Abstract

Background: The aim of the study was to compare serum lactoferrin concentrations in metabolically healthy obese (MHO) and metabolically unhealthy obese (MUHO) women. Methods: Three hundred (101 MHO and 199 MUHO) women were recruited to the study. Basic anthropometric parameters and blood pressure were measured. Body mass index (BMI) was calculated. Fat mass and visceral adipose tissue mass were assessed using dual X-ray absorptiometry scan. Fasting glucose, insulin, lipid profile, high sensitivity C-reactive protein (hs-CRP) and lactoferrin levels were determined. Results: Lactoferrin levels did not differ between MHO and MUHO subjects (median (interquartile range): 1639 (1055–2396) vs. 1622 (1009–23345) ng/mL). However, in the total population insulin (r = 0.131, p = 0.0234) and hs-CRP (r = 0.165, p = 0.0045) levels were correlated with lactoferrin concentrations. In addition, a weak positive association between serum lactoferrin concentrations and anthropometric parameters was also detected, and predominantly referred to MHO group (body weight: r = 0.231, p = 0.0201; BMI: r = 0.286, p = 0.0037; waist circumference: r = 0.258, p = 0.0092). In addition, serum lactoferrin concentrations were negatively correlated with fasting glucose (r = −0.250, p = 0.0115) and HDL-C levels (r = −0.203, p = 0.0411) in MHO subjects. Conclusions: Lactoferrin levels did not differ between MHO and MUHO women. However, some mild correlations between lactoferrin concentrations and anthropometric and metabolic parameters were observed mostly in MHO subjects.

Highlights

  • Obesity is an important worldwide public health problem, which increases the risk of development of metabolic abnormalities [1]

  • 300 non-smoking women (101 metabolically healthy obese (MHO) and 199 metabolically unhealthy obese (MUHO)) with abdominal obesity were recruited to the study with a median age of 57 (IQR: 52–62) years

  • Lactoferrin levels were negatively correlated with fasting glucose and HDL-C levels in MHO subjects and positively correlated with insulin concentrations in the total population and with high sensitivity C-reactive protein (hs-CRP) levels especially in MUHO subjects

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Summary

Introduction

Obesity is an important worldwide public health problem, which increases the risk of development of metabolic abnormalities [1]. Obesity is not always associated with metabolic abnormalities [2]. It is assumed that prevalence of metabolically healthy obesity ranges between 3.3 and 32.1% in men and between. The aim of the study was to compare serum lactoferrin concentrations in metabolically healthy obese (MHO) and metabolically unhealthy obese (MUHO) women. Results: Lactoferrin levels did not differ between MHO and MUHO subjects (median (interquartile range): 1639 (1055–2396) vs 1622 (1009–23345) ng/mL). In the total population insulin (r = 0.131, p = 0.0234) and hs-CRP (r = 0.165, p = 0.0045) levels were correlated with lactoferrin concentrations. A weak positive association between serum lactoferrin concentrations and anthropometric parameters was detected, and predominantly referred to MHO group

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