On the relationships between mineral metabolism, obesity and fat distribution

Abstract
Alterations in calcium metabolism have been associated with cardiovascular risk factors. An altered binding of calcium to plasma proteins and raised levels of parathyroid hormone (PTH) have been described in morbid obesity. In the present study, indices of mineral metabolism were related to obesity (body mass index, BMI) and fat distribution (waist to hip ratio, w/h) in 194 subjects with a wide range of BMI and w/h. The ratio of total serum calcium to plasma ionized calcium (Ca2+) was found to be significantly correlated to both BMI (r = 0.20, P) and w/h (r = 0.22, P2+ ratio in serum. PTH was not significantly correlated to any of the indices of obesity.In conclusion, fat distribution rather than obesity per se was found to be associated with an altered mineral metabolism.