Association of Serum Osteocalcin with Insulin Resistance and Coronary Atherosclerosis.
10.11005/jbm.2016.23.4.183
- Author:
Jee Hyun KANG
1
Author Information
1. Department of Family Medicine, Konyang University Hospital, Daejeon, Korea. jeehyunkang@yahoo.co.kr
- Publication Type:Original Article
- Keywords:
Coronary angiography;
Coronary artery disease;
Insulin resistance;
Osteocalcin
- MeSH:
Alkaline Phosphatase;
Angiography;
Blood Glucose;
Body Mass Index;
Calcium;
Coronary Angiography;
Coronary Artery Disease*;
Cross-Sectional Studies;
Fasting;
Glucose;
Hematologic Tests;
Homeostasis;
Humans;
Insulin Resistance*;
Insulin*;
Logistic Models;
Male;
Metabolism;
Osteocalcin*;
Plaque, Atherosclerotic;
Retrospective Studies;
Risk Factors;
Smoke;
Smoking
- From:Journal of Bone Metabolism
2016;23(4):183-190
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: To determine the associations between serum osteocalcin level and insulin resistance, coronary atherosclerosis by using dual-source coronary computed tomography angiography. METHODS: A total of 98 subjects (24 men and 74 women) were selected for this retrospective cross-sectional study who voluntarily visited a health examination center for routine health check-up including the blood test for serum osteocalcin level and coronary computed tomography angiography. Multiple regression analysis was used to determine which variables were independently related to osteocalcin levels and coronary atherosclerosis. RESULTS: Stepwise multiple regression analysis adjusted for age, sex, menopausal status, body mass index, serum alkaline phosphatase, serum calcium and phosphate showed that osteocalcin negatively correlated with serum glucose (β=-0.145, P=0.001) and homeostasis model assessment of insulin resistance (HOMA-IR) index (β=-1.794, P=0.027) independently. The age, serum glucose, smoking status but not osteocalcin level were independent risk factors for coronary atherosclerosis by use of multiple logistic regression analysis after controlling for other variables. CONCLUSIONS: Serum osteocalcin level was inversely associated with fasting glucose level and insulin resistance measured by HOMA-IR, suggesting that osteocalcin is important for glucose metabolism. However, in this study, no significant difference was observed in the serum osteocalcin level according to the presence of coronary atherosclerotic plaques.
