Inverse association of insulin-like growth factor binding protein 1 with epicardial and intrathoracic adiposity in older adults: The Longenity study

Diabetes Res Clin PractPublished Cross-sectional study

Authors' conclusion

Circulating IGFBP-1 may be a novel biomarker for visceral adiposity and cardiometabolic risk stratification. Future studies should explore its role in cardiovascular aging.

Study context

Population
Older adults from the LonGenity parent study, Albert Einstein Institute of Aging, Bronx NY; non-contrast ECG-gated computed tomography (CT) for fat volume quantification
Participants
102 adults
Exposure
Association of serum IGFBP-1 with EAT and intrathoracic adipose tissue (IAT); Of parents with exceptional longevity (OPEL) vs OPUS
Outcome
Association of IGFBP-1 with epicardial (EAT) and intrathoracic adipose tissue (IAT)

Main finding

As reported in the abstract

  • Higher IGFBP-1 levels significantly associated with lower EAT and IAT, particularly in OPEL
  • Inverse relationship remained significant after adjusting for age, BMI, HDL-C and cardiometabolic factors
  • In OPUS, point estimates directionally similar but not statistically significant
  • Multiple linear regression adjusted for demographic, clinical and laboratory factors

Observational data: associations, not effects.

Original publication

Inverse association of insulin-like growth factor binding protein 1 with epicardial and intrathoracic adiposity in older adults: The Longenity study. Diabetes Res Clin Pract. Published 11 January 2026. doi:10.1016/j.diabres.2026.113099

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