Muharrem Bayrak, Büsra Karahan, Alev Lazoğlu Özkaya, Kenan Cadirci, Gamze Nur Yılmaz, Nur Pak, Adil Furkan Kılıç
{"title":"Metabolic appetite regulation in elderly patients with type 2 diabetes mellitus and the role of asprosin and MIC-1.","authors":"Muharrem Bayrak, Büsra Karahan, Alev Lazoğlu Özkaya, Kenan Cadirci, Gamze Nur Yılmaz, Nur Pak, Adil Furkan Kılıç","doi":"10.1080/13685538.2025.2534563","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and objectives: </strong>This study aimed to evaluate the potential associations between asprosin, Macrophage inhibitory cytokine-1 (MIC-1), and metabolic parameters related to appetite regulation in elderly individuals with and without type 2 diabetes mellitus (T2DM).</p><p><strong>Materials and methods: </strong>Eighty-six elderly patients (44 with T2DM, 42 non-diabetics) were evaluated. Appetite was assessed using the Three-Factor Eating Questionnaire (TFEQ), and serum levels of asprosin and (MIC-1) were measured using ELISA.</p><p><strong>Results: </strong>Asprosin and MIC-1 levels were significantly lower in T2DM patients (<i>p</i> = 0.032 and <i>p</i> < 0.001, respectively; compared to non-diabetics. In the diabetic group, uncontrolled eating was positively associated with waist circumference and ferritin levels, while emotional eating showed a positive correlation with systolic blood pressure and an inverse correlation with vitamin D levels, based on multivariate regression analysis. Among non-diabetics, triglyceride levels were negatively associated with emotional eating (<i>p</i> = 0.019). No statistically significant associations were found between appetite scores and serum levels of asprosin or MIC-1.</p><p><strong>Conclusion: </strong>Metabolic and circulatory factors, including waist circumference, serum ferritin, vitamin D [25(OH)D], triglycerides, and systolic blood pressure, appear to influence appetite regulation in elderly individuals. Despite reduced levels of asprosin and MIC-1 in T2DM patients, their independent roles in appetite regulation were not evident. Further studies to clarify these relationships.</p>","PeriodicalId":55542,"journal":{"name":"Aging Male","volume":"28 1","pages":"2534563"},"PeriodicalIF":2.6000,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Aging Male","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/13685538.2025.2534563","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/22 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
引用次数: 0
Abstract
Background and objectives: This study aimed to evaluate the potential associations between asprosin, Macrophage inhibitory cytokine-1 (MIC-1), and metabolic parameters related to appetite regulation in elderly individuals with and without type 2 diabetes mellitus (T2DM).
Materials and methods: Eighty-six elderly patients (44 with T2DM, 42 non-diabetics) were evaluated. Appetite was assessed using the Three-Factor Eating Questionnaire (TFEQ), and serum levels of asprosin and (MIC-1) were measured using ELISA.
Results: Asprosin and MIC-1 levels were significantly lower in T2DM patients (p = 0.032 and p < 0.001, respectively; compared to non-diabetics. In the diabetic group, uncontrolled eating was positively associated with waist circumference and ferritin levels, while emotional eating showed a positive correlation with systolic blood pressure and an inverse correlation with vitamin D levels, based on multivariate regression analysis. Among non-diabetics, triglyceride levels were negatively associated with emotional eating (p = 0.019). No statistically significant associations were found between appetite scores and serum levels of asprosin or MIC-1.
Conclusion: Metabolic and circulatory factors, including waist circumference, serum ferritin, vitamin D [25(OH)D], triglycerides, and systolic blood pressure, appear to influence appetite regulation in elderly individuals. Despite reduced levels of asprosin and MIC-1 in T2DM patients, their independent roles in appetite regulation were not evident. Further studies to clarify these relationships.
期刊介绍:
The Aging Male , the official journal of the International Society for the Study of the Aging Male, is a multidisciplinary publication covering all aspects of male health throughout the aging process. The Journal is a well-recognized and respected resource for anyone interested in keeping up to date with developments in this field. It is published quarterly in one volume per year.
The Journal publishes original peer-reviewed research papers as well as review papers and other appropriate educational material that provide researchers with an integrated perspective on this new, emerging specialty. Areas of interest include, but are not limited to:
Diagnosis and treatment of late-onset hypogonadism
Metabolic syndrome and related conditions
Treatment of erectile dysfunction and related disorders
Prostate cancer and benign prostate hyperplasia.