Relationship between adiponectin and leptin on osteocalcin in obese adolescents during weight loss therapy.

Autor:	Campos RMDS; Departamento de Fisioterapia, Laboratório de Recursos Terapêuticos, Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brasil., Masquio DCL; Centro Universitário São Camilo, São Paulo, SP, Brasil., Corgosinho FC; Universidade Federal de Goiás (UFG), Goiânia, GO, Brasil., Carvalho-Ferreira JP; Programa de Pós-Graduação Interdisciplinar em Ciências da Saúde, Universidade Federal de São Paulo (Unifesp), Santos, SP, Brasil., Molin Netto BD; Programa de Pós-Graduação em Nutrição, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil., Clemente APG; Universidade Federal de Alagoas (Ufal), Maceió, AL, Brasil., Tock L; Weight Science, São Paulo, SP, Brasil., Tufik S; Departamento de Psicobiologia, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil., Mello MT; Programa de Pós-Graduação em Nutrição, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil.; Departamento de Psicobiologia, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil.; Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brasil., Dâmaso AR; Programa de Pós-Graduação em Nutrição, Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brasil.
Jazyk:	angličtina
Zdroj:	Archives of endocrinology and metabolism [Arch Endocrinol Metab] 2018 Jun; Vol. 62 (3), pp. 275-284. Date of Electronic Publication: 2018 May 17.
DOI:	10.20945/2359-3997000000039
Abstrakt:	Objectives: Obesity is a multifactorial disease characterized by the presence of the pro-inflammatory state associated with the development of many comorbidities, including bone turnover marker alterations. This study aimed to investigate the role of the inflammatory state on bone turnover markers in obese adolescents undergoing interdisciplinary weight loss treatment for one year. Subjects and Methods: Thirty four post-pubescent obese adolescents with primary obesity, a body mass index (BMI) greater than > 95th percentile of the CDC reference growth charts, participated in the present investigation. Measurements of body composition, bone turnover markers, inflammatory biomarkers and visceral and subcutaneous fat were taken. Adolescents were submitted to one year of interdisciplinary treatment (clinical approach, physical exercise, physiotherapy intervention, nutritional and psychological counseling). Results: Reduction in body mass, body fat mass, visceral and subcutaneous fat, as well as, an increase in the body lean mass and bone mineral content was observed. An improvement in inflammatory markers was seen with an increase in adiponectin, adiponectin/leptin ratio and inteleukin-15. Moreover, a positive correlation between the adiponectin/leptin ratio and osteocalcin was demonstrated. Further, both lean and body fat mass were predictors of osteocalcin. Negative associations between leptin with osteocalcin, adiponectin with Beta CTX-collagen, and visceral fat with adiponectin were observed. Conclusions: It is possible to conclude that the inflammatory state can negatively influence the bone turnover markers in obese adolescents. In addition, the interdisciplinary weight loss treatment improved the inflammatory state and body composition in obese adolescents. Therefore, the present findings should be considered in clinical practice.
Databáze:	MEDLINE
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