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Circulating concentrations of insulin-like growth factor-1 and the development of glucose intolerance: a prospective observational study

MS Sandhu, Heald A, Gibson JM, Cruickshank (K, DB Dunger, NJ Wareham

The Lancet. 2002;359:1740-1745.

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Abstract

Department of Public Health and Primary Care, Institute of Public Health, University of Cambridge, Cambridge, UK.BACKGROUND: Results of experimental and clinical studies suggest that insulin-like growth factor-I (IGF-I) and IGF binding protein-1 (IGFBP-1) could be important determinants of glucose homoeostasis. However, experimental models might also reflect compensatory and adaptive metabolic processes. We therefore prospectively examined the associations between circulating concentrations of IGF-I and IGFBP-1 and development of glucose tolerance. METHODS: Participants in this cohort study were a random sample of 615 normoglycaemic men and women aged 45-65 years. Participants underwent oral glucose tolerance testing based on WHO definitions and criteria in 1990-92 and 1994-96. At the baseline visit, we measured serum concentrations of IGF-I and IGFBP-1, and assessed the relation between these peptides and subsequent glucose intolerance. FINDINGS: At 4.5 years of follow-up, 51 (8%) of 615 participants developed impaired glucose tolerance or type-2 diabetes. After adjustment for correlates of IGF-I and risk factors for glucose intolerance, the odds ratio for risk of impaired glucose tolerance or type-2 diabetes for participants with IGF-I concentrations above the median (> or = 152 microg/L) compared with those with concentrations below the median (<152 microg/L) was 0.50 (0.26-0.95). Consistent with this finding, IGF-I also showed a significant inverse association with subsequent 2-h glucose concentrations, which was independent of correlates of IGF-I and risk factors for glucose tolerance (p for linear trend=0.026). We also found that this inverse association was independently modified by IGFBP-1 (p for interaction=0.011). INTERPRETATION: These data show that circulating IGF-I and its interaction with IGFBP-1 could be important determinants of glucose homoeostasis and provide further evidence for the possible protective role of IGF-I against development of glucose intolerance.PMID: 12049864 [PubMed - indexed for MEDLINE]

Bibliographic metadata

Type of resource:
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Publication type:
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Published date:
Journal title:
Volume:
359
Start page:
1740
End page:
1745
Pagination:
1740-1745
Digital Object Identifier:
10.1016/S0140-6736(02)08655-5
Access state:
Active

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Manchester eScholar ID:
uk-ac-man-scw:1d2623
Created:
28th August, 2009, 22:13:18
Last modified:
1st February, 2013, 19:51:08