Obesity

IGFBP-1 and IGF-I in relation to adiposity and mortality from midlife to old age in the Swedish Adoption/Twin Study of Aging

Int J Obes (Lond)Published Longitudinal twin cohort study

Authors' conclusion

Lower circulating IGFBP-1 concentrations are associated with increased adiposity but not change in adiposity, across the lifespan from middle to old age.

Study context

Population
Same-sex twins in the Swedish Adoption/Twin Study of Aging (SATSA), midlife to old age, baseline measurements from 1986IGFBP-1 n = 512
Exposure
Baseline fasting IGFBP-1 and IGF-I in relation to BMI, waist-to-height ratio (WHtR) and survival
Outcome
Adiposity (BMI, WHtR) by IGFBP-1 and IGF-I
Follow-up
73 years (intercept)
Methodological detailssame-sex twins, 30-year follow-up, stratified by birth cohort, latent growth curve modeling, between-within twin models
  • Same-sex twins
  • 30-year follow-up
  • Stratified by birth cohort
  • Latent growth curve modeling
  • Between-within twin models

Main finding

As reported in the abstract

Higher BMI per unit decrease in ln-IGFBP-1

1.8 kg/m²

p < 0.001

Higher WHtR per unit decrease in ln-IGFBP-1

3 cm/m

p < 0.001

Observational data: associations, not effects.

Further findings

Survival

Neither IGFBP-1 nor IGF-I concentration predicted survival

IGFBP-1 and insulin

IGFBP-1 correlated inversely with insulin concentrations

Trajectories with age

BMI increased until 70-75 years then declined (quadratic model)
WHtR continued to increase beyond 70-75 years

Original publication

IGFBP-1 and IGF-I in relation to adiposity and mortality from midlife to old age in the Swedish Adoption/Twin Study of Aging. Int J Obes (Lond). Published 5 April 2025. doi:10.1038/s41366-025-01773-x

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