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Published in: Osteoporosis International 9/2007

01-09-2007 | Original Article

Adiponectin is a predictor of bone mineral density in middle-aged premenopausal women

Authors: J. Jürimäe, T. Jürimäe

Published in: Osteoporosis International | Issue 9/2007

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Abstract

Summary

Adipose-modulated biochemical signal that explains some of the association between fat mass and bone mineral density (BMD) is adiponectin. The results demonstrated an independent association between adiponectin and BMD, while the influence of adiponectin on bone mineral content is mediated by fat free mass in middle-aged women.

Introduction

Positive association between fat mass (FM) and bone mineral density (BMD) is mediated by biochemical factors.

Methods

The relationship between plasma adiponectin concentration and BMD in 98 sedentary premenopausal women aged 38–49 years with a body mass index range of 20.0–42.1 kg/m2 was examined. Different body composition and blood biochemical parameters were measured to adjust for possible confounding variables.

Results

The association between adiponectin and BMD values (total BMD: ß = −0.919; p = 0.0001, femoral neck BMD: ß = −0.925; p = 0.0001 and lumbar spine BMD: ß = −0.912; p = 0.0001) was independent of the influences that measured body composition, hormonal and insulin resistance factors may exert on BMD (p < 0.02). However, adiponectin explained only 3–12% of the variations in measured BMD variables. Similarly, adiponectin was associated with total bone mineral content (BMC; ß = −0.911; p = 0.0001) and remained associated in different analyses that controlled for possible confounding parameters (p < 0.01). However, the association between adiponectin and total BMC was no longer significant when adjusted for fat free mass (FFM; p > 0.21).

Conclusions

Adiponectin is an independent predictor of BMD, while its independent contribution to the interindividual variance in measured values is only modest. The influence of adiponectin on total BMC is mediated or confounded by FFM in middle-aged premenopausal women.
Literature
1.
go back to reference Flegal KM, Carroll MD, Ogden CL, Johnson CL (2002) Prevalence and trends in obesity among US adults, 1999–2000. JAMA 288:1723–1727PubMedCrossRef Flegal KM, Carroll MD, Ogden CL, Johnson CL (2002) Prevalence and trends in obesity among US adults, 1999–2000. JAMA 288:1723–1727PubMedCrossRef
2.
go back to reference Felson DT, Zhang Y, Hannan MT, Anderson JJ (1993) Effects of weight and body mass index on bone mineral density in men and women: the Framingham study. J Bone Miner Res 8:567–573PubMed Felson DT, Zhang Y, Hannan MT, Anderson JJ (1993) Effects of weight and body mass index on bone mineral density in men and women: the Framingham study. J Bone Miner Res 8:567–573PubMed
3.
go back to reference Rubin CT, Lanyon LE (1985) Regulation of bone mass by mechanical strain magnitude. Calcif Tissue Int 37:411–417PubMedCrossRef Rubin CT, Lanyon LE (1985) Regulation of bone mass by mechanical strain magnitude. Calcif Tissue Int 37:411–417PubMedCrossRef
4.
go back to reference Lenchik L, Register TC, Hsu FC, Lohman K, Nicklas BJ, Freidman BI, Langefeld CD, Carr JJ, Bowden DW (2003) Adiponectin as a novel determinant of bone mineral density and visceral fat. Bone 33:646–651PubMedCrossRef Lenchik L, Register TC, Hsu FC, Lohman K, Nicklas BJ, Freidman BI, Langefeld CD, Carr JJ, Bowden DW (2003) Adiponectin as a novel determinant of bone mineral density and visceral fat. Bone 33:646–651PubMedCrossRef
5.
go back to reference Jürimäe T, Jürimäe J, Pihl E (2000) Circulatory response to single circuit weight and walking training sessions of similar energy cost in middle-aged overweight females. Clin Physiol 20:143–149PubMedCrossRef Jürimäe T, Jürimäe J, Pihl E (2000) Circulatory response to single circuit weight and walking training sessions of similar energy cost in middle-aged overweight females. Clin Physiol 20:143–149PubMedCrossRef
6.
go back to reference Jürimäe J, Jürimäe T (2006) Influence of insulin-like growth factor-1 and leptin on bone mineral content in healthy premenopausal women. Exp Biol Med 231:1673–1677 Jürimäe J, Jürimäe T (2006) Influence of insulin-like growth factor-1 and leptin on bone mineral content in healthy premenopausal women. Exp Biol Med 231:1673–1677
7.
8.
go back to reference Abou Samra R, Baba NH, Torbay N, Dib L, El-Hajj Fuleihan G (2005) High plasma leptin is not associated with higher bone mineral density in insulin-resistant premenopausal obese women. J Clin Endocrinol Metab 90:2588–2594PubMedCrossRef Abou Samra R, Baba NH, Torbay N, Dib L, El-Hajj Fuleihan G (2005) High plasma leptin is not associated with higher bone mineral density in insulin-resistant premenopausal obese women. J Clin Endocrinol Metab 90:2588–2594PubMedCrossRef
9.
go back to reference Oh KW, Lee WY, Rhee EJ, Baek KH, Yoon KH, Kang MI, Yun EJ, Park CY, Ihm SH, Choi MG, Yoo HJ, Park SW (2005) The relationship between serum resistin, leptin, adiponectin, ghrelin levels and bone mineral density in middle-aged men. Clin Endocrinol 63:131–138CrossRef Oh KW, Lee WY, Rhee EJ, Baek KH, Yoon KH, Kang MI, Yun EJ, Park CY, Ihm SH, Choi MG, Yoo HJ, Park SW (2005) The relationship between serum resistin, leptin, adiponectin, ghrelin levels and bone mineral density in middle-aged men. Clin Endocrinol 63:131–138CrossRef
10.
go back to reference Barrett-Connor E, Kritz-Silverstein D (1996) Does hyperinsulinemia preserve bone? Diabetes Care 19:1388–1392PubMedCrossRef Barrett-Connor E, Kritz-Silverstein D (1996) Does hyperinsulinemia preserve bone? Diabetes Care 19:1388–1392PubMedCrossRef
11.
go back to reference Ogata N, Chikazu D, Kubota N, Terauchi Y, Tobe K, Azuma Y, Ohta T, Kadowaki T, Nakamura K, Kawaguchi H (2000) Insulin receptor substrate-1 in osteoplast is indispensable for maintaining bone turnover. J Clin Invest 105:935–943PubMedCrossRef Ogata N, Chikazu D, Kubota N, Terauchi Y, Tobe K, Azuma Y, Ohta T, Kadowaki T, Nakamura K, Kawaguchi H (2000) Insulin receptor substrate-1 in osteoplast is indispensable for maintaining bone turnover. J Clin Invest 105:935–943PubMedCrossRef
12.
go back to reference Faraj M, Havel PJ, Phelis S, Blank D, Sneiderman AD, Cianflone K (2003) Plasma acylation-stimulating protein, adiponectin, leptin, and ghrelin before and after weight loss induced by gastric bypass surgery in morbidly obese subjects. J Clin Endocrinol Metab 88:1594–1602PubMedCrossRef Faraj M, Havel PJ, Phelis S, Blank D, Sneiderman AD, Cianflone K (2003) Plasma acylation-stimulating protein, adiponectin, leptin, and ghrelin before and after weight loss induced by gastric bypass surgery in morbidly obese subjects. J Clin Endocrinol Metab 88:1594–1602PubMedCrossRef
13.
go back to reference Jürimäe J, Rembel K, Jürimäe T, Rehand M (2005) Adiponectin is associated with bone mineral density in perimenopausal women. Horm Metab Res 37:297–302PubMedCrossRef Jürimäe J, Rembel K, Jürimäe T, Rehand M (2005) Adiponectin is associated with bone mineral density in perimenopausal women. Horm Metab Res 37:297–302PubMedCrossRef
14.
go back to reference Thomas T, Burguera B (2002) Is leptin the link between fat and bone mass? J Bone Miner Res 17:1563–1569PubMedCrossRef Thomas T, Burguera B (2002) Is leptin the link between fat and bone mass? J Bone Miner Res 17:1563–1569PubMedCrossRef
15.
go back to reference Whipple T, Sharkey N, Demers L, Williams N (2002) Leptin and the skeleton. Clin Endocrinol 57:701–711CrossRef Whipple T, Sharkey N, Demers L, Williams N (2002) Leptin and the skeleton. Clin Endocrinol 57:701–711CrossRef
16.
go back to reference Kontogianni MD, Dafni UG, Routsias JG, Skopouli FN (2004) Blood leptin and adiponectin as possible mediators of the relation between fat mass and BMD in perimenopausal women. J Bone Miner Res 19:546–554PubMedCrossRef Kontogianni MD, Dafni UG, Routsias JG, Skopouli FN (2004) Blood leptin and adiponectin as possible mediators of the relation between fat mass and BMD in perimenopausal women. J Bone Miner Res 19:546–554PubMedCrossRef
17.
go back to reference Zoico E, Zamboni M, Adami S, Vettor R, Mazzali G, Tosoni P, Bissoli L, Bosello O (2003) Relationship between leptin levels and bone mineral density in the elderly. Clin Endocrinol 59:97–103CrossRef Zoico E, Zamboni M, Adami S, Vettor R, Mazzali G, Tosoni P, Bissoli L, Bosello O (2003) Relationship between leptin levels and bone mineral density in the elderly. Clin Endocrinol 59:97–103CrossRef
18.
go back to reference Hadji P, Bock K, Gotschalk M, Hars O, Backhus J, Emons G, Schulz KD (2003) The influence of serum leptin concentration on bone mass assessed by quantitative ultrasonometry in pre and postmenopausal women. Maturitas 44:141–148PubMedCrossRef Hadji P, Bock K, Gotschalk M, Hars O, Backhus J, Emons G, Schulz KD (2003) The influence of serum leptin concentration on bone mass assessed by quantitative ultrasonometry in pre and postmenopausal women. Maturitas 44:141–148PubMedCrossRef
19.
go back to reference Martini G, Valenti R, Giovani S, Franci B, Campagna S, Nuti R (2001) Influence of insulin-like growth factor-1 and leptin on bone mass in healthy postmenopausal women. Bone 28:113–117PubMedCrossRef Martini G, Valenti R, Giovani S, Franci B, Campagna S, Nuti R (2001) Influence of insulin-like growth factor-1 and leptin on bone mass in healthy postmenopausal women. Bone 28:113–117PubMedCrossRef
20.
go back to reference Roux C, Arabi A, Porcher R, Garnero P (2003) Serum leptin as a determinant of bone resorption in healthy postmenopausal women. Bone 33:847–852PubMedCrossRef Roux C, Arabi A, Porcher R, Garnero P (2003) Serum leptin as a determinant of bone resorption in healthy postmenopausal women. Bone 33:847–852PubMedCrossRef
21.
go back to reference Scherer PE, Williams S, Fogliano M, Baldini C, Lodish HF (1995) A novel serum protein similar to C1q, produced exclusively in adipocytes. J Biol Chem 270:26746–26749PubMedCrossRef Scherer PE, Williams S, Fogliano M, Baldini C, Lodish HF (1995) A novel serum protein similar to C1q, produced exclusively in adipocytes. J Biol Chem 270:26746–26749PubMedCrossRef
22.
go back to reference Weyer C, Funahashi T, Tanaka S, Hotta K, Matsuzawa Y, Pratley RE, Tataranni PA (2001) Hypoadiponectemia in obesity and type 2 diabetes: close association with insulin resistance and hyperinsulinemia. J Clin Endocrinol Metab 86:1930–1935PubMedCrossRef Weyer C, Funahashi T, Tanaka S, Hotta K, Matsuzawa Y, Pratley RE, Tataranni PA (2001) Hypoadiponectemia in obesity and type 2 diabetes: close association with insulin resistance and hyperinsulinemia. J Clin Endocrinol Metab 86:1930–1935PubMedCrossRef
23.
go back to reference Dietz JJ, Iglesias P (2003) The role of the novel adipocyte-derived hormone adiponectin in human disease. Eur J Endocrinol 148:293–300CrossRef Dietz JJ, Iglesias P (2003) The role of the novel adipocyte-derived hormone adiponectin in human disease. Eur J Endocrinol 148:293–300CrossRef
24.
go back to reference Matsubara M, Maruoka S, Katayose S (2002) Inverse relationship between plasma adiponectin and leptin concentrations in normalweight and obese women. Eur J Endocrinol 147:173–180PubMedCrossRef Matsubara M, Maruoka S, Katayose S (2002) Inverse relationship between plasma adiponectin and leptin concentrations in normalweight and obese women. Eur J Endocrinol 147:173–180PubMedCrossRef
25.
go back to reference Ryan AS, Berman DM, Nicklas BJ, Sinha M, Gingerich RL, Meneilly GS, Egan JM, Elahi D (2003) Plasma adiponectin and leptin levels, body composition, and glucose utilization in adult women with wide ranges of age and obesity. Diabetes Care 26:2383–2388PubMedCrossRef Ryan AS, Berman DM, Nicklas BJ, Sinha M, Gingerich RL, Meneilly GS, Egan JM, Elahi D (2003) Plasma adiponectin and leptin levels, body composition, and glucose utilization in adult women with wide ranges of age and obesity. Diabetes Care 26:2383–2388PubMedCrossRef
26.
go back to reference Bouchard C, Tremblay A, Leblanc C, Lortie G, Savard R, Theriault G (1983) A method to assess energy expenditure in children and adults. Am J Clin Nutr 37:461–467PubMed Bouchard C, Tremblay A, Leblanc C, Lortie G, Savard R, Theriault G (1983) A method to assess energy expenditure in children and adults. Am J Clin Nutr 37:461–467PubMed
27.
go back to reference Garnett SP, Högler W, Blades B, Baur LA, Peat J, Lee J, Cowell CT (2004) Relation between hormones and body composition, including bone, in prepubertal children. Am J Clin Nutr 80:966–972PubMed Garnett SP, Högler W, Blades B, Baur LA, Peat J, Lee J, Cowell CT (2004) Relation between hormones and body composition, including bone, in prepubertal children. Am J Clin Nutr 80:966–972PubMed
28.
go back to reference Fernandez-Real JM, Vayreda M, Casamitjana R, Gonzalez-Huix F, Ricart W (2000) The fat-free mass compartment influences serum leptin in men. Eur J Endocrinol 142:25–29PubMedCrossRef Fernandez-Real JM, Vayreda M, Casamitjana R, Gonzalez-Huix F, Ricart W (2000) The fat-free mass compartment influences serum leptin in men. Eur J Endocrinol 142:25–29PubMedCrossRef
29.
go back to reference Thong FS, McLean C, Graham TE (2000) Plasma leptin in female athletes: relationship with body fat, reproductive, nutritional, and endocrine factors. J Appl Physiol 88:2037–2044PubMed Thong FS, McLean C, Graham TE (2000) Plasma leptin in female athletes: relationship with body fat, reproductive, nutritional, and endocrine factors. J Appl Physiol 88:2037–2044PubMed
30.
go back to reference Blain H, Vuillemin A, Guillemin F, Durant R, Hanesse B, De Talance N, Doucet B, Jeandel C (2002) Serum leptin level is a predictor of bone mineral density in postmenopausal women. J Clin Endocrinol Metab 87:1030–1035PubMedCrossRef Blain H, Vuillemin A, Guillemin F, Durant R, Hanesse B, De Talance N, Doucet B, Jeandel C (2002) Serum leptin level is a predictor of bone mineral density in postmenopausal women. J Clin Endocrinol Metab 87:1030–1035PubMedCrossRef
31.
go back to reference Yokota T, Meka CS, Medina KL, Igarashi H, Comp PC, Takahashi M, Nishida M, Oritani K, Miyagawa J, Funahashi T, Tomiyama Y, Matsuzawa Y, Kincade PW (2002) Paracrine regulation of fat cell formation in bone marrow cultures via adiponectin and prostaglandins. J Clin Invest 109:1303–1310PubMedCrossRef Yokota T, Meka CS, Medina KL, Igarashi H, Comp PC, Takahashi M, Nishida M, Oritani K, Miyagawa J, Funahashi T, Tomiyama Y, Matsuzawa Y, Kincade PW (2002) Paracrine regulation of fat cell formation in bone marrow cultures via adiponectin and prostaglandins. J Clin Invest 109:1303–1310PubMedCrossRef
32.
go back to reference Yokota T, Meka CS, Kouro T, Medina KL, Idarashi H, Takahashi M, Oritani K, Funahashi T, Tomiyama Y, Matsuzawa Y, Kincade PW (2003) Adiponectin, a fat cell product, influences the earliest lymphocyte precursors in bone marrow cultures by activation of the cyclooxygenase-prostaglandin pathway in stromal cells. J Immunol 171:5091–5099PubMed Yokota T, Meka CS, Kouro T, Medina KL, Idarashi H, Takahashi M, Oritani K, Funahashi T, Tomiyama Y, Matsuzawa Y, Kincade PW (2003) Adiponectin, a fat cell product, influences the earliest lymphocyte precursors in bone marrow cultures by activation of the cyclooxygenase-prostaglandin pathway in stromal cells. J Immunol 171:5091–5099PubMed
33.
go back to reference Zhang X, Schwarz EM, Young DA, Puzas JE, Rosier RN, O’Keefe RJ (2002) Cyclooxygenase-2 regulates mesenchymal cell differentiation into osteoblast lineage and is critically involved in bone repair. J Clin Invest 109:1405–1415PubMedCrossRef Zhang X, Schwarz EM, Young DA, Puzas JE, Rosier RN, O’Keefe RJ (2002) Cyclooxygenase-2 regulates mesenchymal cell differentiation into osteoblast lineage and is critically involved in bone repair. J Clin Invest 109:1405–1415PubMedCrossRef
34.
go back to reference Berner HS, Lyngstadaas SP, Spahr A, Monjo M, Thommesen L, Drevon CA, Syversen U, Reseland JE (2004) Adiponectin and its receptors are expressed in bone-forming cells. Bone 35:842–849PubMedCrossRef Berner HS, Lyngstadaas SP, Spahr A, Monjo M, Thommesen L, Drevon CA, Syversen U, Reseland JE (2004) Adiponectin and its receptors are expressed in bone-forming cells. Bone 35:842–849PubMedCrossRef
35.
go back to reference Lee WY, Rhee EJ, Oh KW, Kim SY, Jung CH, Yun EJ, Bae KH, Kang MI, Kim SW (2006) Identification of adiponectin and its receptors in human osteoblast-like cells and association of T45G polymorphism in exon 2 of adiponectin gene with lumbar spine bone mineral density in Korean women. Clin Endocrinol 65:631–637CrossRef Lee WY, Rhee EJ, Oh KW, Kim SY, Jung CH, Yun EJ, Bae KH, Kang MI, Kim SW (2006) Identification of adiponectin and its receptors in human osteoblast-like cells and association of T45G polymorphism in exon 2 of adiponectin gene with lumbar spine bone mineral density in Korean women. Clin Endocrinol 65:631–637CrossRef
36.
go back to reference Motoshima H, Wu X, Sinha MK, Hardy VE, Rosato EL, Barbot DJ, Rosato FE, Goldstein BJ (2002) Differential regulation of adiponectin secretion from cultured human omental and subcutaneous adipocytes: effects of insulin and rosiglitazone. J Clin Endocrinol Metab 87:5662–5667PubMedCrossRef Motoshima H, Wu X, Sinha MK, Hardy VE, Rosato EL, Barbot DJ, Rosato FE, Goldstein BJ (2002) Differential regulation of adiponectin secretion from cultured human omental and subcutaneous adipocytes: effects of insulin and rosiglitazone. J Clin Endocrinol Metab 87:5662–5667PubMedCrossRef
37.
go back to reference Chen Z, Lohman TG, Stini WA, Ritenburg C, Aickin M (1997) Fat or lean tissue mass: which one is the major determinant of bone mineral mass in healthy postmenopausal women? J Bone Miner Res 12:144–151PubMedCrossRef Chen Z, Lohman TG, Stini WA, Ritenburg C, Aickin M (1997) Fat or lean tissue mass: which one is the major determinant of bone mineral mass in healthy postmenopausal women? J Bone Miner Res 12:144–151PubMedCrossRef
38.
go back to reference Lindsay R, Cosman F, Herrington BS, Himmelstein S (1992) Bone mass and body composition in normal women. J Bone Miner Res 7:55–63PubMedCrossRef Lindsay R, Cosman F, Herrington BS, Himmelstein S (1992) Bone mass and body composition in normal women. J Bone Miner Res 7:55–63PubMedCrossRef
39.
go back to reference Reid IR, Ames R, Evans MC, Sharpe S, Gamble G, France JT, Lim TM, Cundy TF (1992) Determinants of total and regional bone mineral density in normal postmenopausal women: a key role for fat mass. J Clin Endocrinol Metab 75:45–51PubMedCrossRef Reid IR, Ames R, Evans MC, Sharpe S, Gamble G, France JT, Lim TM, Cundy TF (1992) Determinants of total and regional bone mineral density in normal postmenopausal women: a key role for fat mass. J Clin Endocrinol Metab 75:45–51PubMedCrossRef
40.
go back to reference Salamone LM, Glynn N, Black D, Epstein RS, Palermo L, Meilahn E, Kuller LH, Cauley JA (1995) Body composition and bone mineral density in premenopausal and early perimenopausal women. J Bone Miner Res 12:144–151 Salamone LM, Glynn N, Black D, Epstein RS, Palermo L, Meilahn E, Kuller LH, Cauley JA (1995) Body composition and bone mineral density in premenopausal and early perimenopausal women. J Bone Miner Res 12:144–151
41.
go back to reference Lorentzon M, Landin K, Mellstrom D, Ohlsson C (2006) Leptin is a negative independent predictor of areal BMD and cortical bone size in young adult Swedish men. J Bone Miner Res 21:1871–1878PubMedCrossRef Lorentzon M, Landin K, Mellstrom D, Ohlsson C (2006) Leptin is a negative independent predictor of areal BMD and cortical bone size in young adult Swedish men. J Bone Miner Res 21:1871–1878PubMedCrossRef
42.
go back to reference Kirchengast S, Peterson B, Hauser G, Knogler W (2001) Body composition characteristics are associated with the bone density of the proximal femur end in middle- and old-aged women and men. Maturitas 39:133–145PubMedCrossRef Kirchengast S, Peterson B, Hauser G, Knogler W (2001) Body composition characteristics are associated with the bone density of the proximal femur end in middle- and old-aged women and men. Maturitas 39:133–145PubMedCrossRef
Metadata
Title
Adiponectin is a predictor of bone mineral density in middle-aged premenopausal women
Authors
J. Jürimäe
T. Jürimäe
Publication date
01-09-2007
Publisher
Springer-Verlag
Published in
Osteoporosis International / Issue 9/2007
Print ISSN: 0937-941X
Electronic ISSN: 1433-2965
DOI
https://doi.org/10.1007/s00198-007-0365-5

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