Bone mineral density and bone turnover in relation to serum leptin, α‐ketoglutarate and sex steroids in overweight and obese postmenopausal women
pmid: 18547340
Bone mineral density and bone turnover in relation to serum leptin, α‐ketoglutarate and sex steroids in overweight and obese postmenopausal women
SummaryObjective Recent studies have shown that parallel changes in body weight and bone mass can be partially mediated via circulating leptin. Therefore, among the hormones involved in bone and mineral metabolism, such as oestrogens, testosterone and parathormone, leptin has recently become a subject of considerable interest. The aim of this study was to assess associations between leptin, E2, testosterone, dehydroepiandrosterone sulphate (DHEA‐S), SHBG, α‐ketoglutaric acid (AKG) and bone mineral density (BMD) and bone turnover markers in overweight and obese postmenopausal women.Design Eighty healthy, postmenopausal Caucasian women were studied. BMD of the lumbar spine (L2–L4) and femoral neck regions were examined using the dual X‐ray absorptiometry (DXA) method. Associations were evaluated in stepwise multiple regression analysis, including information on the possible confounders and effect modifiers, for example, age, years since menopause, height and weight.Results Femoral neck BMD was positively correlated with weight (r = 0·52, P < 0·000001), body mass index (BMI) (r = 0·48, P < 0·000006), hipline (r = 0·48, P < 0·00006), waistline (r = 0·45, P < 0·00002) and DHEA‐S (r = 0·36, P < 0·0008). Correlations of E2, SHBG, testosterone and leptin, as well as biochemical markers of bone turnover with L2–L4 and femoral neck BMD were not found. In the whole study group, significant predictors of L2–L4 BMD were BMI (β = 0·35, P < 0·01) testosterone (β = 0·27, P < 0·05) and osteocalcin (OC) (β = 0·22, P < 0·05) (R2 = 0·23), while predictors of femoral neck BMD were BMI (β = 0·42, P < 0·001), testosterone (β = 0·24, P < 0·05), E2 (β = 0·19, P < 0·05), as well as osteocalcin (β = 0·20, P < 0·05) (R2 = 0·41). In the subgroup with BMI 30–39·9, the significant predictors of both L2–L4 and femoral neck BMD were testosterone (β = 0·32, P < 0·05, R2 = 0·19; β = 0·33, P < 0·05, R2 = 0·29) and osteocalcin (β = 0·34, P < 0·05, R2 = 0·19; β = 0·45, P < 0·01, R2 = 0·29). In the subgroup with waist : hip ratio (WHR ≥ 0·85, the predictor of L2–L4 BMD was E2 (β = 0·38, P < 0·05) (R2 = 0·21), whereas the predictors of femoral neck BMD were BMI (β = 0·29, P < 0·05) and testosterone (β = 0·35, P < 0·01) (R2 = 0·36).Conclusion The main endocrine variable predicting lumbar spine BMD in overweight and obese postmenopausal females was testosterone, while the main determinants of femoral neck BMD were both testosterone and E2. No effect was found of serum leptin on examined indicators of bone status.
Leptin, Lumbar Vertebrae, Dehydroepiandrosterone Sulfate, Femur Neck, Estrogens, Middle Aged, Overweight, Bone and Bones, Postmenopause, Absorptiometry, Photon, Bone Density, Sex Hormone-Binding Globulin, Humans, Ketoglutaric Acids, Female, Testosterone, Obesity, Gonadal Steroid Hormones, Aged
Leptin, Lumbar Vertebrae, Dehydroepiandrosterone Sulfate, Femur Neck, Estrogens, Middle Aged, Overweight, Bone and Bones, Postmenopause, Absorptiometry, Photon, Bone Density, Sex Hormone-Binding Globulin, Humans, Ketoglutaric Acids, Female, Testosterone, Obesity, Gonadal Steroid Hormones, Aged
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