Subscribe to RSS
DOI: 10.1055/s-0029-1225616
© J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart · New York
Associations of Anthropometric Parameters with Serum TSH, Prolactin, IGF-I, and Testosterone Levels: Results of the Study of Health in Pomerania (SHIP)
Publication History
received 21.08.2008
first decision 12.03.2009
accepted 04.06.2009
Publication Date:
16 July 2009 (online)
Abstract
Obesity is a major risk factor for chronic diseases including cardiovascular disorders. Divergent associations between obesity and hormonal changes have been reported. The objective of the present study was to analyse the associations between anthropometric measurements and hormone levels including serum thyroid stimulating hormone (TSH), prolactin, insulin-like growth factor (IGF) I, and testosterone. Form the cross-sectional Study of Health in Pomerania 1 women and 1 864 men aged 20–79 years were included in the analyses. Serum TSH, prolactin, IGF-I, and testosterone levels were determined by immunochemiluminescent procedures. Body height, weight as well as waist and hip circumferences were measured. Body mass index (BMI), waist-to-hip ratio (WHR), and waist-to-height ratio (WHtR) were calculated. Our analyses revealed inverse linear associations of waist and hip circumferences, BMI and WHtR with serum TSH levels and linear associations between waist circumference as well as WHtR and serum prolactin levels in women. In men, inverse linear and quadratic associations between anthropometric parameters and serum IGF-I as well as serum testosterone levels were found. Additionally, men with high waist circumference had more often low serum IGF-I or testosterone levels and less often high serum IGF-I or testosterone levels compared to men with low waist circumference. These sex-specific differences should be noted in studies regarding hormones and obesity.
Key words
anabolic hormones - anthropometry - body mass index - waist-to-hip ratio
References
- 1 Alevizaki M, Cimponeriu AT, Garofallaki M. et al . The androgen receptor gene CAG polymorphism is associated with the severity of coronary artery disease in men. Clin Endocrinol (Oxf). 2003; 59 749-755
- 2 Ashwell M, Cole TJ, Dixon AK. Ratio of waist circumference to height is strong predictor of intra-abdominal fat. BMJ. 1996; 313 559-560
- 3 Ashwell M, Lejeune S, McPherson K. Ratio of waist circumference to height may be better indicator of need for weight management. BMJ. 1996; 312 377
- 4 Baghaei F, Rosmond R, Westberg L. et al . The CYP19 gene and associations with androgens and abdominal obesity in premenopausal women. Obes Res. 2003; 11 578-585
- 5 Bideci A, Cinaz P, Hasanoglu A. et al . Serum levels of insulin-like growth factor-I and insulin-like growth factor binding protein-3 in obese children. J Pediatr Endocrinol Metab. 1997; 10 295-299
- 6 Bonafe M, Barbieri M, Marchegiani F. et al . Polymorphic variants of insulin-like growth factor I (IGF-I) receptor and phosphoinositide 3-kinase genes affect IGF-I plasma levels and human longevity: cues for an evolutionarily conserved mechanism of life span control. J Clin Endocrinol Metab. 2003; 88 3299-3304
- 7 Brandebourg T, Hugo E, Ben-Jonathan N. Adipocyte prolactin: regulation of release and putative functions. Diabetes Obes Metab. 2007; 9 464-476
- 8 Bühringer G, Augustin R, Bergmann E. et al .Alkoholkonsum und Alkoholbezogene Störungen in Deutschland [Alcohol consumption and alcoholrelated problems in Germany]. Baden-Baden: Nomos Verlagsgesellschaft; 2002
- 9 Copeland KC, Colletti RB, Devlin JT. et al . The relationship between insulin-like growth factor-I, adiposity, and aging. Metabolism. 1990; 39 584-587
- 10 Daniels SR, Arnett DK, Eckel RH. et al . Overweight in children and adolescents: pathophysiology, consequences, prevention, and treatment. Circulation. 2005; 111 1999-2012
- 11 Ferrero V, Ribichini F, Matullo G. et al . Estrogen receptor-alpha polymorphisms and angiographic outcome after coronary artery stenting. Arterioscler Thromb Vasc Biol. 2003; 23 2223-2228
- 12 Figtree GA, Kindmark A, Lind L. et al . Novel estrogen receptor alpha promoter polymorphism increases ventricular hypertrophic response to hypertension. J Steroid Biochem Mol Biol. 2007; 103 110-118
- 13 Fox CS, Yang Q, Cupples LA. et al . Sex-specific association between estrogen receptor-alpha gene variation and measures of adiposity: the Framingham Heart Study. J Clin Endocrinol Metab. 2005; 90 6257-6262
- 14 Frystyk J, Vestbo E, Skjaerbaek C. et al . Free insulin-like growth factors in human obesity. Metabolism. 1995; 44 37-44
- 15 Giagulli VA, Kaufman JM, Vermeulen A. Pathogenesis of the decreased androgen levels in obese men. J Clin Endocrinol Metab. 1994; 79 997-1000
- 16 Gore AC, Villalobos C, Frawley LS. Differential influences of gender and physiological status on calcium dynamics and prolactin gene expression in rat mammotropes. Endocrine. 1999; 11 131-136
- 17 Haffner SM, Valdez RA, Stern MP. et al . Obesity, body fat distribution and sex hormones in men. Int J Obes Relat Metab Disord. 1993; 17 643-649
- 18 Jia WP, Lu JX, Xiang KS. et al . Prediction of abdominal visceral obesity from body mass index, waist circumference and waist-hip ratio in Chinese adults: receiver operating characteristic curves analysis. Biomed Environ Sci. 2003; 16 206-211
- 19 Kaklamani VG, Linos A, Kaklamani E. et al . Age, sex, and smoking are predictors of circulating insulin-like growth factor 1 and insulin-like growth factor-binding protein 3. J Clin Oncol. 1999; 17 813-817
- 20 Kok P, Roelfsema F, Frolich M. et al . Prolactin release is enhanced in proportion to excess visceral fat in obese women. J Clin Endocrinol Metab. 2004; 89 4445-4449
- 21 Kok P, Roelfsema F, Langendonk JG. et al . Increased circadian prolactin release is blunted after body weight loss in obese premenopausal women. Am J Physiol Endocrinol Metab. 2006; 290 E218-E224
- 22 Kopelman PG. Hormones and obesity. Baillieres Clin Endocrinol Metab. 1994; 8 549-575
- 23 Landin-Wilhelmsen K, Lundberg PA, Lappas G. et al . Insulin-like growth factor I levels in healthy adults. Horm Res. 2004; 62 ((Suppl 1)) 8-16
- 24 Lundberg V, Tolonen H, Stegmayr B. et al . Use of oral contraceptives and hormone replacement therapy in the WHO MONICA project. Maturitas. 2004; 48 39-49
- 25 Ma CX, Adjei AA, Salavaggione OE. et al . Human aromatase: gene resequencing and functional genomics. Cancer Res. 2005; 65 11071-11082
- 26 Maccario M, Grottoli S, Aimaretti G. et al . IGF-I levels in different conditions of low somatotrope secretion in adulthood: obesity in comparison with GH deficiency. Panminerva Med. 1998; 40 98-102
- 27 Maccario M, Ramunni J, Oleandri SE. et al . Relationships between IGF-I and age, gender, body mass, fat distribution, metabolic and hormonal variables in obese patients. Int J Obes Relat Metab Disord. 1999; 23 612-618
- 28 Marin P, Kvist H, Lindstedt G. et al . Low concentrations of insulin-like growth factor-I in abdominal obesity. Int J Obes Relat Metab Disord. 1993; 17 83-89
- 29 McTiernan A, Wu L, Chen C. et al . Relation of BMI and physical activity to sex hormones in postmenopausal women. Obesity (Silver Spring). 2006; 14 1662-1677
- 30 Michalaki MA, Vagenakis AG, Leonardou AS. et al . Thyroid function in humans with morbid obesity. Thyroid. 2006; 16 73-78
- 31 Mohr BA, Bhasin S, Link CL. et al . The effect of changes in adiposity on testosterone levels in older men: longitudinal results from the Massachusetts Male Aging Study. Eur J Endocrinol. 2006; 155 443-452
- 32 Murray RD, Adams JE, Shalet SM. Adults with partial growth hormone deficiency have an adverse body composition. J Clin Endocrinol Metab. 2004; 89 1586-1591
- 33 Nam SY, Lee EJ, Kim KR. et al . Effect of obesity on total and free insulin-like growth factor (IGF)-1, and their relationship to IGF-binding protein (BP)-1, IGFBP-2, IGFBP-3, insulin, and growth hormone. Int J Obes Relat Metab Disord. 1997; 21 355-359
- 34 Nyrnes A, Jorde R, Sundsfjord J. Serum TSH is positively associated with BMI. Int J Obes (Lond). 2006; 30 100-105
- 35 Orio Jr F, Palomba S, Cascella T. et al . Cardiovascular complications of obesity in adolescents. J Endocrinol Invest. 2007; 30 70-80
- 36 Osuna JA, Gomez-Perez R, Arata-Bellabarba G. et al . Relationship between BMI, total testosterone, sex hormone-binding-globulin, leptin, insulin and insulin resistance in obese men. Arch Androl. 2006; 52 355-361
- 37 Pasquali R, Casimirri F, Cantobelli S. et al . Effect of obesity and body fat distribution on sex hormones and insulin in men. Metabolism. 1991; 40 101-104
- 38 Peter I, Shearman AM, Vasan RS. et al . Association of estrogen receptor beta gene polymorphisms with left ventricular mass and wall thickness in women. Am J Hypertens. 2005; 18 1388-1395
- 39 Peter I, Shearman AM, Zucker DR. et al . Variation in estrogen-related genes and cross-sectional and longitudinal blood pressure in the Framingham Heart Study. J Hypertens. 2005; 23 2193-2200
- 40 Pinkney JH, Goodrick SJ, Katz J. et al . Leptin and the pituitary-thyroid axis: a comparative study in lean, obese, hypothyroid and hyperthyroid subjects. Clin Endocrinol (Oxf). 1998; 49 583-588
- 41 Radcliff K, Tang TB, Lim J. et al . Insulin-like growth factor-I regulates proliferation and osteoblastic differentiation of calcifying vascular cells via extracellular signal-regulated protein kinase and phosphatidylinositol 3-kinase pathways. Circ Res. 2005; 96 398-400
- 42 Rasmussen MH, Frystyk J, Andersen T. et al . The impact of obesity, fat distribution, and energy restriction on insulin-like growth factor-1 (IGF-1), IGF-binding protein-3, insulin, and growth hormone. Metabolism. 1994; 43 315-319
- 43 Sari R, Balci MK, Altunbas H. et al . The effect of body weight and weight loss on thyroid volume and function in obese women. Clin Endocrinol (Oxf). 2003; 59 258-262
- 44 Schneider HJ, Glaesmer H, Klotsche J. et al . Accuracy of anthropometric indicators of obesity to predict cardiovascular risk. J Clin Endocrinol Metab. 2007; 92 589-594
- 45 Schwarz S, Volzke H, Alte D. et al . Gynaecological health care utilization and use of sex hormones – the study of Health in Pomerania. Hum Reprod. 2005; 20 2916-2922
- 46 Seidell JC, Bjorntorp P, Sjostrom L. et al . Visceral fat accumulation in men is positively associated with insulin, glucose, and C-peptide levels, but negatively with testosterone levels. Metabolism. 1990; 39 897-901
- 47 Shearman AM, Cooper JA, Kotwinski PJ. et al . Estrogen receptor alpha gene variation and the risk of stroke. Stroke. 2005; 36 2281-2282
- 48 Shearman AM, Cooper JA, Kotwinski PJ. et al . Estrogen receptor alpha gene variation is associated with risk of myocardial infarction in more than seven thousand men from five cohorts. Circ Res. 2006; 98 590-592
- 49 Solomon CG, Manson JE. Obesity and mortality: a review of the epidemiologic data. Am J Clin Nutr. 1997; 66 S1044-S1050
- 50 Span JP, Pieters GF, Sweep FG. et al . Gender differences in rhGH-induced changes in body composition in GH-deficient adults. J Clin Endocrinol Metab. 2001; 86 4161-4165
- 51 Unden AL, Elofsson S, Brismar K. Gender differences in the relation of insulin-like growth factor binding protein-1 to cardiovascular risk factors: a population-based study. Clin Endocrinol (Oxf). 2005; 63 94-102
- 52 Visscher TL, Seidell JC, Molarius A. et al . A comparison of body mass index, waist-hip ratio and waist circumference as predictors of all-cause mortality among the elderly: the Rotterdam study. Int J Obes Relat Metab Disord. 2001; 25 1730-1735
- 53 Walsh S, Zmuda JM, Cauley JA. et al . Androgen receptor CAG repeat polymorphism is associated with fat-free mass in men. J Appl Physiol. 2005; 98 132-137
- 54 Wang Y, Rimm EB, Stampfer MJ. et al . Comparison of abdominal adiposity and overall obesity in predicting risk of type 2 diabetes among men. Am J Clin Nutr. 2005; 81 555-563
- 55 Zitzmann M, Gromoll J, von Eckardstein A. et al . The CAG repeat polymorphism in the androgen receptor gene modulates body fat mass and serum concentrations of leptin and insulin in men. Diabetologia. 2003; 46 31-39
Correspondence
N. FriedrichPhD
Institute for Clinical Chemistry and Laboratory Medicine
Ernst Moritz Arndt University
Ferdinand-Sauerbruch-Straße NK
D-17475 Greifswald
Germany
Phone: +49/3834/86 196 55
Fax: +49/3834/86 66 84
Email: nele.friedrich@uni-greifswald.de