Skip to main content
Log in

Determinants of circulating insulin-like growth factor (IGF)-I and IGF binding proteins 1–3 in premenopausal women: physical activity and anthropometry (Netherlands)

  • Published:
Cancer Causes & Control Aims and scope Submit manuscript

Abstract

Objective: Epidemiologic studies suggest that subjects with elevated plasma concentrations of IGF-I are at increased risk of developing cancer. The objective of our study was to assess whether cancer risk factors such as lack of physical activity, obesity, and central body fat distribution are associated with plasma levels of IGF-I and related proteins (i.e. IGF binding proteins 1–3 and C-peptide). Methods: A cross-sectional study was conducted in a population of 225 premenopausal women, aged 49–57, participating in the Prospect–EPIC study in the Netherlands. Plasma concentrations of IGF-I, IGFBP-1, IGFBP-2, IGFBP-3, and C-peptide were determined. On the day of blood collection height, weight, and waist and hip circumference were measured. Habitual physical activity was assessed using a validated self-administered questionnaire. Results: Mean concentrations of plasma IGF-I, IGFBP-1, IGFBP-2, IGFBP-3, and C-peptide were 156.1, 14.3, 434.4, 3062, and 2.86 ng/ml, respectively. Women in the highest tertile for physical activity had lower plasma concentrations of IGF-I, IGFBP-3, and C-peptide, and higher concentrations of IGFBP-1 and IGFBP-2, as compared to women in the lowest tertile. However, these differences were not statistically significant. BMI and related measures were significantly inversely associated with IGFBP-1 and IGFBP-2, and positively with IGFBP-3 and C-peptide. Linear regression analyses showed that the non-significant association of physical activity with components of the plasma IGF system was further attenuated by adjusting for obesity and central body fat distribution. Conclusions: Our data suggest that an active lifestyle is not independently associated with the plasma IGF system. We did confirm that a lean body shape is associated with higher concentrations of IGFBP-1 and IGFBP-2, and possibly also with lower concentrations of IGF-I and IGFBP-3.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bruning PF, van Doorn J, Bonfrer JMG, et al. (1995) Insulin-like growth-factor-binding protein 3 is decreased in early-stage operable premenopausal breast cancer. Int J Cancer 62: 266-270.

    Google Scholar 

  2. Chan JM, Stampfer MJ, Giovannucci E, et al. (1998) Plasma insulin-like growth factor-I and prostate cancer risk: a prospective study. Science 279: 563-566.

    Google Scholar 

  3. Ma J, Pollak MN, Giovannucci E, et al. (1999) Prospective study of colorectal cancer risk in men and plasma levels of insulin-like growth factor (IGF)-1 and IGF-binding protein-3. J Natl Cancer Inst 91: 620-625.

    Google Scholar 

  4. Hankinson SE, Willett WC, Colditz GA, et al. (1998) Circulating concentrations of insulin-like growth factor-I and risk of breast cancer. Lancet 351: 1393-1396.

    Google Scholar 

  5. Bohlke K, Cramer DW, Trichopoulos D, Mantzoros CS (1998) Insulin-like growth factor-I in relation to premenopausal ductal carcinoma in situ or the breast. Epidemiology 9: 570-573.

    Google Scholar 

  6. Wolk A, Mantzoros CS, Andersson S-O, et al. (1998) Insulin-like growth factor 1 and prostate cancer risk: a population-based, case-control study. J Natl Cancer Inst 90: 911-915.

    Google Scholar 

  7. Giacosa A, Francheschi S, LaVecchia C, Favero A, Andreatta R (1999) Energy intake, overweight, physical exercise and colorectal cancer risk. Eur J Cancer Prev 8(Suppl. 1): S53-S60.

    Google Scholar 

  8. Giovannucci E, Pollak MN, Platz EA, et al. (2000) A prospective study of plasma insulin-like growth factor-I and binding protein-3 and risk of colorectal neoplasia in women. Cancer Epidemiol Biomarkers Prev 9: 345-349.

    Google Scholar 

  9. Kaaks R, Toniolo P, Akhmedkhanov A, et al. (2000) Serum C-peptide, insulin-like growth factor (IGF)-I, IGF-binding proteins, and colorectal cancer risk in women. J Natl Cancer Inst 92: 1592-1600.

    Google Scholar 

  10. Stattin P, Bylund A, Rinaldi S, et al. (2000) Plasma insulin-like growth factor-I, insulin-like growth factor-binding proteins, and prostate cancer risk: a prospective study. J Natl Cancer Inst 92: 1910-1917.

    Google Scholar 

  11. Toniolo P, Bruning PF, Akhmedkhanov A, et al. (2000) Serum insulin-like growth factor-I and breast cancer. Int J Cancer 88: 828-832.

    Google Scholar 

  12. Hunter DJ, Willett WC (1993) Diet, body size, and breast cancer. Epidemiol Rev 15: 110-132.

    Google Scholar 

  13. McTiernan A, Ulrich C, Slate S, Potter J (1998) Physical activity and cancer etiology: associations and mechanisms. Cancer Causes Control 9: 487-509.

    Google Scholar 

  14. Verloop J, Rookus MA, van der Kooy K, van Leeuwen FE (2000) Physical activity and breast cancer risk in women aged 20–54 years. J Natl Cancer Inst 92: 128-135.

    Google Scholar 

  15. Underwood LE (1996) Nutritional regulation of IGF-I and IGFBPs. J Pediatr Endocrinol Metab 9: 303-312.

    Google Scholar 

  16. Yu H, Rohan T (2000) Role of the insulin-like growth factor family in cancer development and progression. J Natl Cancer Inst 92: 1472-1489.

    Google Scholar 

  17. Khandwala HM, McCutcheon IE, Flyvbjerg A, Friend KE (2000) The effects of insulin-like growth factors on tumorigenesis and neoplastic growth. Endocrine Rev 21: 215-244.

    Google Scholar 

  18. Collett-Solberg PF, Cohen P (2000) Genetics, chemistry, and function of the IGF/IGFBP system. Endocrine 12: 121-136.

    Google Scholar 

  19. Mårin P, Kvist H, Lindstedt G, Sjostrom L, Bjorntorp P (1993) Low concentrations of insulin-like growth factor-I in abdominal obestiy. Int J Obesity 17: 83-89.

    Google Scholar 

  20. Nam SY, Lee EJ, Kim KR, et al. (1997) Effect of obesity on total and free insulin-like growth factor (IGF)-1, and their relationship to IGF-binding protein (BP)-1, IGFBP-2, IGFBP-3, insulin, and growth hormone. Int J Obesity 21: 355-359.

    Google Scholar 

  21. Frystyk J, Skacrback C, Vestbo E, Fisker S, Orskov H (1999) Circulating levels of free insulin-like growth factors in obese subjects: the impact of type 2 diabetes. Diabetes Metab Res Rev 15: 314-322.

    Google Scholar 

  22. Riboli E (1992) Nutrition and cancer: background and rationale of the European Prospective Investigation into Cancer and Nutrition (EPIC). Ann Oncol 10: 783-791.

    Google Scholar 

  23. Keinan Boker L, Noord van PAH, Schouw van der YT, et al. (2001) Prospect-EPIC Utrecht: study design and characteristics of the cohort population. (Submitted).

  24. Pols MA, Peeters PH, Ocke MC, Slimani N, Bueno de Mesquita HB, Collette HJ (1997) Estimation of reproducibility and relative validity of the questions included in the EPIC physical activity questionnaire. Int J Epidemiol 26: s181-s189.

    Google Scholar 

  25. Voorrips LE, Ravelli ACJ, Dongelmans PCA, Deurenberg P, Staveren van WA (1991) A physical activity questionnaire for the elderly. Med Sci Sports Exerc 23: 974-979.

    Google Scholar 

  26. Kaaks R, Lukanova A (2001) Energy balance and cancer: the role of insulin and IGF-I. Proc Nutr Soc 60: 91-106.

    Google Scholar 

  27. Goodman-Gruen D, Barrett-Connor E (1997) Epidemiology of insulin-like growth factor-I in elderly men and women: the Rancho Bernardo Study. Am J Epidemiol 145: 970-976.

    Google Scholar 

  28. Harrela M, Koistinen H, Kaprio J, et al. (1996) Genetic and environmental components of interindividual variation in circulating levels of IGF-I, IGF-II, IGFBP-1, and IGFBP-3. J Clin Invest 98: 2612-2615.

    Google Scholar 

  29. Hong Y, Pedersen NL, Brismar K, Hall K, de Faire U (1996) Quantitative genetic analyses of insulin-like growth factor I (IGF-I), IGF-binding protein-I, and insulin levels in middle-aged and elderly twins. J Clin Endocrinol Metab 81: 1791-1797.

    Google Scholar 

  30. Eliakim A, Brasel JA, Mohan S, Barstow TJ, Berman N, Cooper DM (1996) Physical fitness, endurance training, and the growth hormone-insulin-like growth factor I system in adolescent females. J Clin Endocrinol Metab 81: 3986-3992.

    Google Scholar 

  31. Schwarz AJ, Brasel JA, Hintz RL, Mohan S, Cooper DM (1996) Acute effect of brief low-and high-intensity exercise on circulating insulin-like growth factor (IGF) I, II, and IGF-binding protein-3 and its protcolysis in young healthy men. J Clin Endocrinol Metab 81: 3492-3497.

    Google Scholar 

  32. Roelen CA, Vries de WR, Koppeschaar HP, Vervoorn C, Thijssen JH, Blankenstein MA (1997) Plasma insulin-like growth factor-I and high affinity growth hormone-binding protein levels increase after two weeks of strenuous physical training. Int J Sports Med 18: 238-241.

    Google Scholar 

  33. Eliakim A, Brasel JA, Mohan S, Wong WLT, Cooper DM (1998) Increased physical activity and the growth hormone-IGF-I axis in adolescent males. Am J Physiol 275: R308-R314.

    Google Scholar 

  34. Bonnefoy M, Kostka T, Patricot MC, Berthouze SE, Mathian B, Lacour JR (1999) Influence of acute and chronic exercise on insulin-like growth factor-I in healthy active elderly men and women. Aging 11: 373-379.

    Google Scholar 

  35. Chadan SG, Dill RP, Vanderhoek K, Parkhouse WS (1999) Influence of physical activity on plasma insulin-like growth factor-1 and insulin-like growth factor binding proteins in healthy older women. Mech Ageing Dev 109: 21-34.

    Google Scholar 

  36. Bermon S, Ferrari P, Bernard P, Altare S, Dolisi C (1999) Responses of total and free insulin-like growth factor-I and insulin-like growth factor binding protein-3 after resistance exercise and training in elderly subjects. Acta Physiol Scand 165: 51-56.

    Google Scholar 

  37. Elias AN, Pandian MR, Wang L, Suarez E, James N, Wilson AF (2000) Leptin and IGF-I levels in unconditioned male volunteers after short-term exercise. Psychneuroendocrinology 25: 453-461.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Voskuil, D.W., Bueno de Mesquita, H.B., Kaaks, R. et al. Determinants of circulating insulin-like growth factor (IGF)-I and IGF binding proteins 1–3 in premenopausal women: physical activity and anthropometry (Netherlands). Cancer Causes Control 12, 951–958 (2001). https://doi.org/10.1023/A:1013708627664

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1013708627664

Navigation