Association between adult body shape index and serum levels of the anti-aging protein Klotho in adults: a population-based cross-sectional study of the NHANES from 2007 to 2016

PurposeAdult body shape index (ABSI) is widely recognized as a reliable indicator for evaluating body fat distribution and dysfunction. However, the relationship between ABSI and Klotho protein, known for its anti-aging biological function, has not yet been investigated. Therefore, the aim of this s...

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Main Authors: Li Gong, Jinghan Xu, Yiyang Zhuang, Liwei Zeng, Zhenfei Peng, Yuzhou Liu, Yinluan Huang, Yutian Chen, Fengyi Huang, Chunli Piao
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Endocrinology
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Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2025.1424350/full
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author Li Gong
Jinghan Xu
Yiyang Zhuang
Liwei Zeng
Zhenfei Peng
Yuzhou Liu
Yinluan Huang
Yutian Chen
Fengyi Huang
Chunli Piao
author_facet Li Gong
Jinghan Xu
Yiyang Zhuang
Liwei Zeng
Zhenfei Peng
Yuzhou Liu
Yinluan Huang
Yutian Chen
Fengyi Huang
Chunli Piao
author_sort Li Gong
collection DOAJ
description PurposeAdult body shape index (ABSI) is widely recognized as a reliable indicator for evaluating body fat distribution and dysfunction. However, the relationship between ABSI and Klotho protein, known for its anti-aging biological function, has not yet been investigated. Therefore, the aim of this study was to assess the correlation between ABSI and serum Klotho levels in adults residing in the United States.MethodsA cross-sectional study of participants was conducted based on the 2007–2016 National Health and Nutrition Examination Survey. Visceral adiposity was determined using the ABSI score, and Klotho protein concentration was measured using an enzyme-linked immunosorbent assay kit. Multiple regression models were used to estimate the association between ABSI and Klotho protein after adjusting for several potential confounding variables. Subgroup analysis of ABSI and Klotho was performed using restricted cubic splines.ResultA total of 11,070 adults were eligible for participation, with a mean ABSI of 8.28 ± 0.45 and a mean Klotho protein concentration of 853.33 ± 309.80 pg/mL. Multivariate regression analysis showed that participants with high ABSI scores had lower serum Klotho protein concentrations. When ABSI was divided into quartiles, after full adjustment, Klotho protein levels were lower in participants in the fourth fully adjusted ABSI quartile (Q4: -0.352 pg/ml) than in those in the lowest quartile (Q1) (P<0.0001).ConclusionThere was a negative linear correlation between ABSI score and serum Klotho concentration. Higher ABSI was associated with lower serum Klotho concentrations; however, this association did not seem to be significant in subjects with BMI ≥30 kg/m2.Further study is needed to verify the causality of this association and elucidate the underlying mechanisms.
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spelling doaj-art-5e4ca4b29acb4b5394d41b1e71610b702025-02-11T05:10:26ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922025-02-011610.3389/fendo.2025.14243501424350Association between adult body shape index and serum levels of the anti-aging protein Klotho in adults: a population-based cross-sectional study of the NHANES from 2007 to 2016Li Gong0Jinghan Xu1Yiyang Zhuang2Liwei Zeng3Zhenfei Peng4Yuzhou Liu5Yinluan Huang6Yutian Chen7Fengyi Huang8Chunli Piao9Department of Diabetes, Shenzhen Bao’an District Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Shenzhen, ChinaDepartment of Endocrinology, Shenzhen Hospital (Futian) of Guangzhou University of Chinese Medicine, Shenzhen, ChinaDepartment of Geriatrics, Shenzhen Bao’an District Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Shenzhen, ChinaDepartment of Diabetes, Shenzhen Bao’an District Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Shenzhen, ChinaDepartment of Diabetes, Shenzhen Bao’an District Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Shenzhen, ChinaDepartment of Diabetes, Shenzhen Bao’an District Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Shenzhen, ChinaDepartment of Diabetes, Shenzhen Bao’an District Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Shenzhen, ChinaDepartment of Diabetes, Shenzhen Bao’an District Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Shenzhen, ChinaDepartment of Diabetes, Shenzhen Bao’an District Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Shenzhen, ChinaDepartment of Endocrinology, Shenzhen Hospital (Futian) of Guangzhou University of Chinese Medicine, Shenzhen, ChinaPurposeAdult body shape index (ABSI) is widely recognized as a reliable indicator for evaluating body fat distribution and dysfunction. However, the relationship between ABSI and Klotho protein, known for its anti-aging biological function, has not yet been investigated. Therefore, the aim of this study was to assess the correlation between ABSI and serum Klotho levels in adults residing in the United States.MethodsA cross-sectional study of participants was conducted based on the 2007–2016 National Health and Nutrition Examination Survey. Visceral adiposity was determined using the ABSI score, and Klotho protein concentration was measured using an enzyme-linked immunosorbent assay kit. Multiple regression models were used to estimate the association between ABSI and Klotho protein after adjusting for several potential confounding variables. Subgroup analysis of ABSI and Klotho was performed using restricted cubic splines.ResultA total of 11,070 adults were eligible for participation, with a mean ABSI of 8.28 ± 0.45 and a mean Klotho protein concentration of 853.33 ± 309.80 pg/mL. Multivariate regression analysis showed that participants with high ABSI scores had lower serum Klotho protein concentrations. When ABSI was divided into quartiles, after full adjustment, Klotho protein levels were lower in participants in the fourth fully adjusted ABSI quartile (Q4: -0.352 pg/ml) than in those in the lowest quartile (Q1) (P<0.0001).ConclusionThere was a negative linear correlation between ABSI score and serum Klotho concentration. Higher ABSI was associated with lower serum Klotho concentrations; however, this association did not seem to be significant in subjects with BMI ≥30 kg/m2.Further study is needed to verify the causality of this association and elucidate the underlying mechanisms.https://www.frontiersin.org/articles/10.3389/fendo.2025.1424350/fulladult body shape indexKlotho proteinnational health and nutrition examination surveyobesitycross-sectional study
spellingShingle Li Gong
Jinghan Xu
Yiyang Zhuang
Liwei Zeng
Zhenfei Peng
Yuzhou Liu
Yinluan Huang
Yutian Chen
Fengyi Huang
Chunli Piao
Association between adult body shape index and serum levels of the anti-aging protein Klotho in adults: a population-based cross-sectional study of the NHANES from 2007 to 2016
Frontiers in Endocrinology
adult body shape index
Klotho protein
national health and nutrition examination survey
obesity
cross-sectional study
title Association between adult body shape index and serum levels of the anti-aging protein Klotho in adults: a population-based cross-sectional study of the NHANES from 2007 to 2016
title_full Association between adult body shape index and serum levels of the anti-aging protein Klotho in adults: a population-based cross-sectional study of the NHANES from 2007 to 2016
title_fullStr Association between adult body shape index and serum levels of the anti-aging protein Klotho in adults: a population-based cross-sectional study of the NHANES from 2007 to 2016
title_full_unstemmed Association between adult body shape index and serum levels of the anti-aging protein Klotho in adults: a population-based cross-sectional study of the NHANES from 2007 to 2016
title_short Association between adult body shape index and serum levels of the anti-aging protein Klotho in adults: a population-based cross-sectional study of the NHANES from 2007 to 2016
title_sort association between adult body shape index and serum levels of the anti aging protein klotho in adults a population based cross sectional study of the nhanes from 2007 to 2016
topic adult body shape index
Klotho protein
national health and nutrition examination survey
obesity
cross-sectional study
url https://www.frontiersin.org/articles/10.3389/fendo.2025.1424350/full
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