Research Article

Serum Osteoprotegerin Is a Potential Biomarker of Insulin Resistance in Chinese Postmenopausal Women with Prediabetes and Type 2 Diabetes

Table 1

Clinical and biochemical characteristics of the study subjects.

VariableNGR group
()
IGR group
()
T2DM group
()

Age (year)62.83 ± 8.5762.38 ± 9.0263.81 ± 8.69
SBP (mmHg)138.40 ± 20.76141.80 ± 19.54147.62 ± 21.06a
DBP (mmHg)80.06 ± 13.6180.9 ± 12.4380.97 ± 12.93
Pulse rates (beats/min)87 ± 1388 ± 1387 ± 11
Height (cm)153.10 ± 5.50154.03 ± 6.28153.71 ± 6.23
Weight (kg)57.24 ± 9.2560.36 ± 10.41a60.80 ± 8.59a
BMI (kg/m2)24.40 ± 3.5625.38 ± 3.6725.70 ± 3.06a
Waist circumference (cm)77.33 ± 9.1679.84 ± 9.3881.95 ± 8.86a
Hip circumference (cm)91.98 ± 7.7892.53 ± 8.9993.51 ± 7.84
Waist-to-hip ratio0.84 ± 0.060.86 ± 0.06a0.88 ± 0.06a
Body fat percentage (%)37.34 ± 3.6637.69 ± 4.1137.81 ± 3.84
ALT (U/L)22.0 (17.0–22.8)28.0 (21.0–41.3)a27.0 (17.5–42.0)a
AST (U/L)28.0 (24.0–35.5)30.0 (23.8–34.0)26.0 (21.0–34.5)
ALP (U/L)77.0 (64.8–92.8)82.0 (65.8–96.5)82.0 (70.0–96.0)
BUN (mmol/L)4.76 (4.03–5.81)4.67 (3.82–5.41)5.03 (4.02–5.98)
Cr (μmol/L)62.0 (69.0–77.0)70.0 (61.8–77.0)67.0 (60.0–78.0)
URCA (μmol/L)282.0 (243.8–334.0)316.5 (283.8–376.5)a312.0 (263.5–363.5)a
TC (mmol/L)5.38 ± 1.135.62 ± 1.145.81 ± 1.52a
TG (mmol/L)1.07 (0.85–1.34)1.34 (1.08–1.85)a1.40 (1.05–1.93)a
HDL-C (mmol/L)1.58 (1.38–1.91)1.47 (1.32–1.73)1.41 (1.26–1.63)a
LDL-C (mmol/L)2.94 (2.64–3.48)3.24 (2.81–3.75)3.22 (2.71–3.70)
FPG (mmol/L)4.60 (4.18–4.90)5.19 (4.99–5.89)a6.16 (6.89–8.98)a, b
2hPG (mmol/L)5.62 (4.82–6.22)8.52 (7.98–9.53)a13.46 (11.61–16.77)a, b
HbA1c (%)5.5 (5.4–5.7)6.0 (5.6–6.3)a7.4 (6.1–8.0)a, b
FINS (mIU/L)8.00 (4.94–11.18)11.55 (7.25–15.48)a10.99 (7.39–15.34)a
HOMA-IR index1.54 (1.02–2.22)2.39 (1.80–3.78)a3.48 (2.33–5.06)a, b
HOMA-B155.60 (86.03–253.09)126.30 (76.02–222.09)64.27 (40.22–107.40)a, b
QUICKI0.362 ± 0.0320.334 ± 0.034a0.319 ± 0.027a, b
Lumbar BMD (mg/cm2)0.866 ± 0.1730.903 ± 0.1680.937 ± 0.146a
Femoral neck BMD (mg/cm2)1.006 ± 0.1741.053 ± 0.1861.074 ± 0.155a
Serum OPG (pg/mL)151.00 ± 45.72169.28 ± 64.91a183.20 ± 56.53a
eGFR81.98 ± 17.6180.96 ± 18.8481.72 ± 18.47
Smoking history (%)1 (1.14)2 (2.22)2 (2.15)
Alcohol intake (%)3 (3.41)3 (3.33)2 (2.15)
Calcium and vitamin D supplements (%)3 (3.41)5 (5.56)4 (4.30)

Data are presented as means ± SD or median (25th–75th percentile). a versus NGT group; b versus IGR group.
2hPG, 2 h postprandial plasma glucose; ALP, alkaline phosphatase; ALT, alanine aminotransferase; AST, aspartate aminotransferase; BMD, bone mineral density; BMI, body mass index; BUN, blood urea nitrogen; Cr, creatinine; eGFR, estimate glomerular filtration rate; FINS, fasting insulin; FPG, fasting plasma glucose; HbA1c, glycated hemoglobin; HDL-C, high-density lipoprotein cholesterol; HOMA-B, homeostasis model assessment of β-cell function; HOMA-IR, homeostasis model of assessment for insulin resistance; IGR, impaired glucose regulation; LDL-C, low-density lipoproteincholesterol; NGR, normal glucose regulation; OPG, osteoprotegerin; QUICKI, quantitative insulin sensitivity check index; SBP, systolic blood pressure; DBP, diastolic blood pressure; T2DM, type 2 diabetes; TC, total cholesterol; TG, triglycerides; URCA, blood uric acid.