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Associations between IGF-I, IGF-binding proteins and bone turnover markers in prepubertal obese children

  • Joanna Gajewska EMAIL logo , Witold Klemarczyk , Jadwiga Ambroszkiewicz , Katarzyna Szamotulska , Magdalena Chełchowska and Halina Weker
Published/Copyright: February 18, 2015

Abstract

Objective: To assess the relationships between components of the growth hormone axis, body composition, and bone markers in obese children.

Methods: We determined the levels of bone alkaline phosphatase (BALP), C-terminal telopeptide of type I collagen (CTX-I), insulin-like growth factor-I (IGF-I), and IGF-binding proteins (IGFBPs) by immunoenzymatic methods, and body composition by dual-energy X-ray absorptiometry in 45 obese and 20 non-obese children.

Results: IGF-I and functional IGFBP-3 levels, IGF-I/total IGFBP-3, and functional IGFBP-3/total IGFBP-3 molar ratios were significantly higher in obese patients than in controls. Multivariate regression analysis in obese patients showed significant associations of BALP with IGF-I (p=0.047) and percent of body fat mass (p=0.002).

Conclusion: The relationship of IGF-I and functional IGFBP-3 to BALP may support the concept of IGF-I influence on accelerated bone formation process in obesity. Moreover, IGF-I and percentage of body fat mass may be significant predictors of BALP in obese during the prepubertal period.


Corresponding author: Joanna Gajewska, Screening Department, Institute of Mother and Child, Warsaw, Poland, Phone: +48-22-3277260, Fax: +48-22-3277161, E-mail:

Acknowledgments

The authors thank the staff of the Department of Internal Medicine, Endocrinology and Diabetology at the Central Clinical Hospital MSW in Warsaw for DXA measurements.

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Received: 2014-7-31
Accepted: 2014-12-17
Published Online: 2015-2-18
Published in Print: 2015-5-1

©2015 by De Gruyter

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