Ontology highlight
ABSTRACT: Background
Previous studies have suggested the existence of distinct body size subgroups according to metabolic health referred to as metabolically healthy obesity (MHO) and metabolically abnormal but normal weight (MANW) patients. Although nonalcoholic fatty liver disease (NAFLD) is strongly associated with obesity and metabolic syndrome, the relationship between these phenotypes and fetuin-A, a representative hepatokine, has not been explored.Methods
We examined the association between circulating fetuin-A levels, metabolic health phenotypes, cardiometabolic risk parameters, and subclinical atherosclerosis in 290 subjects who were randomly selected from an ongoing cohort study.Results
Fetuin-A concentrations were significantly associated with detrimental anthropometric and laboratory measurements, including increased waist circumference, blood pressure, alanine aminotransferase, fasting plasma glucose, and triglyceride levels. Furthermore, fetuin-A levels were significantly increased in the metabolically abnormal (MA) group compared to the metabolically healthy (MH) group in subjects without obesity (717.1 [632.1, 769.7] vs. 599.5 [502.0, 709.3], P = 0.001) and subjects with obesity (704.1 [595.5-880.9] vs. 612.2 [547.9-802.1], P = 0.016). In addition, brachial-ankle pulse wave velocity (baPWV), which reflects arterial stiffness, was higher in MA individuals compared to MH individuals. Multiple logistic regression analysis revealed that both individuals without obesity (P for trend?=?0.017) and with obesity (P for trend?=?0.028) in the higher tertiles of fetuin-A had an increased risk of MA than those in the lowest tertile.Conclusions
This study demonstrates that fetuin-A levels are significantly associated with metabolic health phenotypes, such as MHO and MANW, in Korean adults.
SUBMITTER: Chung HS
PROVIDER: S-EPMC6323440 | biostudies-literature | 2018
REPOSITORIES: biostudies-literature
Chung Hye Soo HS Lee Hyun Jung HJ Hwang Soon Young SY Choi Ju-Hee JH Yoo Hye Jin HJ Seo Ji A JA Kim Sin Gon SG Kim Nan Hee NH Choi Dong Seop DS Baik Sei Hyun SH Choi Kyung Mook KM
International journal of endocrinology 20181224
<h4>Background</h4>Previous studies have suggested the existence of distinct body size subgroups according to metabolic health referred to as metabolically healthy obesity (MHO) and metabolically abnormal but normal weight (MANW) patients. Although nonalcoholic fatty liver disease (NAFLD) is strongly associated with obesity and metabolic syndrome, the relationship between these phenotypes and fetuin-A, a representative hepatokine, has not been explored.<h4>Methods</h4>We examined the association ...[more]