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Clinical Endocrinology
Volume 77, Issue 4 p. 537-540
Original Article


FGF23 CONTRIBUTES TO INSULIN SENSITIVITY IN OBESE ADOLESCENTS – PRELIMINARY
RESULTS

Malgorzata Wojcik,

Malgorzata Wojcik

Pediatric and Adolescent Endocrinology Department, Chair of Pediatrics,
Jagiellonian University, Collegium Medicum

Children’s University Hospital

Search for more papers by this author
Katarzyna Dolezal-Oltarzewska,

Katarzyna Dolezal-Oltarzewska

Children’s University Hospital

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Dominika Janus,

Dominika Janus

Pediatric and Adolescent Endocrinology Department, Chair of Pediatrics,
Jagiellonian University, Collegium Medicum

Children’s University Hospital

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Dorota Drozdz,

Dorota Drozdz

Children’s University Hospital

Pediatric Nephrology Department, Chair of Pediatrics, Jagiellonian University,
Collegium Medicum

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Krystyna Sztefko,

Krystyna Sztefko

Children’s University Hospital

Department of Clinical Biochemistry, Pediatric Institute, Jagiellonian
University, Collegium Medicum, Krakow, Poland

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Jerzy B. Starzyk,

Jerzy B. Starzyk

Pediatric and Adolescent Endocrinology Department, Chair of Pediatrics,
Jagiellonian University, Collegium Medicum

Children’s University Hospital

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Malgorzata Wojcik,

Malgorzata Wojcik

Pediatric and Adolescent Endocrinology Department, Chair of Pediatrics,
Jagiellonian University, Collegium Medicum

Children’s University Hospital

Search for more papers by this author
Katarzyna Dolezal-Oltarzewska,

Katarzyna Dolezal-Oltarzewska

Children’s University Hospital

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Dominika Janus,

Dominika Janus

Pediatric and Adolescent Endocrinology Department, Chair of Pediatrics,
Jagiellonian University, Collegium Medicum

Children’s University Hospital

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Dorota Drozdz,

Dorota Drozdz

Children’s University Hospital

Pediatric Nephrology Department, Chair of Pediatrics, Jagiellonian University,
Collegium Medicum

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Krystyna Sztefko,

Krystyna Sztefko

Children’s University Hospital

Department of Clinical Biochemistry, Pediatric Institute, Jagiellonian
University, Collegium Medicum, Krakow, Poland

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Jerzy B. Starzyk,

Jerzy B. Starzyk

Pediatric and Adolescent Endocrinology Department, Chair of Pediatrics,
Jagiellonian University, Collegium Medicum

Children’s University Hospital

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First published: 22 November 2011
https://doi.org/10.1111/j.1365-2265.2011.04299.x
Citations: 32
Małgorzata Wojcik, Pediatric and Adolescent Endocrinology Department, Chair of
Pediatrics, Jagiellonian University, Collegium Medicum, Ul. Wielicka 265, 30-663
Krakow, Poland. Tel.: 0048126581277; Fax: 00486581005; E-mail:
malgorzata.wojcik@uj.edu.pl
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ABSTRACT

Fibroblast growth factor-23 (FGF23) is a hormonal regulator of circulating
phosphate and vitamin D levels. Recent investigations revealed that besides a
key role in the pathogenesis of calcium–phosphorus disorders, in some patients
FGF23 may be an indicator of cardiovascular complications. As a ‘hormone-like’
factor, it may also be involved in some metabolic processes, especially in the
metabolism of glucose and fat. Its potential contribution to metabolic syndrome
(MS) development has not been confirmed yet.

Objective The study was to examine the possible correlations between FGF23 serum
levels and body composition, blood pressure and selected parameters of glucose,
insulin and fat metabolism in adolescents with simple obesity.

Patients and design In 68 (35 female) adolescents (mean age 13·9 years) with
simple obesity [mean BMI SDS 4·9 (95% CI 4·4–5·4)], the levels of FGF23, total
cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein
cholesterol and triglycerides were measured. Standard oral glucose tolerance
tests were performed with the assessment of fasting and after 120′ postload
glucose and insulin levels; the insulin resistance index HOMA-IR was calculated.

Results Regardless of gender, there was a significant inverse correlation
between FGF23 and fasting insulin level (r = −0·3), as well as HOMA-IR
(r = −0·29). Multiple regression model showed the independent association
between FGF23 and HOMA-IR.

Conclusion FGF23 seems to be a novel factor contributing to insulin sensitivity.
Further investigations are needed to define its role in the development of MS.


CITING LITERATURE



Volume77, Issue4

October 2012

Pages 537-540




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