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Age- and sex-specific association of circulating osteocalcin with dynamic measures of glucose homeostasis

Summary Our study showed that serum osteocalcin levels are closely related to glucose metabolism in men of all ages and younger women. This association disappeared in postmenopausal women in which increases bone turnover rates. The association between serum osteocalcin levels and glucose homeostasis...

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Published in:Osteoporosis international 2016-03, Vol.27 (3), p.1021-1029
Main Authors: Jung, K. Y., Kim, K. M., Ku, E. J., Kim, Y. J., Lee, D.-H., Choi, S. H., Jang, H. C., Shin, C. S., Park, K. S., Lim, S.
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creator Jung, K. Y.
Kim, K. M.
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description Summary Our study showed that serum osteocalcin levels are closely related to glucose metabolism in men of all ages and younger women. This association disappeared in postmenopausal women in which increases bone turnover rates. The association between serum osteocalcin levels and glucose homeostasis should be interpreted according to age and sex. Introduction Osteocalcin, a marker of bone formation, appears to be associated with glucose homeostasis. We investigated the age- and sex-specific association of serum osteocalcin level with variables related to glucose metabolism. Methods This study was based on cross-sectional analysis from 719 participants aged 20–85 years after excluding patients taking antidiabetic or antiosteoporotic drugs. The subjects were divided into four groups according to age and sex as follows: men
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Y. ; Kim, K. M. ; Ku, E. J. ; Kim, Y. J. ; Lee, D.-H. ; Choi, S. H. ; Jang, H. C. ; Shin, C. S. ; Park, K. S. ; Lim, S.</creator><creatorcontrib>Jung, K. Y. ; Kim, K. M. ; Ku, E. J. ; Kim, Y. J. ; Lee, D.-H. ; Choi, S. H. ; Jang, H. C. ; Shin, C. S. ; Park, K. S. ; Lim, S.</creatorcontrib><description><![CDATA[Summary Our study showed that serum osteocalcin levels are closely related to glucose metabolism in men of all ages and younger women. This association disappeared in postmenopausal women in which increases bone turnover rates. The association between serum osteocalcin levels and glucose homeostasis should be interpreted according to age and sex. Introduction Osteocalcin, a marker of bone formation, appears to be associated with glucose homeostasis. We investigated the age- and sex-specific association of serum osteocalcin level with variables related to glucose metabolism. Methods This study was based on cross-sectional analysis from 719 participants aged 20–85 years after excluding patients taking antidiabetic or antiosteoporotic drugs. The subjects were divided into four groups according to age and sex as follows: men <50 years ( n  = 131), men ≥50 years ( n  = 191), women <50 years ( n  = 108), and women ≥50 years ( n  = 279). Anthropometric and biochemical variables including insulin resistance (HOMA-IR) and β cell function (HOMA-β) from a 75-g oral glucose tolerance test, and serum 25-OH-vitamin D and parathyroid hormone levels were measured. Results The serum osteocalcin level was significantly higher in women aged ≥50 years compared with women <50 years (20.4 ± 7.8 vs. 17.9 ± 6.8 ng/ml, p  < 0.001), but there was no difference between men aged ≥50 years and men <50 years (16.4 ± 5.9 vs. 16.8 ± 6.0 ng/ml, p  = 0.905). The participants diagnosed with diabetes had lower serum osteocalcin levels than normal or prediabetic participants. Multivariable regression analyses including HOMA-IR and HOMA-β indicated that serum osteocalcin levels had a negative and independent association with HbA1c levels in men and women aged <50 years, but not in women ≥50 years. Conclusions Low osteocalcin levels are associated with impaired glucose metabolism in men and premenopausal women. The osteocalcin levels may be determined by factors related to bone metabolism in postmenopausal women. Our data suggest that the serum levels of osteocalcin associated with glucose homeostasis should be interpreted according to age and sex.]]></description><identifier>ISSN: 0937-941X</identifier><identifier>EISSN: 1433-2965</identifier><identifier>DOI: 10.1007/s00198-015-3315-7</identifier><identifier>PMID: 26373983</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Adult ; Age ; Aged ; Aged, 80 and over ; Aging - blood ; Anthropometry - methods ; Blood Glucose - metabolism ; Cross-Sectional Studies ; Endocrinology ; Female ; Gender ; Glucose ; Glucose Tolerance Test - methods ; Glycated Hemoglobin A - analysis ; Homeostasis - physiology ; Humans ; Insulin resistance ; Insulin Resistance - physiology ; Male ; Medicine ; Medicine &amp; Public Health ; Metabolism ; Middle Aged ; Original Article ; Orthopedics ; Osteocalcin - blood ; Rheumatology ; Sex Characteristics ; Young Adult</subject><ispartof>Osteoporosis international, 2016-03, Vol.27 (3), p.1021-1029</ispartof><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2015</rights><rights>International Osteoporosis Foundation and National Osteoporosis Foundation 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-60ee0112d20272d6cdb857acd4923e43f90fec0029d73d771ed1a16eeb22ee0d3</citedby><cites>FETCH-LOGICAL-c475t-60ee0112d20272d6cdb857acd4923e43f90fec0029d73d771ed1a16eeb22ee0d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26373983$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jung, K. Y.</creatorcontrib><creatorcontrib>Kim, K. M.</creatorcontrib><creatorcontrib>Ku, E. J.</creatorcontrib><creatorcontrib>Kim, Y. J.</creatorcontrib><creatorcontrib>Lee, D.-H.</creatorcontrib><creatorcontrib>Choi, S. H.</creatorcontrib><creatorcontrib>Jang, H. C.</creatorcontrib><creatorcontrib>Shin, C. S.</creatorcontrib><creatorcontrib>Park, K. S.</creatorcontrib><creatorcontrib>Lim, S.</creatorcontrib><title>Age- and sex-specific association of circulating osteocalcin with dynamic measures of glucose homeostasis</title><title>Osteoporosis international</title><addtitle>Osteoporos Int</addtitle><addtitle>Osteoporos Int</addtitle><description><![CDATA[Summary Our study showed that serum osteocalcin levels are closely related to glucose metabolism in men of all ages and younger women. This association disappeared in postmenopausal women in which increases bone turnover rates. The association between serum osteocalcin levels and glucose homeostasis should be interpreted according to age and sex. Introduction Osteocalcin, a marker of bone formation, appears to be associated with glucose homeostasis. We investigated the age- and sex-specific association of serum osteocalcin level with variables related to glucose metabolism. Methods This study was based on cross-sectional analysis from 719 participants aged 20–85 years after excluding patients taking antidiabetic or antiosteoporotic drugs. The subjects were divided into four groups according to age and sex as follows: men <50 years ( n  = 131), men ≥50 years ( n  = 191), women <50 years ( n  = 108), and women ≥50 years ( n  = 279). Anthropometric and biochemical variables including insulin resistance (HOMA-IR) and β cell function (HOMA-β) from a 75-g oral glucose tolerance test, and serum 25-OH-vitamin D and parathyroid hormone levels were measured. Results The serum osteocalcin level was significantly higher in women aged ≥50 years compared with women <50 years (20.4 ± 7.8 vs. 17.9 ± 6.8 ng/ml, p  < 0.001), but there was no difference between men aged ≥50 years and men <50 years (16.4 ± 5.9 vs. 16.8 ± 6.0 ng/ml, p  = 0.905). The participants diagnosed with diabetes had lower serum osteocalcin levels than normal or prediabetic participants. Multivariable regression analyses including HOMA-IR and HOMA-β indicated that serum osteocalcin levels had a negative and independent association with HbA1c levels in men and women aged <50 years, but not in women ≥50 years. Conclusions Low osteocalcin levels are associated with impaired glucose metabolism in men and premenopausal women. The osteocalcin levels may be determined by factors related to bone metabolism in postmenopausal women. 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Y.</au><au>Kim, K. M.</au><au>Ku, E. J.</au><au>Kim, Y. J.</au><au>Lee, D.-H.</au><au>Choi, S. H.</au><au>Jang, H. C.</au><au>Shin, C. S.</au><au>Park, K. S.</au><au>Lim, S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Age- and sex-specific association of circulating osteocalcin with dynamic measures of glucose homeostasis</atitle><jtitle>Osteoporosis international</jtitle><stitle>Osteoporos Int</stitle><addtitle>Osteoporos Int</addtitle><date>2016-03-01</date><risdate>2016</risdate><volume>27</volume><issue>3</issue><spage>1021</spage><epage>1029</epage><pages>1021-1029</pages><issn>0937-941X</issn><eissn>1433-2965</eissn><abstract><![CDATA[Summary Our study showed that serum osteocalcin levels are closely related to glucose metabolism in men of all ages and younger women. This association disappeared in postmenopausal women in which increases bone turnover rates. The association between serum osteocalcin levels and glucose homeostasis should be interpreted according to age and sex. Introduction Osteocalcin, a marker of bone formation, appears to be associated with glucose homeostasis. We investigated the age- and sex-specific association of serum osteocalcin level with variables related to glucose metabolism. Methods This study was based on cross-sectional analysis from 719 participants aged 20–85 years after excluding patients taking antidiabetic or antiosteoporotic drugs. The subjects were divided into four groups according to age and sex as follows: men <50 years ( n  = 131), men ≥50 years ( n  = 191), women <50 years ( n  = 108), and women ≥50 years ( n  = 279). Anthropometric and biochemical variables including insulin resistance (HOMA-IR) and β cell function (HOMA-β) from a 75-g oral glucose tolerance test, and serum 25-OH-vitamin D and parathyroid hormone levels were measured. Results The serum osteocalcin level was significantly higher in women aged ≥50 years compared with women <50 years (20.4 ± 7.8 vs. 17.9 ± 6.8 ng/ml, p  < 0.001), but there was no difference between men aged ≥50 years and men <50 years (16.4 ± 5.9 vs. 16.8 ± 6.0 ng/ml, p  = 0.905). The participants diagnosed with diabetes had lower serum osteocalcin levels than normal or prediabetic participants. Multivariable regression analyses including HOMA-IR and HOMA-β indicated that serum osteocalcin levels had a negative and independent association with HbA1c levels in men and women aged <50 years, but not in women ≥50 years. Conclusions Low osteocalcin levels are associated with impaired glucose metabolism in men and premenopausal women. The osteocalcin levels may be determined by factors related to bone metabolism in postmenopausal women. Our data suggest that the serum levels of osteocalcin associated with glucose homeostasis should be interpreted according to age and sex.]]></abstract><cop>London</cop><pub>Springer London</pub><pmid>26373983</pmid><doi>10.1007/s00198-015-3315-7</doi><tpages>9</tpages></addata></record>
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subjects Adult
Age
Aged
Aged, 80 and over
Aging - blood
Anthropometry - methods
Blood Glucose - metabolism
Cross-Sectional Studies
Endocrinology
Female
Gender
Glucose
Glucose Tolerance Test - methods
Glycated Hemoglobin A - analysis
Homeostasis - physiology
Humans
Insulin resistance
Insulin Resistance - physiology
Male
Medicine
Medicine & Public Health
Metabolism
Middle Aged
Original Article
Orthopedics
Osteocalcin - blood
Rheumatology
Sex Characteristics
Young Adult
title Age- and sex-specific association of circulating osteocalcin with dynamic measures of glucose homeostasis
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