Skip to main content
Log in

The association of insulin resistance with serum osteoprotegerin in obese adolescents

  • Original Paper
  • Published:
Journal of Physiology and Biochemistry Aims and scope Submit manuscript

Abstract

Some data indicate a potential relationship between insulin resistance level and the concentration of osteoprotegerin (OPG) in the body. There have been few studies concerning OPG level and its relationship with insulin resistance and body composition in young people. The aim of this study was to assess serum osteoprotegerin concentration in obese adolescents, and to evaluate its potential association with insulin resistance. Seventy-eight obese adolescents and 20 healthy volunteers aged 12–18 years were recruited in the study. Selected anthropometrical measurements and blood biochemical analyses were performed. Insulin resistance in the participants was evaluated according to the homeostasis model assessment-insulin resistance (HOMA-IR) protocol. Level of OPG was assessed in serum. Obese subjects had significantly higher HOMA-IR indices and OPG levels in serum than the control group. A significant positive correlation between OPG and insulin resistance was found. It was observed that high concentrations of osteoprotegerin are associated with insulin resistance in obese adolescents.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Akinci B, Celtik A, Yuksel F, Genc S, Yener S, Secil M, Ozcan M, Yesil S (2011) Increased osteoprotegerin levels in women with previous gestational diabetes developing metabolic syndrome. Diabetes Res Clin Pract 91:26–31

    Article  PubMed  CAS  Google Scholar 

  2. Akinci B, Demir T, Celtik A, Baris M, Yener S, Ozcan M, Yuksel F, Secil M, Yesil S (2008) Serum osteoprotegerin is associated with carotid intima media thickness in women with previous gestational diabetes. Diabetes Res Clin Pract 82:172–178

    Article  PubMed  CAS  Google Scholar 

  3. Ashley D, O’Sullivan E, Davenport C, Devlin N, Crowley R, McCaffrey N, Moyna N, Smith D, O’Gorman D (2011) Similar to adiponectin, serum levels of osteoprotegerin are associated with obesity in healthy subjects. Metabolism 60:994–1000

    Article  PubMed  CAS  Google Scholar 

  4. Avignon A, Sultan A, Piot C, Mariano-Goulart D, Thuan Dit Dieudonné J, Cristol J, Dupuy A (2007) Osteoprotegerin: a novel independent marker for silent myocardial ischemia in asymptomatic diabetic patients. Diabetes Care 30:2934–2939

    Article  PubMed  CAS  Google Scholar 

  5. Gannagé-Yared M, Yaghi C, Habre B, Khalife S, Noun R, Germanos-Haddad M, Trak-Smayra V (2008) Osteoprotegerin in relation to body weight, lipid parameters insulin sensitivity, adipocytokines, and C-reactive protein in obese and non-obese young individuals: results from both cross-sectional and interventional study. Eur J Endocrinol 158:353–359

    Article  PubMed  Google Scholar 

  6. Jandeleit-Dahm K, Gray S (2012) Insulin and cardiovascular disease: biomarker or association? Diabetologia 55:3145–3151

    Article  PubMed  CAS  Google Scholar 

  7. Jeppesen J, Hansen T, Rasmussen S, Ibsen H, Torp-Pedersen C, Madsbad S (2007) Insulin resistance, the metabolic syndrome, and risk of incident cardiovascular disease: a population-based study. Am Coll Cardiol 49:2112–2119

    Article  CAS  Google Scholar 

  8. Jono S, Ikari Y, Shioi A, Mori K, Miki T, Hara K, Nishizawa Y (2002) Serum osteoprotegerin levels are associated with the presence and severity of coronary artery disease. Circulation 106:1192–1194

    Article  PubMed  CAS  Google Scholar 

  9. Kiechl S, Schett G, Wenning G, Redlich K, Oberhollenzer M, Mayr A, Santer P, Smolen J, Poewe W, Willeit J (2004) Osteoprotegerin is a risk factor for progressive atherosclerosis and cardiovascular disease. Circulation 109:2175–2180

    Article  PubMed  CAS  Google Scholar 

  10. Mancia G, Laurent S, Agabiti-Rosei E, Ambrosioni E, Burnier M, Caulfield MJ et al (2009) Reappraisal of European guidelines on hypertension management: a European Society of Hypertension Task Force document. J Hypertens 27:2121–2158

    Article  PubMed  CAS  Google Scholar 

  11. Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC (1985) Homeostasis model assessment: insulin resistance and beta cell function from fasting glucose and insulin concentration in man. Diabetologia 28:412–419

    Article  PubMed  CAS  Google Scholar 

  12. Morony S, Tintut Y, Zhang Z, Cattley R, Van G, Dwyer D, Stolina M, Kostenuik P, Demer L (2008) Osteoprotegerin inhibits vascular calcification without affecting atherosclerosis in ldlr(−/−) mice. Circulation 117:411–420

    Article  PubMed  CAS  Google Scholar 

  13. Nikolopoulou A, Kadoglou N (2012) Obesity and metabolic syndrome as related to cardiovascular disease. Expert Rev Cardiovasc Ther 10:933–939

    Article  PubMed  CAS  Google Scholar 

  14. O’Sullivan E, Ashley D, Davenport C, Penugonda L, Kelleher G, Devlin N, Crowley R, O’Shea P, Agha A, Thompson C, O’Gorman D, Smith D (2013) A comparison of osteoprotegerin with adiponectin and high-sensitivity C-reactive protein (hsCRP) as a marker for insulin resistance. Metabolism 62:34–38

    Article  PubMed  Google Scholar 

  15. Ogden C, Carroll M, Curtin L, Lamb M, Flegal K (2010) Prevalence of high body mass index in US children and adolescents, 2007–2008. JAMA 303:242–249

    Article  PubMed  CAS  Google Scholar 

  16. Physical status: the use and interpretation of anthropometry. Report of a WHO Expert Committee (1995) World Health Organ Tech Rep Ser 854:1-452

    Google Scholar 

  17. Reilly J, Methven E, McDowell Z, Hacking B, Alexander D, Stewart L, Kelnar C (2003) Health consequences of obesity. Arch Dis Child 88:748–752

    Article  PubMed  CAS  Google Scholar 

  18. Rozas Moreno P, Reyes García R, García-Martín A, Varsavsky M, García-Salcedo JA, Muñoz-Torres M (2013) Serum osteoprotegerin: bone or cardiovascular marker in type 2 diabetes males? J Endocrinol Invest 36(1):16–20

    PubMed  CAS  Google Scholar 

  19. Schoppet M, Preissner K, Hofbauer L (2002) RANK ligand and osteoprotegerin: paracrine regulators of bone metabolism and vascular function. Arterioscler Thromb Vasc Biol 22:549–553

    Article  PubMed  CAS  Google Scholar 

  20. Simonet W, Lacey D, Dunstan C, Kelley M, Chang M, Lüthy R, Nguyen H, Wooden S, Bennett L, Boone T, Shimamoto G, DeRose M, Elliott R, Colombero A, Tan H, Trail G, Sullivan J, Davy E, Bucay N, Renshaw-Gegg L, Hughes T, Hill D, Pattison W, Campbell P, Sander S, Van G, Tarpley J, Derby P, Lee R, Boyle W (1997) Osteoprotegerin: a novel secreted protein involved in the regulation of bone density. Cell 89:309–319

    Article  PubMed  CAS  Google Scholar 

  21. Skelton J, Cook S, Auinger P, Klein J, Barlow S (2009) Prevalence and trends of severe obesity among US children and adolescents. Acad Pediatr 9:322–329

    Article  PubMed  Google Scholar 

  22. Temple R, Clark PM, Hales CN (1992) Measurement of insulin secretion in type 2 diabetes: problems and pitfalls. Diabet Med 9:503–512

    Article  PubMed  CAS  Google Scholar 

  23. Ugur-Altun B, Altun A (2007) Circulating leptin and osteoprotegerin levels affect insulin resistance in healthy premenopausal obese women. Arch Med Res 38:891–896

    Article  PubMed  CAS  Google Scholar 

  24. Xiang G, Pu J, Zhao L, Sun H, Hou J, Yue L (2009) Association between plasma osteoprotegerin concentrations and urinary albumin excretion in Type 2 diabetes. Diabet Med 26:397–403

    Article  PubMed  CAS  Google Scholar 

  25. Yaturu S, Rains J, Jain SK (2008) Relationship of elevated osteoprotegerin with insulin resistance, CRP, and TNF-a levels in men with type 2 diabetes. Cytokine 44:168–171

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

The research was supported by grants from the Ministry of Science and Higher Education, Poland (0287/B/P01/2008/35).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joanna Suliburska.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Suliburska, J., Bogdanski, P., Gajewska, E. et al. The association of insulin resistance with serum osteoprotegerin in obese adolescents. J Physiol Biochem 69, 847–853 (2013). https://doi.org/10.1007/s13105-013-0261-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13105-013-0261-8

Keywords

Navigation