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中国男性血清脂联素、瘦素、抵抗素、内脂素水平与骨密度及骨生化标志物之间的关系

Relationships between serum adiponectin, leptin, resistin, visfatin levels and bone mineral density, and bone biochemical markers in Chinese men.

作者信息

Peng Xiao-Ding, Xie Hui, Zhao Qin, Wu Xian-Ping, Sun Zhen-Qiu, Liao Er-Yuan

机构信息

Department of Epidemiology and Statistics, School of Public Health, Central South University, Xiangya Road, Changsha, Hunan 410078, PR China.

出版信息

Clin Chim Acta. 2008 Jan;387(1-2):31-5. doi: 10.1016/j.cca.2007.08.012. Epub 2007 Sep 1.

Abstract

BACKGROUND

Adiponectin, leptin, resistin, and visfatin, as the main circulating peptides secreted by adipose tissue, are potential contributors to bone metabolism. We investigated whether these serum adipocytokines levels are associated with BMD and bone turnover biochemical markers in 232 Chinese men (20-80 y).

METHODS

Serum adiponectin, leptin, resistin, and visfatin levels were determined by ELISA.

RESULTS

Leptin had a positively correlation with fat mass, and remained significant after adjustment for age and BMI. There was a significant negative weak correlation between adiponectin and fat mass, and disappear after adjustment for age and BMI. Resistin and visfatin were not significantly correlated with fat mass. In the multiple linear stepwise regression analysis, lean mass and adiponectin, but not leptin, resistin and visfatin, were independent predictors of BMD. The significant positive correlations between adiponectin and bone-specific alkaline phosphatase (BAP), bone cross-linked N-telopeptides of type collagen (NTX) were found, and remained significant after adjustment for age and fat mass.

CONCLUSIONS

Adiponectin was an independent predictor of BMD in Chinese men, and positively correlated with bone turnover biochemical markers. It suggested that adiponectin exert a negative effect on bone mass in men.

摘要

背景

脂联素、瘦素、抵抗素和内脂素作为脂肪组织分泌的主要循环肽,是骨代谢的潜在影响因素。我们调查了232名中国男性(20 - 80岁)的这些血清脂肪细胞因子水平是否与骨密度(BMD)及骨转换生化标志物相关。

方法

采用酶联免疫吸附测定法(ELISA)测定血清脂联素、瘦素、抵抗素和内脂素水平。

结果

瘦素与脂肪量呈正相关,在调整年龄和体重指数(BMI)后仍具有显著性。脂联素与脂肪量之间存在显著的负弱相关,在调整年龄和BMI后消失。抵抗素和内脂素与脂肪量无显著相关性。在多元线性逐步回归分析中,去脂体重和脂联素而非瘦素、抵抗素和内脂素是骨密度的独立预测因子。发现脂联素与骨特异性碱性磷酸酶(BAP)、I型胶原交联N-端肽(NTX)之间存在显著正相关,在调整年龄和脂肪量后仍具有显著性。

结论

脂联素是中国男性骨密度的独立预测因子,且与骨转换生化标志物呈正相关。这表明脂联素对男性骨量有负面影响。

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