Serum Insulin-Like Growth Factor-1 Concentrations Are Reduced in Severely Obese Women and Raise After Weight Loss Induced by Laparoscopic Adjustable ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2012-08

AUTHORS

Giulia Galli, Aldo Pinchera, Paolo Piaggi, Paola Fierabracci, Monica Giannetti, Giorgia Querci, Giovanni Scartabelli, Luca Manetti, Giovanni Ceccarini, Silvia Martinelli, Claudio Di Salvo, Marco Anselmino, Fausto Bogazzi, Alberto Landi, Paolo Vitti, Margherita Maffei, Ferruccio Santini

ABSTRACT

BACKGROUND: Obesity is associated with abnormalities of the growth hormone/insulin-like growth factor-1 (GH/IGF-1) axis. The role of serum IGF-1 measurement for recognition of hypothalamic-pituitary diseases in obesity is still a matter of debate. METHODS: This study evaluated the serum levels of IGF-1 in a population of severely obese women before and after long-term weight loss obtained by laparoscopic adjustable gastric banding (LAGB). Eighty obese women with body mass index (BMI) of more than 34 kg/m(2) and 80 unrelated age-matched lean controls were enrolled. IGF-1 serum levels were measured together with BMI, liver volume, and intra-abdominal fat thickness assessed by ultrasound. Evaluation was repeated 2 years after LAGB. RESULTS: Our results showed that mean IGF-1 levels in obese subjects before LAGB were significantly lower (p < 0.001) than that observed in age-matched controls. Age and BMI were independent predictors of serum IGF-1 values, overall accounting for 39 % of IGF-1 variability. The mean IGF-1 concentration significantly increased 2 years after LAGB. BMI reduction was independently associated with IGF-1 increase (r = -0.29, p < 0.001). For each point of BMI reduction, the mean increase of serum IGF-1 was 4.39 ng/mL. CONCLUSIONS: (1) Severely obese women have low IGF-1 serum levels with respect to normal weight age-matched controls; (2) the extent of IGF-1 deficiency is proportional to increased BMI; (3) after LAGB a spontaneous raise of serum IGF-1 occurs, proportional to the extent of weight reduction; and (4) serum IGF-1 in severely obese subjects may have a limited value for detection of hypothalamic-pituitary diseases. More... »

PAGES

1276-1280

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11695-012-0669-1

DOI

http://dx.doi.org/10.1007/s11695-012-0669-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1044330155

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/22648796


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