Objective: Insulin resistance has been strongly associated with cardiovascu
lar risk. Recently, leptin, a hormone that regulates appetite, has been ass
ociated with both obesity and insulin resistance. However, the possible rel
ation of leptin to the insulin resistance syndrome has been controversial.
Research Methods and Procedures: To explore this issue, we examined the rel
ation of leptin to blood pressure, lipid levels, low density lipoprotein (L
DL) size, and glucose levels in 87 normoglycemic men.
Results: Leptin levels were significantly correlated with body mass index (
BMI) (r=0.494), fasting insulin (r=0.576), whole-body glucose disposal rate
(GDR) (r=-0.566), fasting glucose (r=0.510), total triglycerides (r=0.294)
, apolipoprotein B (r=0.223), systolic blood pressure (r=0.223), and LDL si
ze (r=-0.244). After adjustment for BMI and GDR, leptin levels remained sig
nificantly correlated with fasting insulin, fasting glucose, triglyceride,
apolipoprotein B, and systolic blood pressure. Leptin levels were also corr
elated with the number of metabolic risk factors (dyslipidemia, systolic bl
ood pressure, and fasting glucose).
Discussion: We conclude that leptin concentrations may be associated with s
everal cardiovascular risk; factors related to insulin resistance syndrome.
These associations are only pal-try explained by leptin's relationship wit
h BMI and GDR.