Association between osteocalcin and metabolic syndrome in postmenopausal women
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  • 作者:Suk Woo Lee ; Hyun Hee Jo ; Mee Ran Kim…
  • 关键词:Adipokine ; Insulin resistance ; Metabolic syndrome ; Osteocalcin ; Postmenopause
  • 刊名:Archives of Gynecology and Obstetrics
  • 出版年:2015
  • 出版时间:September 2015
  • 年:2015
  • 卷:292
  • 期:3
  • 页码:673-681
  • 全文大小:390 KB
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  • 作者单位:Suk Woo Lee (1)
    Hyun Hee Jo (2)
    Mee Ran Kim (2)
    Jang Heub Kim (2)
    Young Oak You (3)

    1. Department of Obstetrics and Gynecology, Hallym University Sacred Heart Hospital, Hallym University College of Medicine, 22, Gwanpyeong-ro 170beon-gil, Dongan-gu, Anyang-si, Gyeonggi-do, 431-796, Korea
    2. Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, Seoul St. Mary鈥檚 Hospital, 222 Banpo-daero, Seocho-gu, Seoul, 137-701, Korea
    3. Department of Obstetrics and Gynecology, College of Medicine, The Catholic University of Korea, St. Vincent Hospital, 93 Jungbu-daero, Ji-dong, Paldal-gu, Suwon, Gyeonggi-do, 442-723, Korea
  • 刊物类别:Medicine
  • 刊物主题:Medicine & Public Health
    Gynecology
    Obstetrics and Perinatology
    Endocrinology
    Human Genetics
  • 出版者:Springer Berlin / Heidelberg
  • ISSN:1432-0711
文摘
Objectives Undercarboxylated osteocalcin (ucOC) has been proved as a regulator of glucose and fat mass in an animal model. This study examined the association between osteocalcin and metabolic syndrome (MetS) in postmenopausal women. Methods We selected 135 postmenopausal women and determined anthropometric values [waist-hip ratio (WHR), visceral fat area (VFA), body fat mass (BFM), and skeletal muscle mass (SMM)], the lipid profile, fasting plasma glucose (FPG), insulin, high-sensitivity C-reactive protein (hs-CRP), homeostasis model assessment of insulin resistance (HOMA-IR), serum leptin and adiponectin level, and serum tOC and ucOC level. Results There were 52 postmenopausal women in the MetS group. After adjusting for age and years since menopause, ucOC was negatively correlated with WHR, VFA, BFM, triglyceride, fasting insulin, HOMA-IR, and serum leptin and was positively correlated with serum adiponectin. The odds ratio for MetS was significantly lower in the highest quartile than the lowest quartile after adjusting for age, years since menopause, and BMI. In multiple regression analysis, serum leptin and HOMA-IR were the most important predictors of the independent variables that affect serum ucOC. Conclusion ucOC showed an inverse correlation with markers of insulin resistance, central obesity, and the presence of MetS in postmenopausal women and appears to protect against MetS. Further large-scale clinical and experimental studies are needed to clarify the potential of ucOC as a predictor of MetS in postmenopausal women.

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