PMID- 23576494 OWN - NLM STAT- MEDLINE DCOM- 20140402 LR - 20220408 IS - 1520-7560 (Electronic) IS - 1520-7552 (Linking) VI - 29 IP - 6 DP - 2013 Sep TI - Cross-sectional and longitudinal associations between insulin-like growth factor I and metabolic syndrome: a general population study in German adults. PG - 452-62 LID - 10.1002/dmrr.2412 [doi] AB - BACKGROUND: A previous study showed an inverse association between the insulin-like growth factor I (IGF-I) and the risk of impaired glucose tolerance or diabetes mellitus. Moreover, myocardial infarction patients with high baseline IGF-I levels had a lower risk of diabetes mellitus. These data suggested a protective effect of IGF-I against the development of metabolic syndrome. However, there are no longitudinal data regarding IGF-I and metabolic syndrome. The aim of the present study was to investigate the longitudinal association between IGF-I and metabolic syndrome. METHODS: Data from the population-based Study of Health in Pomerania, Germany, were used for cross-sectional (n = 3903) and longitudinal (n = 2143) analyses (5-year follow-up). Metabolic syndrome was defined by three or more of the following five components: abdominal obesity, elevated triglycerides, reduced high-density lipoprotein cholesterol, elevated blood pressure and elevated nonfasting glucose. Serum IGF-I and IGF binding protein 3 (IGFBP-3) were determined by chemiluminescence immunoassays. Logistic and Poisson regression analyses were performed to determine associations. RESULTS: In cross-sectional analyses high IGFBP-3 as well as high and low IGF-I/IGFBP-3 ratio levels were associated with prevalent metabolic syndrome. In longitudinal analyses, the direction of the relation changed: men but not women with high IGF-I or IGF-I/IGFBP-3 ratio levels had an increased, whereas men with low levels had a decreased risk of incident metabolic syndrome. CONCLUSION: In concordance with previous studies, our cross-sectional analyses showed a relation between low IGF-I/IGFBP-3 ratio and the prevalence of metabolic syndrome. In contrast, the longitudinal analyses indicated that a high IGF-I level was a risk marker for incident metabolic syndrome. CI - Copyright (c) 2013 John Wiley & Sons, Ltd. FAU - Friedrich, Nele AU - Friedrich N AD - Institute of Clinical Chemistry and Laboratory Medicine, University Medicine Greifswald, Ferdinand-Sauerbruch-Strasse NK, D-17475, Greifswald, Germany. FAU - Nauck, Matthias AU - Nauck M FAU - Schipf, Sabine AU - Schipf S FAU - Volzke, Henry AU - Volzke H FAU - Brabant, Georg AU - Brabant G FAU - Wallaschofski, Henri AU - Wallaschofski H LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Diabetes Metab Res Rev JT - Diabetes/metabolism research and reviews JID - 100883450 RN - 0 (Insulin-Like Growth Factor Binding Protein 3) RN - 67763-96-6 (Insulin-Like Growth Factor I) SB - IM MH - Adult MH - Aged MH - Cross-Sectional Studies MH - Female MH - Germany/epidemiology MH - Humans MH - Insulin-Like Growth Factor Binding Protein 3/blood MH - Insulin-Like Growth Factor I/*analysis MH - Longitudinal Studies MH - Male MH - Metabolic Syndrome/blood/*epidemiology MH - Middle Aged MH - Risk Factors MH - Young Adult OTO - NOTNLM OT - IGF-I OT - IGFBP-3 OT - Study of Health in Pomerania (SHIP) OT - metabolic syndrome OT - type 2 diabetes mellitus EDAT- 2013/04/12 06:00 MHDA- 2014/04/03 06:00 CRDT- 2013/04/12 06:00 PHST- 2012/11/13 00:00 [received] PHST- 2013/02/22 00:00 [revised] PHST- 2013/03/08 00:00 [accepted] PHST- 2013/04/12 06:00 [entrez] PHST- 2013/04/12 06:00 [pubmed] PHST- 2014/04/03 06:00 [medline] AID - 10.1002/dmrr.2412 [doi] PST - ppublish SO - Diabetes Metab Res Rev. 2013 Sep;29(6):452-62. doi: 10.1002/dmrr.2412.