PMID- 33087644 OWN - NLM STAT- MEDLINE DCOM- 20211101 LR - 20211101 IS - 1348-4540 (Electronic) IS - 0918-8959 (Linking) VI - 68 IP - 2 DP - 2021 Feb 28 TI - Serum osteocalcin is inversely associated with lower extremity atherosclerotic disease in Chinese patients with type 2 diabetes mellitus. PG - 137-144 LID - 10.1507/endocrj.EJ20-0186 [doi] AB - Serum osteocalcin (OCN) is closely related to metabolic risk factors, and the relationship between OCN and atherosclerosis has been investigated. However, it is still controversial. Herein, we explored the potential correlation between serum total OCN and lower extremity atherosclerotic disease (LEAD) in 326 hospitalized Chinese patients with type 2 diabetes mellitus (T2DM). Femoral intima-media thickness (F-IMT) and lower limb atherosclerotic plaque were assessed through color Doppler ultrasound. Subjects with LEAD had significantly lower serum OCN levels compared with those without LEAD (14.54 [14.10-14.89] ng/mL versus 16.79 [15.86-18.04] ng/mL, p < 0.001). Spearman's correlation analysis revealed that serum OCN levels were positively associated with high density lipoprotein cholesterol (HDL-C) and negatively associated with fasting plasma glucose (FPG), 2-hour postprandial plasma glucose (2hPG), hemoglobin A1c (HbA1c), waist-to-hip ratio (WHR) and F-IMT. Multiple logistic analysis revealed that OCN (OR 0.938, 95% confidence interval (CI 0.933-0.950, p = 0.003) and glomerular filtration rate (GFR) (OR 0.990, 95% CI 0.985-0.996, p = 0.003) were independently and inversely associated with LEAD, while age (OR 1.140, 95% CI 1.127-1.148, p < 0.001), diabetes duration (OR 1.068, 95% CI 1.039-1.080, p < 0.005) and uric acid (UA) (OR 1.005, 95% CI 1.002-1.007, p = 0.032) were independently and positively associated with LEAD. Additionally, multiple linear regression analysis revealed that serum OCN levels were negatively associated with F-IMT (standardized beta = -0.180, p = 0.002). In Chinese patients with T2DM, serum OCN levels were independently and inversely correlated with LEAD. FAU - Lv, Qihuan AU - Lv Q AD - Department of Geriatrics, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Anhui, 230001, People's Republic of China. FAU - Zhou, Jian AU - Zhou J AD - Department of Geriatrics, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Anhui, 230001, People's Republic of China. FAU - Liu, Jiongjiong AU - Liu J AD - Department of Geriatrics, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Anhui, 230001, People's Republic of China. FAU - Kang, Dongmei AU - Kang D AD - Department of Geriatrics, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Anhui, 230001, People's Republic of China. FAU - Zhang, Hongyu AU - Zhang H AD - Department of Geriatrics, Qilu Hospital of Shandong University, Shandong, 250012, People's Republic of China. LA - eng PT - Journal Article DEP - 20201020 PL - Japan TA - Endocr J JT - Endocrine journal JID - 9313485 RN - 104982-03-8 (Osteocalcin) SB - IM MH - Adult MH - Aged MH - Atherosclerosis/blood/*complications/diagnostic imaging MH - China MH - Diabetes Mellitus, Type 2/blood/*complications/diagnostic imaging MH - Female MH - Humans MH - Male MH - Middle Aged MH - Osteocalcin/*blood MH - Ultrasonography, Doppler, Color OTO - NOTNLM OT - Femoral intima-media thickness OT - Lower extremity atherosclerotic disease OT - Osteocalcin OT - Type 2 diabetes mellitus EDAT- 2020/10/23 06:00 MHDA- 2021/11/03 06:00 CRDT- 2020/10/22 05:29 PHST- 2020/10/23 06:00 [pubmed] PHST- 2021/11/03 06:00 [medline] PHST- 2020/10/22 05:29 [entrez] AID - 10.1507/endocrj.EJ20-0186 [doi] PST - ppublish SO - Endocr J. 2021 Feb 28;68(2):137-144. doi: 10.1507/endocrj.EJ20-0186. Epub 2020 Oct 20.