title: Adiponectin, insulin resistance, and C-reactive protein in postpubertal Asian Indian adolescents.
abstract: High-sensitivity C-reactive protein (hs-CRP) levels are closely associated with adiposity and predict coronary heart disease and type 2 diabetes mellitus. However, relationships of CRP to adiponectin and other markers of insulin resistance have been inadequately researched in children. We measured fasting serum levels of adiponectin, insulin, hs-CRP, and lipoproteins, and recorded the anthropometric profile and percentage of body fat (%BF; bioimpedance method) in 62 (36 normal weight, 26 overweight) healthy, urban, postpubertal Asian Indian males (aged 14 to 18 years). Serum levels of adiponectin were lower (P = not significant [NS]), whereas those of fasting insulin (P = .01) and hs-CRP (P = .02) were higher in overweight subjects. Adiponectin levels inversely correlated with body mass index (BMI; r = -0.26, P < .05), %BF (r = -0.24, P < .05), fasting insulin (r = -0.32, P < .05) and insulin resistance measured by the homeostasis model of assessment (HOMA-IR; r = -0.31, P < .05), but not with hs-CRP levels. Fasting insulin and hs-CRP levels correlated significantly with BMI, %BF, waist circumference (WC), waist-to-hip circumference ratio (W-HR), and triceps and subscapular skinfold thickness. The correlation of adiponectin with insulin sensitivity was independent of abdominal obesity, but became nonsignificant after controlling for BMI and %BF. Further, BMI was an independent predictor of adiponectin levels and the ratio of adiponectin and %BF was an independent predictor of fasting insulin levels. Although adiponectin levels did not correlate with hs-CRP levels, we observed dichotomous relationships of adiponectin and hs-CRP levels with generalized and abdominal obesity, respectively. We conclude that generalized obesity affects the adiponectin-insulin relationship in postpubertal Asian Indian males; however, the relationship of adiponectin with hs-CRP needs further evaluation.
authors.affiliation: Department of Medicine, All India Institute of Medical Sciences, New Delhi.
authors.forename: Naval K
authors.initials: NK
authors.lastname: Vikram
authors.forename: Anoop
authors.initials: A
authors.lastname: Misra
authors.forename: R M
authors.initials: RM
authors.lastname: Pandey
authors.forename: Manjari
authors.initials: M
authors.lastname: Dwivedi
authors.forename: Kalpana
authors.initials: K
authors.lastname: Luthra
mesh_terms: D052242:Adiponectin; D000273:Adipose Tissue / Q000502:physiology; D000293:Adolescent; D000328:Adult; D000886:Anthropometry; D001823:Body Composition / Q000187:drug effects; D002097:C-Reactive Protein / Q000502:physiology*; D005260:Female; D006801:Humans; D007194:India; D007328:Insulin / Q000097:blood; D007333:Insulin Resistance / Q000502:physiology*; D036341:Intercellular Signaling Peptides and Proteins; D008074:Lipoproteins / Q000378:metabolism; D008297:Male; D011506:Proteins / Q000378:metabolism*; D011627:Puberty / Q000502:physiology*; D012016:Reference Values
chemical_list: D052242:Adiponectin; D007328:Insulin; D036341:Intercellular Signaling Peptides and Proteins; D008074:Lipoproteins; D011506:Proteins; D002097:C-Reactive Protein