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ABSTRACT BACKGROUND: People with obesity and/or the metabolic syndrome have an increased risk for developing diabetes and cardiovascular disease and may have low adiponectin levels. The
obesity associated with Prader–Willi syndrome (PWS) would be expected to have similar complications. However, it was recently reported that, despite their adiposity, people with PWS have
reduced visceral fat and are less likely to develop diabetes mellitus or the metabolic syndrome compared with people with simple obesity. OBJECTIVE: To determine if plasma adiponectin levels
and other variables relevant to diabetes and cardiovascular risk are different in a cohort of PWS subjects with known genetic subtypes compared with age-, sex- and weight-matched control
subjects. RESULTS: Fasting plasma glucose, C-peptide, triglycerides, leptin and cholesterol levels were similar in PWS and obese subjects. Our 20 PWS subjects (mean age=27.7 years) had
higher percent body fat (54.1 vs 48.5%) determined by DEXA measurements and lower percent lean mass (45.9 vs 51.5%) compared with 14 obese controls (mean age=26.9 year). Plasma adiponectin
levels were significantly higher in PWS (15.5±8.2 _μ_g/ml) than in obese controls (7.5±2.7 _μ_g/ml). A significant positive correlation was found with insulin sensitivity in PWS subjects
(_r_=0.75, _P_=0.0003) but not in obese controls (_r_=0.36, _P_=0.20). DISCUSSION: Our study confirmed an earlier observation of higher adiponectin levels in PWS subjects and less insulin
resistance proportionate to their obesity status than found in subjects with simple obesity. Furthermore, no differences were seen in PWS subjects with the chromosome 15 deletion or maternal
disomy 15. The reported excessive visceral adiposity in subjects with simple obesity compared with PWS may be associated with decreased production and lower circulating levels of
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customer support SIMILAR CONTENT BEING VIEWED BY OTHERS CORRELATION ANALYSIS OF OBESITY PHENOTYPES WITH LEPTIN AND ADIPONECTIN Article Open access 18 October 2023 IDENTIFICATION OF
CIRCULATING APOLIPOPROTEIN M AS A NEW DETERMINANT OF INSULIN SENSITIVITY AND RELATIONSHIP WITH ADIPONECTIN Article Open access 15 March 2024 THE RELATIONSHIP BETWEEN LEPTIN-TO-ADIPONECTIN
RATIO AND HOMA-IR AND METABOLIC SYNDROME IN FIVE AFRICAN-ORIGIN POPULATIONS Article Open access 17 October 2024 REFERENCES * Butler MG . Prader-Willi syndrome: current understanding of cause
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Article Google Scholar Download references ACKNOWLEDGEMENTS We thank Brian Sheridan at the Regional Biochemistry Laboratory, Royal Victoria Hospital, Belfast, Northern Ireland, for
measuring plasma insulin and C-peptide and Karen Brezner for her assistance in processing the plasma samples. Support was provided by Grant PO1HD30329 and RO1HD41672 from the National
Institutes of Health; Children's Mercy Hospitals Physician Scientist Award (01.4871); and the Hall Family Foundation (01.3905) to MGB as well as Grant DK37373 from the National
Institutes of Health to SPK. AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Medicine, Division of Endocrinology, University of Florida, Gainesville, FL, USA L Kennedy *
Children's Mercy Hospitals and Clinics and University of Missouri-Kansas City School of Medicine, Kansas City, MO, USA D C Bittel, N Kibiryeva & M G Butler * Department of
Neuroscience, University of Florida, Gainesville, FL, USA S P Kalra & R Torto Authors * L Kennedy View author publications You can also search for this author inPubMed Google Scholar * D
C Bittel View author publications You can also search for this author inPubMed Google Scholar * N Kibiryeva View author publications You can also search for this author inPubMed Google
Scholar * S P Kalra View author publications You can also search for this author inPubMed Google Scholar * R Torto View author publications You can also search for this author inPubMed
Google Scholar * M G Butler View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to M G Butler. RIGHTS AND PERMISSIONS
Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Kennedy, L., Bittel, D., Kibiryeva, N. _et al._ Circulating adiponectin levels, body composition and obesity-related variables
in Prader–Willi syndrome: comparison with obese subjects. _Int J Obes_ 30, 382–387 (2006). https://doi.org/10.1038/sj.ijo.0803115 Download citation * Received: 05 February 2005 * Revised: 25
May 2005 * Accepted: 28 July 2005 * Published: 04 October 2005 * Issue Date: 01 February 2006 * DOI: https://doi.org/10.1038/sj.ijo.0803115 SHARE THIS ARTICLE Anyone you share the following
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SharedIt content-sharing initiative KEYWORDS * adiponectin * simple obesity * Prader–Willi syndrome (PWS) * body composition * obesity-related variables * insulin resistance and sensitivity