Volume 68, Issue 6 pp. 1002-1008

Total, free and bound leptin and thyroid function in elderly women with different body weights

Massimiliano Ruscica

Massimiliano Ruscica

Istituto di Endocrinologia, Università degli Studi di Milano, Milan, Italy,

These authors have contributed equally to this work.

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Elena Dozio

Elena Dozio

Istituto di Endocrinologia, Università degli Studi di Milano, Milan, Italy,

These authors have contributed equally to this work.

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Sara Gandini

Sara Gandini

Division of Epidemiology and Biostatistics, European Institute of Oncology, Milan, Italy and

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Pierluigi Gnocchi

Pierluigi Gnocchi

Unità Operativa di Medicina Generale, Istituto Palazzolo, Fondazione Don Gnocchi Onlus, Milan, Italy

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Guya Giuseppina Devalle

Guya Giuseppina Devalle

Unità Operativa di Medicina Generale, Istituto Palazzolo, Fondazione Don Gnocchi Onlus, Milan, Italy

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Marcella Motta

Marcella Motta

Istituto di Endocrinologia, Università degli Studi di Milano, Milan, Italy,

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Elio Roti

Elio Roti

Istituto di Endocrinologia, Università degli Studi di Milano, Milan, Italy,

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Paolo Magni

Paolo Magni

Istituto di Endocrinologia, Università degli Studi di Milano, Milan, Italy,

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First published: 19 November 2007
Citations: 6
Paolo Magni, Istituto di Endocrinologia, via G. Balzaretti, 9, 20133 Milan, Italy. Tel.: +39 02 503·18229; Fax: +39 02 503·18204; E-mail: [email protected]

Summary

Objective The present study was aimed at evaluating the relationship of total leptin, and its free leptin (FL) and bound leptin (BL) fractions with adipose mass in very old euthyroid women, in relationship to thyroid function.

Subjects and methods Twenty-five older women (age: 73–95 years) were studied. Subjects representing underweight, normal weight and overweight/obese conditions were included. Plasma leptin, TSH, free T4 (FT4) and free T3, (FT3) total and HDL cholesterol were measured. FL and BL were evaluated by Fast Protein Liquid Chromatography (FPLC) analysis.

Results Plasma leptin concentration was positively correlated with body mass index (BMI) (r = 0·64, P = 0·0005) and tricipital skin-fold thickness (TF) (r = 0·46, P = 0·0187). Leptin was positively correlated with TSH (r = 0·50, P = 0·0116) and inversely with FT3 (r = –0·40, P = 0·0477). TSH correlated with the adiposity indexes BMI (r = 0·40, P = 0·05) and TF (r = 0·42, P = 0·0336). Plasma FT3 was positively correlated with FT4 (r = 0·49, P = 0·012). FL and BL were evaluated in 8 out of 25 subjects. FL positively correlated with BMI (r = 0·81, P = 0·0218) and leptin (r = 0·83, P = 0·0004), whereas BL did not correlate with these parameters.

Conclusions The present results indicate that in very old women, plasma leptin concentrations reflect the extent of adipose mass and suggest that a complex regulatory interaction exists between leptin and thyroid function, possibly taking place at central (hypothalamus–pituitary) and peripheral (deiodinase activity) levels.

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