Relationships between serum leptin levels and bone mineral parameters in school-aged children: a 3-year follow-up study

Leptin regulates bone cell differentiation and functions via direct and indirect actions in experimental settings. Epidemiologically, however, the impact of leptin on the regulation of bone metabolism remains unclear. While some studies have reported a positive relationship between leptin and bone m...

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Veröffentlicht in:Journal of bone and mineral metabolism 2019-01, Vol.37 (1), p.152-160
Hauptverfasser: Kouda, Katsuyasu, Ohara, Kumiko, Fujita, Yuki, Nakamura, Harunobu, Tachiki, Takahiro, Iki, Masayuki
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container_issue 1
container_start_page 152
container_title Journal of bone and mineral metabolism
container_volume 37
creator Kouda, Katsuyasu
Ohara, Kumiko
Fujita, Yuki
Nakamura, Harunobu
Tachiki, Takahiro
Iki, Masayuki
description Leptin regulates bone cell differentiation and functions via direct and indirect actions in experimental settings. Epidemiologically, however, the impact of leptin on the regulation of bone metabolism remains unclear. While some studies have reported a positive relationship between leptin and bone mineral parameters, other studies found an inverse or no association. We analyzed data from a population-based follow-up survey of community-dwelling children in Hamamatsu, Japan, to investigate relationships between leptin levels and bone mineral parameters. Multiple regression analysis was performed. Multicollinearity was quantified using the variance infiltration factor (VIF). Among 408 children who participated in the baseline survey (at age 11.2 years), 254 (121 boys and 133 girls) completed the follow-up survey (at age 14.2 years). Leptin levels were strongly related to fat mass ( r  = 0.87 in boys, r  = 0.80 in girls). Leptin levels at baseline were significantly ( P  
doi_str_mv 10.1007/s00774-018-0909-0
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Epidemiologically, however, the impact of leptin on the regulation of bone metabolism remains unclear. While some studies have reported a positive relationship between leptin and bone mineral parameters, other studies found an inverse or no association. We analyzed data from a population-based follow-up survey of community-dwelling children in Hamamatsu, Japan, to investigate relationships between leptin levels and bone mineral parameters. Multiple regression analysis was performed. Multicollinearity was quantified using the variance infiltration factor (VIF). Among 408 children who participated in the baseline survey (at age 11.2 years), 254 (121 boys and 133 girls) completed the follow-up survey (at age 14.2 years). Leptin levels were strongly related to fat mass ( r  = 0.87 in boys, r  = 0.80 in girls). Leptin levels at baseline were significantly ( P  &lt; 0.05) positively related to total body less head (TBLH) areal bone mineral density (aBMD) at follow-up in girls (standardized partial regression coefficient: β  = 0.302, VIF = 2.246), after adjusting for body fat percentage (%). On the other hand, leptin levels were inversely related to TBLH aBMD in boys ( β  = − 0.395, VIF = 4.116), after adjusting for body fat mass (kg). Positive relationships between leptin levels and bone mineral parameters were observed with VIF values &lt; 4.0, whereas inverse relationships were observed with VIF values ≥ 4.0. 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Leptin levels at baseline were significantly ( P  &lt; 0.05) positively related to total body less head (TBLH) areal bone mineral density (aBMD) at follow-up in girls (standardized partial regression coefficient: β  = 0.302, VIF = 2.246), after adjusting for body fat percentage (%). On the other hand, leptin levels were inversely related to TBLH aBMD in boys ( β  = − 0.395, VIF = 4.116), after adjusting for body fat mass (kg). Positive relationships between leptin levels and bone mineral parameters were observed with VIF values &lt; 4.0, whereas inverse relationships were observed with VIF values ≥ 4.0. 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subjects Adipose tissue
Body fat
Bone mass
Bone mineral density
Bone turnover
Children
Children & youth
Data processing
Epidemiology
Leptin
Medicine
Medicine & Public Health
Metabolic Diseases
Multiple regression analysis
Original Article
Orthopedics
title Relationships between serum leptin levels and bone mineral parameters in school-aged children: a 3-year follow-up study
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