Type 2 & other diabetes

The role of irisin and asprosin level in the pathophysiology of prediabetes

Diabetes Res Clin PractPublished Prospective observational study

Authors' conclusion

Both irisin and asprosin have been found to be related to the prediabetes pathway and it has been shown that these molecules may be useful in daily clinical practice with diagnostic performances similar to those of the HOMA index and insulin.

Study context

Population
People aged 18–65 years with prediabetes or healthy
Participants
100 people
Exposure
Prediabetes vs healthy
  • Prediabetesn = 60
  • Healthyn = 40reference
Outcome
Role of irisin and asprosin in the physiopathology of prediabetes
Methodological detailssingle-center, 3-month lifestyle-change follow-up
  • Single-center
  • 3-month lifestyle-change follow-up

Main finding

As reported in the abstract

Irisin and asprosin levels, prediabetes vs healthy
  • Irisin levels lower and asprosin levels higher in patients with prediabetes
  • Prediabetes vs Healthy: P < 0.001

Observational data: associations, not effects.

Further findings

Diagnostic performance for prediabetes

Sensitivity

Specificity

Change after 3-month lifestyle-change program (prediabetes)

Insulin, HOMA index and asprosin decreased; irisin elevated
P < 0.001

Diagnostic performance for prediabetes

Irisin diagnostic performance similar to insulin and HOMA index; asprosin similar to glucose, insulin and HOMA index

Original publication

The role of irisin and asprosin level in the pathophysiology of prediabetes. Diabetes Res Clin Pract. Published 24 March 2023. doi:10.1016/j.diabres.2023.110642

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