Li‑Hsuan Wanga, Yao‑Chang Liua, Ji‑Hung Wanga,b, Chung‑Jen Leec, Bang‑Gee Hsua,d*
aSchool of Medicine, Tzu Chi University, Hualien, Taiwan, bDivision of Cardiology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan, cDepartment of Nursing, Tzu Chi University of Science and Technology, Hualien, Taiwan, dDivision of Nephrology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
Open Access funded by Buddhist Compassion Relief Tzu Chi Foundation
Abstract
Objective: Leptin is an adipocyte‑derived hormone and has shown positive correlation with obesity and metabolic syndrome (MetS) in many studies. However, there are few studies investigating this relation in elderly people. Therefore, we aimed to investigate the correlation between the fasting serum leptin level and MetS among older Taiwanese. Materials and Methods: The fasting serum leptin level was obtained from 62 Taiwanese participants over 65 years old and was measured using a commercially available enzyme immunoassay kit. MetS and its components were defined using diagnostic criteria from the International Diabetes Federation. Results: Thirty elderly participants (48.4%) had MetS. The serum leptin level was positively correlated with MetS (P < 0.001). Multivariate logistic regression analysis of the factors significantly associated with MetS showed that logarithmically transformed leptin (log‑leptin, each increase 0.1 ng/mL log‑leptin, odds ratio: 1.276, 95% confidence interval: 1.015–1.603, P = 0.037) was still an independent predictor of MetS in elderly persons. Univariable linear analysis showed that body weight (r = 0280, P = 0.028), body mass index (r = 0.417, P = 0.001), waist circumference (r = 0.419, P = 0.001), blood urea nitrogen (r = 0255, P = 0.046), log‑insulin (r = 0436, P < 0.001), and logarithmically transformed homeostasis model assessment of insulin resistance (r = 0359, P = 0.004) positively correlated with fasting serum log‑leptin levels. Multivariate forward stepwise linear regression analysis of the factors significantly associated with fasting serum log‑leptin levels revealed that waist circumference (adjusted R2 = 0.083, P = 0.002), statin use (adjusted R2 = 0.058, P = 0.016), and female gender (adjusted R2 = 0.041, P = 0.034) were independent predictors of fasting serum log‑leptin levels among elderly participants. Conclusion: In elderly Taiwanese, the serum leptin level was positively correlated with MetS. Waist circumference, statin use, and female gender were independent predictors of the fasting serum leptin level in elderly participants.
Keywords: Elderly, Leptin, Metabolic syndrome
