Friedrich N, Jørgensen T, Juul A, Spielhagen C, Nauck M, Wallaschofski H, Linneberg A
Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Germany.
Exp Clin Endocrinol Diabetes. 2012 Mar;120(3):171-4. doi: 10.1055/s-0031-1301289. Epub 2012 Mar 8.
During the last decade several studies indicated that low insulin-like growth factor (IGF) I levels are related to higher risk of cardiovascular disease and mortality. Obesity represents one further main cardiovascular risk factor which might also be related to IGF-I. The objective of the present study was to analyse the associations between anthropometric measures and IGF-I levels in a population-based sample. From the Danish cross-sectional Health2006 study 3,328 subjects (1,835 women; 1,493 men) aged 19-72 years were included in the analyses. Serum IGF-I levels were determined by an immunoassay. Body height, weight as well as waist and hip circumferences were measured. Body-mass-index, waist-to-hip ratio and waist-to-height ratio were calculated. Circulating IGF-I levels were inversely associated with all anthropometric markers as evaluated by linear regression adjusting for age, alcohol consumption, smoking and physical activity. Our large cross-sectional study suggests that IGF-I may serve as the link between obesity and mortality although any causal relation cannot be inferred and longitudinal analyses are needed to clarify the causal relation.
在过去十年中,多项研究表明,低胰岛素样生长因子(IGF)-I水平与心血管疾病和死亡风险较高有关。肥胖是另一个主要的心血管危险因素,也可能与IGF-I有关。本研究的目的是分析基于人群的样本中人体测量指标与IGF-I水平之间的关联。在丹麦2006年横断面健康研究中,纳入了3328名年龄在19至72岁之间的受试者(1835名女性;1493名男性)进行分析。通过免疫测定法测定血清IGF-I水平。测量身高、体重以及腰围和臀围。计算体重指数、腰臀比和腰高比。通过对年龄、饮酒、吸烟和体育活动进行线性回归调整评估,循环IGF-I水平与所有人体测量指标呈负相关。我们的大型横断面研究表明,IGF-I可能是肥胖与死亡率之间的联系,尽管无法推断任何因果关系,需要进行纵向分析来阐明因果关系。