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* Skip to Article Content * Skip to Article Information Working off-campus? Learn about our remote access options Search withinThis JournalAnywhere * Search term Advanced Search Citation Search * Search term Advanced Search Citation Search Login / Register 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 Search for more papers by this author Dominika Janus, Dominika Janus Pediatric and Adolescent Endocrinology Department, Chair of Pediatrics, Jagiellonian University, Collegium Medicum Children’s University Hospital Search for more papers by this author Dorota Drozdz, Dorota Drozdz Children’s University Hospital Pediatric Nephrology Department, Chair of Pediatrics, Jagiellonian University, Collegium Medicum Search for more papers by this author Krystyna Sztefko, Krystyna Sztefko Children’s University Hospital Department of Clinical Biochemistry, Pediatric Institute, Jagiellonian University, Collegium Medicum, Krakow, Poland Search for more papers by this author Jerzy B. Starzyk, Jerzy B. Starzyk Pediatric and Adolescent Endocrinology Department, Chair of Pediatrics, Jagiellonian University, Collegium Medicum Children’s University Hospital Search for more papers by this author 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 Search for more papers by this author Dominika Janus, Dominika Janus Pediatric and Adolescent Endocrinology Department, Chair of Pediatrics, Jagiellonian University, Collegium Medicum Children’s University Hospital Search for more papers by this author Dorota Drozdz, Dorota Drozdz Children’s University Hospital Pediatric Nephrology Department, Chair of Pediatrics, Jagiellonian University, Collegium Medicum Search for more papers by this author Krystyna Sztefko, Krystyna Sztefko Children’s University Hospital Department of Clinical Biochemistry, Pediatric Institute, Jagiellonian University, Collegium Medicum, Krakow, Poland Search for more papers by this author Jerzy B. Starzyk, Jerzy B. Starzyk Pediatric and Adolescent Endocrinology Department, Chair of Pediatrics, Jagiellonian University, Collegium Medicum Children’s University Hospital Search for more papers by this author 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 Read the full text About * * RELATED * INFORMATION * PDF PDF Tools * Request permission * Export citation * Add to favorites * Track citation ShareShare Give access Share full text access Close modal Share full-text access Please review our Terms and Conditions of Use and check box below to share full-text version of article. I have read and accept the Wiley Online Library Terms and Conditions of Use -------------------------------------------------------------------------------- Shareable Link Use the link below to share a full-text version of this article with your friends and colleagues. Learn more. Copy URL Share a link Share on * Facebook * Twitter * Linked In * Reddit * Wechat 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 * RELATED * INFORMATION RECOMMENDED * Validation of the oral glucose insulin sensitivity index to assess insulin sensitivity in Japanese subjects for use in clinical practice M. Kanauchi, European Journal of Clinical Investigation * Comparison among different insulin sensitivity indices in obese patients E. Mannucci, G. Bardini, F. Rotella, C. M. Rotella, Diabetic Medicine * Insulin secretory capacity and insulin sensitivity in impaired fasting glucose in Japanese Rie Mitsui, Mitsuo Fukushima, Ataru Taniguchi, Yoshikatsu Nakai, Sae Aoyama, Yoshitaka Takahashi, Hideaki Tsuji, Daisuke Yabe, Koichiro Yasuda, Takeshi Kurose, Toshiko Kawakita, Yutaka Seino, Nobuya Inagaki, Journal of Diabetes Investigation * Regulation of fibroblast growth factor 23 (FGF23) in health and disease Ludmilla Bär, Christos Stournaras, Florian Lang, Michael Föller, FEBS Letters * Insulin sensitivity across the lifespan from obese adolescents to obese adults with impaired glucose tolerance: Who is worse off? Silva Arslanian, Joon Young Kim, Alexis Nasr, Fida Bacha, Hala Tfayli, SoJung Lee, Frederico G. S. Toledo, Pediatric Diabetes Close Figure Viewer Return to Figure Previous FigureNext Figure Caption Download PDF back ADDITIONAL LINKS ABOUT WILEY ONLINE LIBRARY * Privacy Policy * Terms of Use * Cookies * Accessibility * Publishing Policies HELP & SUPPORT * Contact Us * Training and Support * DMCA & Reporting Piracy OPPORTUNITIES * Subscription Agents * Advertisers & Corporate Partners CONNECT WITH WILEY * The Wiley Network * Wiley Press Room Copyright © 1999-2022 John Wiley & Sons, Inc. All rights reserved The full text of this article hosted at iucr.org is unavailable due to technical difficulties. LOG IN TO WILEY ONLINE LIBRARY Email or Customer ID Password Forgot password? NEW USER > INSTITUTIONAL LOGIN > CHANGE PASSWORD Old Password New Password Too Short Weak Medium Strong Very Strong Too Long PASSWORD CHANGED SUCCESSFULLY Your password has been changed CREATE A NEW ACCOUNT Email or Customer ID Returning user FORGOT YOUR PASSWORD? Enter your email address below. 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