PMID- 35829988 OWN - NLM STAT- MEDLINE DCOM- 20221111 LR - 20221111 IS - 1720-8386 (Electronic) IS - 0391-4097 (Linking) VI - 45 IP - 12 DP - 2022 Dec TI - Chinese patients with type 2 diabetes mellitus and nonalcoholic fatty liver disease have lower serum osteocalcin levels compared to individuals with type 2 diabetes mellitus and no liver disease: a single-center cross-sectional study. PG - 2275-2282 LID - 10.1007/s40618-022-01861-z [doi] AB - PURPOSE: Osteocalcin may benefit nonalcoholic fatty liver disease (NAFLD). The present study aimed to explore the levels of serum osteocalcin in NAFLD in patients with type 2 diabetes mellitus (T2DM). METHODS: In total, 1026 inpatients diagnosed with T2DM were enrolled in the study. NAFLD was defined according to the working definition of the revised guidelines for the management of NAFLD published by the Chinese Liver Disease Association, and confirmed by abdominal ultrasonography. RESULTS: The current study found a NAFLD prevalence of 54% in the T2DM population. Subjects with NAFLD had lower concentrations of osteocalcin (8.28-13.99 ng/mL vs. 8.80-16.25 ng/mL, P = 0.001) but similar vitamin D, parathyroid hormone, beta-C-terminal telopeptide of type I collagen and procollagen type 1 N-peptide levels. Osteocalcin levels (OR: 0.956; 95% CI 0.926-0.987) were significantly associated with NAFLD. When all significant clinical indicators were analyzed together, increased BMI (OR: 1.120; 95% CI 1.065-1.178), fasting C-peptide (OR: 1.270; 95% CI 1.089-1.481) and triglycerides (OR: 1.661; 95% CI 1.284-2.148) were associated with a greater risk of NAFLD, while older age (OR: 0.967; 95% CI 0.948-0.986) and high osteocalcin levels (OR: 0.935; 95% CI 0.902-0.969) were related with a decreased risk of NAFLD. For every additional unit of osteocalcin, the patients received 7% deduced odds of NAFLD. CONCLUSION: Low osteocalcin levels were associated with an increased risk for NAFLD in patients with T2DM. CI - (c) 2022. The Author(s), under exclusive licence to Italian Society of Endocrinology (SIE). FAU - Fu, J AU - Fu J AUID- ORCID: 0000-0003-0129-519X AD - Department of Endocrinology, Beijing Institute of Geriatrics, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China. FAU - Mu, Z AU - Mu Z AD - Department of Endocrinology, Beijing Institute of Geriatrics, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China. FAU - Sun, L AU - Sun L AD - Department of Endocrinology, Beijing Institute of Geriatrics, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China. FAU - Gao, X AU - Gao X AD - Department of Endocrinology, Beijing Institute of Geriatrics, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China. FAU - Hu, X AU - Hu X AD - Department of Endocrinology, Beijing Institute of Geriatrics, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China. FAU - Xiu, S AU - Xiu S AD - Department of Endocrinology, Beijing Institute of Geriatrics, Xuanwu Hospital, Capital Medical University, Beijing, 100053, China. xiushuangling@126.com. LA - eng GR - PX2020034/Beijing Municipal Administration of Hospitals Incubating Program/ GR - QNPY2020014/Xuanwu Hospital Science Program for Fostering Young Scholars/ GR - PYZ21033/Capital Medical University Scientific Research Cultivation Fund/ GR - 11000022T000000461062/The Pilot Project for Public Welfare Development and Reform of Beijing-affiliated Medical Research Institutes-Research on Intelligent Management and Innovative Model of Chronic Diseases in Elderly/ PT - Journal Article DEP - 20220713 PL - Italy TA - J Endocrinol Invest JT - Journal of endocrinological investigation JID - 7806594 RN - 104982-03-8 (Osteocalcin) SB - IM MH - Humans MH - *Non-alcoholic Fatty Liver Disease MH - Osteocalcin MH - *Diabetes Mellitus, Type 2 MH - Cross-Sectional Studies MH - China/epidemiology OTO - NOTNLM OT - Bone turnover markers OT - Nonalcoholic fatty liver disease OT - Osteocalcin OT - Type 2 diabetes mellitus EDAT- 2022/07/14 06:00 MHDA- 2022/11/15 06:00 CRDT- 2022/07/13 11:24 PHST- 2022/04/05 00:00 [received] PHST- 2022/07/03 00:00 [accepted] PHST- 2022/07/14 06:00 [pubmed] PHST- 2022/11/15 06:00 [medline] PHST- 2022/07/13 11:24 [entrez] AID - 10.1007/s40618-022-01861-z [pii] AID - 10.1007/s40618-022-01861-z [doi] PST - ppublish SO - J Endocrinol Invest. 2022 Dec;45(12):2275-2282. doi: 10.1007/s40618-022-01861-z. Epub 2022 Jul 13.