Association between osteocalcin and glucose metabolism: a meta-analysis
Summary
Osteocalcin (Ocn) and its undercarboxylated form (unOcn) are negatively associated with fasting plasma glucose (FPG) and glycated hemoglobin A1c (HbA1c). These glucose metabolism correlations are stronger in men than in women.
Area of Science:
- Endocrinology
- Metabolic Health
- Biomarkers
Background:
- Osteocalcin (Ocn) is a bone-derived hormone influencing glucose metabolism.
- Understanding the relationship between Ocn and glycemic control is crucial for metabolic health research.
Purpose of the Study:
- To conduct a meta-analysis investigating the associations between osteocalcin (total Ocn and undercarboxylated Ocn) and key glycemic markers: fasting plasma glucose (FPG) and glycated hemoglobin A1c (HbA1c).
- To explore potential sex differences in these associations.
Main Methods:
- A systematic literature search was performed across PubMed, ISI Web of Science, and Cochrane Library databases (2007-2014).
- Meta-analysis techniques were employed to derive pooled effect sizes and 95% confidence intervals (CI).
Main Results:
- The meta-analysis included 39 studies with 23,381 participants.
- Both total Ocn and undercarboxylated Ocn (unOcn) showed significant negative correlations with FPG and HbA1c.
- The negative association between unOcn and FPG was significantly more pronounced in men compared to women.
Conclusions:
- Osteocalcin, in both total and undercarboxylated forms, is negatively correlated with markers of glucose metabolism (FPG and HbA1c) in humans.
- The impact of unOcn on glucose metabolism appears to be greater in men than in women.
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