factor/osteoprotegerin (OCIF/OPG) on the decrease of bone mineral, Diabetes Res. Clin. Pract 2005; 68: Chesnut, C.H. rd., Bell, N.H., Clark, G.S., Drinkwater, B.L., English, S.C., Johnson, C.C. Jr., Notelovitz, M., Rosen, C., Cain, D.F., Flessland, K.A., Mallinak, N.J.Hormone replacement therapy in postmenopausal women: urinary N-telopeptide of type I collagen monitors therapeutic effect and predicts response of bone mineral density. Am J Med 997; 02: Raisz, L., Smith, J.A., Trahiotis, M., Fall, P., Shoukri, K., Digennaro, J. Sacco-Gibson, N. Short-term risedronate treatment in postmenopausal women: effects on biochemical markers of bone turnover. Osteoporos Int 2000; : Delaisse, J.M., Eeckhout, Y., Vaes, G. Inhibition of bone resorption in culture by (+)-catechin. Biochemical Pharmacology 986; 5: Nakagawa, H., Wachi, M., Woo, J.T., Kato, M., Kasai, S., Takahashi, F., Lee, I.S., Nagai, K. Fenton reaction is primarily involved in a mechanism of ()-epigallocatechin--gallate to induce osteoclastic cell death. Biochemical & Biophysical Research Communications 2002; 292: Yun, J.H., Kim, C.S., Cho, K.S., Chai J.K, Kim C.K, Choi S.H. (-)-Epigallocatechin gallate induces apoptosis, via caspase activation, in osteoclasts differentiated from RAW 26.7 cells. Journal of Periodontal Research 2007; 2: Morinobu, A., Biao, W., Tanaka, S., Horiuchi, M., Jun, L., Tsuji, G., Sakai, Y., Kurosaka, M., Kumagai, S. (-)-Epigallocatechin--gallate suppresses osteoclast differentiation and ameliorates experimental arthritis in mice. Arthritis and Rheumatism 2008; 58: Vali, B., Rao, L.G., El-Sohemy, A. Epigallocatechin--gallate increases the formation of mineralized bone nodules by human osteoblast-like cells. J Nutr Biochem 2007; 8: Nakagawa, H., Wachi, M., Woo, J.T, Kato, M., Kasai, S., Takahashi, F., Lee, I.S., Nagai, K. Fenton reaction is primarily involved in a mechanism of (-)-epigallocatechin--gallate to induce osteoclastic cell death. Biochem Biophys Res Commun. 2002; 292: Islam, S., Islam, N., Kermode, T. Johnstone, B., Mukhtar, H., Moskowitz, R.W., Goldberg, V.M., Malemud, C.J., Haqqi, T.M. Involvement of caspase- in epigallocatechin--gallate-mediated apoptosis of human chondrosarcoma cells. Biochem Biophys Res Commun 2000; 270: Yun, J.H., Pang, E.K., Kim, C.S., Choi, S.H. Inhibitory effects of green tea polyphenol (-)-

9 77 ( ). Downloaded from ijdld.tums.ac.ir at 5:5 IRDT on Friday March 22nd 209 epigallocatechin gallate on the expression of matrix metalloproteinase-9 and on the formation of osteoclasts. J Periodontal Res 200; 9: Muraki, S., Yamamoto, S., Ishibashi, H., Oka, H., Yoshimura, N., Kawaguchi, H., Nakamura, K. Diet and lifestyle associated with increased bone mineral density: cross-sectional study of Japanese elderly women at an osteoporosis outpatient clinic. J Orthop Sci 2007; 2: Shen, C.L., Wang, P., Guerrieri, J., Yeh, J.K., Wang, J.S. Protective effect of green tea polyphenols on bone loss in middle-aged female rats. Osteoporos Int 2008; 9: Chen, C.H., Ho, M.L., Chang, J.K., Hung, S.H., Wang, G.J. Green tea catechin enhances osteogenesis in a bone marrow mesenchymal stem cell line. Osteoporos Int 2005; 6: Alberti, K.G., Zimmet, P.Z, Definition, diagnosis and classification of diabetes mellitus and its disorders.. Diagnosis and classification of diabetes mellitus, provisional report of a WHO consultation. Diabet Med 998; 5: Matthews, D.R., Hosker, J.P., Rudenski, A.S., Naylor, B.A., Treacher, D.F., Turner, R.C.. Homeostasis model assessment: insulin resistance and _cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 985; 28: Narayan, K.M., Boyle, J.P, Thompson, T.J., Sorensen, S.W., Williamson, D.F. Lifetime risk for diabetes mellitus in the United States. JAMA 200; 290: Hofbauer, L, Brueck, C.C., Singh, S.K., Dobnig, H. Osteoporosis in patients with diabetes mellitus. J Bone Miner Res, 2007; 22: Fukino, Y., Ikeda, A., Maruyama, K., Aoki, N., Okubo, T., Iso, H.Randomized controlled trial for an effect of green tea-extract powder supplementation on glucose abnormalities. Eur J Clin Nutr 2008; 62: Ryu, O.H., Lee, J., Lee, K.W., Kim, H.Y., J.A. Seo, S.G. Kim, N.H. Kim, S.H. Baik, D.S. Choi and K.M. Choi, Effects of green tea consumption on inflammation, insulin resistance and pulse wave velocity in type 2-diabetes patients. Diabetes Res Clin Pract 2006; 7: Fukino, Y, Shimbo, M, Aoki, N, Okubo, T, Iso, H. Randomized controlled trial for an effect of green tea consumption on insulin resistance and inflammation markers. J Nutr Sci Vitaminol (Tokyo) 2005; 5: Nuche-Berenguer, B., Moreno, P., Esbrit, P., Dapía, S., Caeiro, J.R., Cancelas, J., Haro-Mora, J.J., Villanueva-Peñacarrillo, M.L. Effect of GLP- Treatment on Bone Turnover in Normal, Type 2 Diabetic, and Insulin-Resistant States. Calcif Tissue Int 2009; 5.. Shen, C.L., Wang, P., Guerrieri, J., Yeh, J.K., Wang, J.S. Protective effect of green tea polyphenols on bone loss in middle-aged female rats. Osteoporos Int 2008; 9: Botolin, S., McCabe, L, R. Chronic hyperglycemia modulates osteoblast gene expression through osmotic and non-osmotic pathways. J Cell Biochem 2006; 99: Manios, Y., Moschonis, G., Panagiotakos, D.B., Farajian, P., Trovas, G., Lyritis, G.P. Changes in biochemical indices of bone metabolism in postmenopausal women following a dietary intervention with fortified dairy products. J Hum Nutr Diet 2009; 22: Kanazawa, I., Yamaguchi, T., Yamamoto, M., Yamauchi, M., Kurioka, S., Yano, S., Sugimoto, T. Serum osteocalcin level is associated with glucose metabolism and atherosclerosis parameters in type 2 diabetes mellitus. J Clin Endocrinol Metab 2009; 9: Islam, S, Islam, N, Kermode, T, Johnstone, B, Mukhtar, H, Moskowitz, R.W, Goldberg, V.M, Malemud, C.J, Haqqi, T.M. Involvement of caspase- in epigallocatechin--gallate-mediated apoptosis of human chondrosarcoma cells. Biochem Biophys Res Commun 2000; 270: Sayinalp, S, Gedik, O, Koray, Z. Increasing serum osteocalcin after glycemic control in diabetic men. Calcif Tissue Int 995; 57: Okazaki, R., Totsuka, Y., Hamano, K., Ajima, M., Miura, M., Hirota, Y., Hata, K., Fukumoto, S., Matsumoto, T. Metabolic improvement of poorly controlled noninsulin-dependent diabetes mellitus decreases bone turnover. J Clin Endocrinol Metab 997; 82: Rosato, M.T., Schneider, S.H., Shapses, S.A. Bone turnover and insulin-like growth factor- levels increase after improved glycemic control in non insulin-dependent diabetes mellitus. Calcif Tissue Int 998; 6: Palacios, S, Castelo-Branco, C, Cifuentes, I, von Helde, S, Baro, L, Tapia-Ruano, C, Menendez, C, Rueda, C. Changes in bone turnover markers after calcium-enriched milk supplementation in healthy postmenopausal women: a randomized, double-blind, prospective clinical trial. Menopause 2005; 2: 6 68.

* 2 Third Department of Internal Medicine, Kyorin University School of Medicine

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