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Background  High molecular weight adiponectin (HMWA) is the active circulating form of adiponectin. Nampt/visfatin is the enzyme secreted from adipocytes in an active form and is one of the putative regulators of insulin secretion.

Objective  To investigate the dynamics of total adiponectin (TA), HMWA and Nampt/visfatin in obese and lean women during oral glucose tolerance test (OGTT).

Methods  We studied normal glucose‐tolerant (NGT), age‐matched, 30 obese and 30 lean women. All subjects underwent a standard 75 g, 2‐h OGTT, and area under the curve (AUC) during OGTT for glucose, insulin, Nampt/visfatin, TA and HMWA was calculated. Body fat mass was assessed by bioimpedance analysis.

Results  Obese women had significantly higher basal and AUC values for insulin and Nampt/visfatin, whereas basal and AUC‐HMWA were significantly lower in this group. Alternatively, obese and lean …