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Cardiotrophin-1 is inversely associated with obesity in non-diabetic individuals
Hao-Chang Hung1,2,3, Feng-Hwa Lu4,3, Hung-Tsung Wu4
1Division of Endocrinology and Metabolism, Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, Taiwan.
Insights
Lower cardiotrophin-1 (CT-1) levels are associated with overweight and obesity in non-diabetic Chinese adults. This study found significantly reduced CT-1 concentrations in individuals with higher body mass index, suggesting an inverse relationship.
Area of Science:
- Metabolic research
- Endocrinology
- Epidemiology
Background:
- Cardiotrophin-1 (CT-1) is a key regulator of energy homeostasis, glucose, and lipid metabolism.
- Previous studies show inconsistent associations between CT-1 and human obesity, potentially due to confounding hyperglycemia.
- This study focuses on non-diabetic individuals to clarify the CT-1 and obesity relationship.
Purpose of the Study:
- To investigate the relationship between serum cardiotrophin-1 levels and overweight/obesity in a Chinese population without diabetes.
- To determine if CT-1 levels differ significantly across weight categories (normal, overweight, obese) in this cohort.
Main Methods:
- Cross-sectional study involving non-diabetic Chinese subjects categorized by weight status (normal, overweight, obese).
- Serum cardiotrophin-1 levels were measured and compared across groups.
- Multivariate linear regression analysis was used to identify factors associated with CT-1 levels, adjusting for covariates like age, gender, HOMA-IR, and lipid profiles.
Main Results:
- Serum cardiotrophin-1 levels were significantly lower in overweight (350.6 pg/ml) and obese (288.1 pg/ml) individuals compared to normal-weight subjects (447.9 pg/ml).
- A significant inverse trend (p < 0.001) was observed between CT-1 levels and increasing BMI categories.
- Multivariate analysis confirmed that overweight (beta = -338.7) and obesity (beta = -530.3) were negatively associated with CT-1, independent of other metabolic factors and lifestyle choices like smoking.
Conclusions:
- This study provides epidemiological evidence of an inverse association between cardiotrophin-1 levels and overweight/obesity in non-diabetic Chinese adults.
- Lower serum CT-1 concentrations are linked to higher body weight in the absence of diabetes.
- These findings highlight CT-1 as a potential biomarker or factor involved in the pathophysiology of obesity.
Abstract:
Cardiotrophin-1 is known to be a key regulator of energy homeostasis, as well as glucose and lipid metabolism in vivo. However, there are inconsistent results of the association between cardiotrophin-1 and obesity in humans, possibly confounded by hyperglycemia. Therefore, the aim of this study was to investigate the relationships among cardiotrophin-1 levels, overweight and obese individuals without diabetes in a Chinese population. The median (inter-quarter range) serum cardiotrophin-1 levels were 447.9 (230.9, 913.9), 350.6 (201.1, 666.5), and 288.1 (162.3, 572.4) pg/ml in non-diabetic subjects who were of normal weight (n = 522), overweight (n = 203), and obese (n = 93), respectively (trend test p < 0.001). Subjects who were overweight and obese had significantly lower cardiotrophin-1 levels than those with normal weight. The multivariate linear regression analyses showed that overweight (beta = -338.718, 95% CI = -552.786 ~ -124.651, p < 0.01), obese (beta = -530.275, 95% CI = -832.967 ~ -227.583, p < 0.01), and smoking (beta = -377.375, 95% CI = -654.353 ~ -100.397, p < 0.01) were negatively related to cardiotrophin-1 after adjusting for age, gender, HOMA-IR, hypertension, total cholesterol, HDL, triglyceride, eGFR, ALT, and alcohol drinking. The results of this study provided epidemiological evidence that non-diabetic subjects who were overweight or obesity had significantly lower cardiotrophin-1 concentrations than those with normal weight, and both obesity and being overweight were inversely associated with cardiotrophin-1 levels.
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