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Relationships between serum IGF1 levels, blood pressure, and glucose tolerance: an observational, exploratory study
Annamaria Colao1, Carolina Di Somma, Teresa Cascella
1Department of Molecular and Clinical Endocrinology and Oncology, University Federico II of Naples, Via S. Pansini 5, 80131 Naples, Italy. colao@unina.it
Insights
Low Insulin-like Growth Factor 1 (IGF1) levels are linked to higher blood pressure and impaired glucose tolerance, including diabetes. These findings highlight IGF1
Area of Science:
- Endocrinology
- Cardiovascular Health
- Metabolic Health
Background:
- Low Insulin-like Growth Factor 1 (IGF1) is associated with increased cardiovascular disease and mortality in the general population.
- Understanding IGF1's role in metabolic and cardiovascular health is crucial for public health.
Purpose of the Study:
- To investigate the relationship between Insulin-like Growth Factor 1 (IGF1) levels and blood pressure (BP).
- To examine the association between IGF1 levels and glucose tolerance (GT).
Main Methods:
- Study included 404 subjects (200 men, aged 18-80 years).
- Exclusion criteria included history of pituitary/cardiovascular diseases, specific medications, heavy smoking, and alcohol abuse.
- Measurements included IGF1 levels, blood pressure, and glucose tolerance tests.
Main Results:
- Normotensive subjects had significantly higher IGF1 levels than hypertensive subjects.
- IGF1 levels independently predicted systolic and diastolic blood pressure.
- Subjects with normal glucose tolerance (NGT) had higher IGF1 levels than those with impaired glucose tolerance (IGT) or diabetes mellitus.
- IGF1 levels independently predicted fasting glucose and HOMA-R.
Conclusions:
- Low-normal IGF1 levels are associated with hypertension.
- Low-normal IGF1 levels are associated with diabetes mellitus.
- These associations are observed in subjects without pre-existing pituitary or cardiovascular diseases.
Background:
In the general population, low IGF1 has been associated with higher prevalence of cardiovascular disease and mortality.
Objective:
To investigate the relationships between IGF1 levels, blood pressure (BP), and glucose tolerance (GT).
Subjects:
Four-hundred and four subjects (200 men aged 18-80 years).
Exclusion Criteria:
personal history of pituitary or cardiovascular diseases; previous or current treatments with drugs interfering with BP, GT, or lipids, corticosteroids (>2 weeks), estrogens, or testosterone (>12 weeks); smoking of >15 cigarettes/day and alcohol abuse (>3 glasses of wine/day).
Results:
Two hundred and ninety-six had normal BP (73.3%), 86 had mild (21.3%), and 22 had severe (5.4%) hypertension; 322 had normal GT (NGT (79.7%)), 53 had impaired glucose tolerance (IGT (13.1%)), 29 had diabetes mellitus (7.2%). Normotensive subjects had significantly higher IGF1 levels (0.11+/-0.94 SDS) than those with mild (-0.62+/-1.16 SDS, P<0.0001) or severe (-1.01+/-1.07 SDS, P<0.0001) hypertension. IGF1 SDS (t=-3.41, P=0.001) independently predicted systolic and diastolic BP (t=-2.77, P=0.006) values. NGT subjects had significantly higher IGF1 levels (0.13+/-0.90 SDS) than those with IGT (-0.86+/-1.14 SDS, P<0.0001) or diabetes mellitus (-1.31+/-1.13 SDS, P<0.0001). IGF1 SDS independently predicted fasting glucose (t=-3.49, P=0.0005) and homeostatic model assessment (HOMA)-R (t=-2.15, P=0.033) but not insulin (t=-1.92, P=0.055) and HOMA-beta (t=-0.19, P=0.85).
Conclusion:
IGF1 levels in the low normal range are associated with hypertension and diabetes in subjects without pituitary and cardiovascular diseases.
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