{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T17:33:49Z","timestamp":1776792829854,"version":"3.51.2"},"reference-count":45,"publisher":"The Endocrine Society","issue":"2","license":[{"start":{"date-parts":[[2023,8,31]],"date-time":"2023-08-31T00:00:00Z","timestamp":1693440000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","award":["QLG1-CT-2001-01252"],"award-info":[{"award-number":["QLG1-CT-2001-01252"]}],"id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004325","name":"AstraZeneca","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004325","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,18]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Context<\/jats:title>\n                  <jats:p>The impact of obesity on glucose homeostasis has high interindividual variability, which may be partially explained by different adipokine concentrations. Leptin regulates energy balance and metabolism, and although its plasma levels are proportional to fat mass, they vary significantly across individuals with the same level of adiposity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>We tested whether glucose homeostasis differs in subjects with similar degrees of adiposity but different leptin levels.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We analyzed 1290 healthy adults from the Relationship Between Insulin Sensitivity and Cardiovascular Disease study cohort (30-60 years; male\/female, 577\/713; body mass index [BMI], 25 \u00b1 3 kg\/m2) characterized for body composition and metabolic variables with a 75-g oral glucose tolerance test, euglycemic-hyperinsulinemic clamp, \u03b2-cell function, and lipidomics.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Individuals were divided into relatively high and low leptin (RHL and RLL) if they were above or below the sex-specific leptin-fat mass (%) regression. Despite similar glucose tolerance, RHL showed markedly higher fasting and oral glucose tolerance test insulin concentration (+30% and +29%, respectively; P &amp;lt; .0001) and secretion (+17% and +11%, respectively; P &amp;lt; .0001). Regardless of BMI, RHL individuals had lower whole-body (\u221217-23%, P &amp;lt; .0001) and adipose tissue insulin sensitivity (\u221224%, P &amp;lt; .0001) compared with RLL. Notably, lean RHL individuals showed similar insulin sensitivity and \u03b2-cell function to RLL individuals with overweight\/obesity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Subjects with leptin levels that are inappropriately elevated for their fat mass show whole-body\/adipose tissue insulin resistance and hyperinsulinemia, regardless of BMI.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1210\/clinem\/dgad505","type":"journal-article","created":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T12:07:00Z","timestamp":1693397220000},"page":"461-470","source":"Crossref","is-referenced-by-count":7,"title":["At any Level of Adiposity, Relatively Elevated Leptin Concentrations Are Associated With Decreased Insulin Sensitivity"],"prefix":"10.1210","volume":"109","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0174-4549","authenticated-orcid":false,"given":"Martina","family":"Chiriac\u00f2","sequence":"first","affiliation":[{"name":"Metabolism, Nutrition, and Atherosclerosis Laboratory, Department of Clinical and Experimental Medicine, University of Pisa , 56126 Pisa , Italy"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0560-6496","authenticated-orcid":false,"given":"Lorenzo","family":"Nesti","sequence":"additional","affiliation":[{"name":"Metabolism, Nutrition, and Atherosclerosis Laboratory, Department of Clinical and Experimental Medicine, University of Pisa , 56126 Pisa , Italy"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3846-1294","authenticated-orcid":false,"given":"Allan","family":"Flyvbjerg","sequence":"additional","affiliation":[{"name":"Steno Diabetes Center Copenhagen , Capital Region of Denmark, 2730 Copenhagen , Denmark"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2447-2283","authenticated-orcid":false,"given":"Alain","family":"Golay","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, Diabetology, Nutrition and Therapeutic Education of the Patient, Geneva University Hospital , 1206 Geneva , Switzerland"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3545-3264","authenticated-orcid":false,"given":"Julie-Anne","family":"Nazare","sequence":"additional","affiliation":[{"name":"Department of Human Nutrition Research Center Rh\u00f4ne-Alpes, CarMeN Laboratory, Universit\u00e9 Claude Bernard Lyon 1 , 69100 Villeurbanne , France"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7485-0815","authenticated-orcid":false,"given":"Christian-Heinz","family":"Anderwald","sequence":"additional","affiliation":[{"name":"Obesity Research Unit, University Hospital Salzburg, Paracelsus Medical University , 5020 Salzburg , Austria"},{"name":"Division of Endocrinology and Metabolism, Department of Internal Medicine III, Medical University of Vienna , 1090 Vienna , Austria"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9492-8421","authenticated-orcid":false,"given":"Asimina","family":"Mitrakou","sequence":"additional","affiliation":[{"name":"Department of Clinical Therapeutics, Alexandra Hospital, School of Medicine, National and Kapodistrian University of Athens , 115 27 Athens , Greece"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8251-1730","authenticated-orcid":false,"given":"Roberto","family":"Bizzotto","sequence":"additional","affiliation":[{"name":"Institute of Neuroscience, National Research Council , 35127 Padova , Italy"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1436-5591","authenticated-orcid":false,"given":"Andrea","family":"Mari","sequence":"additional","affiliation":[{"name":"Institute of Neuroscience, National Research Council , 35127 Padova , Italy"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8465-7717","authenticated-orcid":false,"given":"Andrea","family":"Natali","sequence":"additional","affiliation":[{"name":"Metabolism, Nutrition, and Atherosclerosis Laboratory, Department of Clinical and Experimental Medicine, University of Pisa , 56126 Pisa , Italy"}]}],"member":"80","published-online":{"date-parts":[[2023,8,31]]},"reference":[{"key":"2024011817411357300_dgad505-B1","doi-asserted-by":"crossref","first-page":"103311","DOI":"10.1016\/j.ebiom.2021.103311","article-title":"Adipose tissue lipolysis, plasma fatty acids, and glucose homeostasis in people with obesity: new pieces that help solve the puzzle","volume":"66","author":"Koh","year":"2021","journal-title":"EBioMedicine"},{"issue":"7","key":"2024011817411357300_dgad505-B2","doi-asserted-by":"crossref","first-page":"855","DOI":"10.2337\/diab.44.7.855","article-title":"Human obese gene expression. 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