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Relationship of insulin-like growth factor 1 and bone parameters in 7-15 years old apparently, healthy Indian
Veena H Ekbote1, Vaman V Khadilkar1, Anuradha V Khadilkar1
1Growth and Endocrine Unit, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, Maharashtra, India.
Insights
Insulin-like growth factor 1 (IGF-1) is linked to bone area (BA) and lean body mass (LBM) in children. Higher IGF-1 levels correlate with increased bone and muscle development, impacting skeletal growth.
Area of Science:
- Pediatric endocrinology
- Bone biology
- Body composition analysis
Background:
- Growth hormone (GH) influences bone growth and mineralization via insulin-like growth factor 1 (IGF-1).
- Understanding the relationship between IGF-1 and skeletal parameters is crucial for pediatric health.
Purpose of the Study:
- To evaluate the association between serum IGF-1 concentrations and bone/body composition in children.
- To assess how IGF-1 relates to bone area (BA), lean body mass (LBM), and bone mineral content (BMC).
Main Methods:
- Cross-sectional study of 119 children (7.3-15.6 years).
- Anthropometric parameters measured by standard methods.
- Bone and body composition assessed using dual-energy X-ray absorptiometry (DXA).
- Serum IGF-1 concentrations measured via ELISA; Z-scores calculated for IGF-1, BA, LBM, and BMC.
Main Results:
- No significant gender differences in mean age, serum IGF-1 concentrations, or IGF-1 Z-scores.
- Children with higher IGF-1 Z-scores exhibited greater LBM and BA Z-scores.
- Mean BMC for age Z-scores showed no significant difference between high and low IGF-1 groups.
Conclusions:
- Serum IGF-1 levels show a stronger association with bone area (BA) and lean body mass (LBM).
- IGF-1's effect on bone is primarily related to periosteal bone acquisition and muscle mass development.
Objective:
Growth hormone through insulin-like growth factor 1 (IGF-1) plays an important role in both bone growth and mineralization. This cross-sectional study was carried out to evaluate the relationship between serum IGF-1 concentrations and dual energy X-ray (DXA) measured whole body less head bone area (BA), lean body mass (LBM), and bone mineral content (BMC).
Methods:
One hundred and nineteen children (boys = 70, age = 7.3-15.6 years) were studied for their anthropometric parameters by standard methods and bone and body composition by DXA. Their fasting serum IGF-1 concentrations were assessed by enzyme-linked immunosorbent assay and Z-scores were calculated using available reference data. Bone and body composition parameter Z-scores were calculated using ethnic reference data.
Results:
Mean age of the boys and girls was similar (11.5 ± 1.8 years). The mean serum IGF-1concentrations and IGF-1 Z-scores were similar (P > 0.1) between boys and girls and were of the order of (302.3 ± 140.0 and - 1.4 ± 1.1, respectively). The LBM for age and BA for age Z-score was greater in children with IGF-1 Z-score > median than children with IGF-1 Z-score < median. The mean BMC for age Z-scores were 0.4 ± 0.9 and - 0.2 ± 0.8 in children with above and below the median of IGF-1 Z-score (P > 0.1).
Conclusion:
Serum IGF-1 levels were more strongly associated with BA and LBM, suggesting that its effect on bone is greater with respect to periosteal bone acquisition and through its effect on muscle mass.
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