Association of Adipocytokines with Lipid and Glycemic Profiles in Women with Normal Weight Obesity
Abstract Background: Individuals with normal weight obesity (NWO) are prone to cardiometabolic disorders. The aim of this study is to investigate the circulating levels of vaspin and leptin and their association with glycemic and lipid profiles in women with NWO.Methods: Forty women with body mass index (BMI)=18.5-24.9 kg/m2 and fat mass (FM) ≥ 30% were assigned in the NWO group and thirty age-matched women with identical BMI range and FM<30% (normal weight non-obese; NWNO) as control group were invited. Anthropometric measurement, fasting blood sugar (FBS), insulin, glycated hemoglobin (HbA1c), lipid profiles and also, leptin and vaspin were measured.Results: The mean ± standard deviation (SD) age was 28.76 ± 4.76 years in the NWO group and 29.23 ± 4.50 years in the control condition. The NWO group had higher mean serum levels of insulin (9.02 ± 4.75 vs. 6.24 ± 2.51, P = 0.009), leptin (17.31 ± 8.10 vs. 9.94 ± 4.30, P < 0.001) and homeostatic model assessment of insulin resistance (HOMA-IR) (33.77 ± 20.71 vs. 23.48 ± 10.03, P = 0.009) compared to the NWNO group. Serum level of vaspin was higher in the NWO group compared to the control group (34.82 pg/ml vs. 27.72 pg/ml, respectively, P = 0.12). In NWO group, serum levels of leptin correlated positively with FBS (r = 0.45, P = 0.02), insulin (r = 0.51, P = 0.008), and HOMA-IR (r = 0.46, P = 0.02) and vaspin concentration was positively associated with insulin (r = 0.36, P = 0.02) and HOMA-IR (r = 0.30, P = 0.06). Conclusion: It is concluded that concentration of insulin and HOMA-IR index were significantly higher in women with NWO compared to NWNO. Higher levels of leptin and vaspin in the NWO group were associated with glycemic profiles.