There are changes in the ability to regu late energy balance and caloric in
take with aging. Consequently, we investigated whether human aging modifies
the levels of serum leptin, a novel hormone implicated in the regulation o
f energy balance. We studied 268 Caucasian men and women aged 22-85 years,
and divided them into groups with mean ages of 30 40, 50 65, 75, 80 and 85
years. Fasting serum leptin concentrations were determined by radioimmunoas
say. Subjects aged 65 or older were followed for five years after the blood
sampling. There were no statistically significant differences in fasting s
erum leptin concentrations across different age groups in females (p=0.090)
. Fasting serum leptin concentrations were also similar in different age gr
oups in males, except that males in the 30-year age group had lower serum l
eptin levels than males in the 75-year age group (p=0.042). Leptin levels w
ere 2-3 fold higher in females than in males in each age group (p<0.005 exc
ept p=0.063 in the 75-year age group). Elderly women, who lived longer, had
47% higher (p<0.05) serum leptin concentrations, and 17% higher (p<0.001)
BMI than the women who died within five years of blood sampling. Leptin lev
els were not statistically different in these women after adjusting for BMI
. Thus, aging has no apparent effect on serum leptin levels in women or men
, and the gender difference in leptin is present also in the older age grou
ps. Higher leptin concentrations in the females who live longer may reflect
a better nutritional status, and a greater adipose tissue mass rather than
a primary factor for survival. (C) 1998, Editrice Kurtis.