High Fat Mixed Meal Tolerance Test Leads to Suppression of Osteocalcin Decrease in Obese Insulin Resistant Subjects Compared to Healthy Adults

• Main Authors: Urszula Razny, Joanna Goralska, Anna Zdzienicka, Anna Gruca, Barbara Zapala, Agnieszka Micek, Aldona Dembinska-Kiec, Bogdan Solnica, Malgorzata Malczewska-Malec
• Format: Article
• Language: English
• Published: MDPI AG 2018-11-01
• Series: Nutrients
• Subjects: Bone formation in obesity; insulin resistance; osteocalcin; mixed meal tolerance test; postprandial bone turnover
• Online Access: https://www.mdpi.com/2072-6643/10/11/1611

Nutrients influence bone turnover. Carboxylated osteocalcin (Gla-OC) participates in bone formation whereas its undercarboxylated form (Glu-OC) acts as a hormone in glucose metabolism. The aim of the study was to determine the responses of Gla-OC, Glu-OC, and total-OC (calculated as the sum of Gla-OC and Glu-OC) to a high fat mixed meal tolerance test (HFMTT) in non-obese (body mass index (BMI) &lt; 30 kg/m², <i>n</i> = 24) and obese subjects (30 &lt; BMI &lt; 40 kg/m², <i>n</i> = 70) (both sexes, aged 25&#8315;65 years). Serum Gla-OC and Glu-OC were measured at baseline as well as at 2 and 6 h during a HFMTT by enzyme-linked immunosorbent assay (ELISA). Baseline Gla-OC, Glu-OC, and total-OC levels were lower in obese individuals compared to non-obese participants (<i>p</i> = 0.037, <i>p</i> = 0.016 and <i>p</i> = 0.005, respectively). The decrease in Gla-OC and total-OC, but not in Glu-OC, concentrations during the HFMTT was suppressed in obese, but not in non-obese controls (<i>p</i> &lt; 0.05, <i>p</i> &lt; 0.01, <i>p</i> = 0.08, respectively). Subjects with the highest homeostatic model assessment for insulin resistance (HOMA-IR) index values had a less pronounced decrease in total-OC compared to patients with values of HOMA-IR index in the 1st quartile (<i>p</i> &lt; 0.05). Net incremental area under Gla-OC inversely correlated with adiponectin (rho = &#8722;0.35, <i>p</i> = 0.001). Increase in insulin sensitivity and adiponectin level in obese subjects could beneficially influence postprandial bone turnover expressed by osteocalcin concentration.