RT Journal Article T1 Circulating Undercarboxylated Osteocalcin as Estimator of Cardiovascular and Type 2 Diabetes Risk in Metabolic Syndrome Patients A1 Riquelme-Gallego, Blanca A1 García-Molina, Laura A1 Cano-Ibáñez, Naomi A1 Sánchez-Delgado, Guillermo A1 Andújar-Vera, Francisco A1 García-Fontana, Cristina A1 González-Salvatierra, Sheila A1 García-Recio, Enrique A1 Martínez-Ruiz, Virginia A1 Bueno-Cavanillas, Aurora A1 Muñoz-Torres, Manuel A1 García-Fontana, Beatriz K1 Osteocalcin K1 Diabetes mellitus K1 Cardiovascular diseases K1 Metabolic syndrome K1 Risk factors K1 Biomarkers K1 Osteocalcina K1 Enfermedades cardiovasculares K1 Síndrome metabólico K1 Factores de riesgo K1 Biomarcadores AB Undercarboxylated osteocalcin (ucOC) could be a biomarker of glucose disturbances and cardiovascular risk. Our study aimed to determine the association between serum levels of ucOC and cardiovascular risk in metabolic syndrome (MetS) patients and to analyse its potential role as estimator of type 2 diabetes (T2D) risk in this population. This cross-sectional study included 235 patients with MetS, 53.2% women, aged 55-75 years. Circulating ucOC levels were measured by ELISA. Cardiovascular risk was determined as Z-score of the diagnostic criteria for MetS (CV-ZS). Linear regression model was performed to analyse the association between circulating ucOC and CV-ZS. A receiver operating curve (ROC) was performed to analyse the usefulness of ucOC as T2D risk estimator. Patients above the CV-ZS median showed significant lower ucOC levels. We found an inverse association between ucOC levels and CV-ZS in MetS patients without T2D. Patients with ucOC levels below the 25th percentile showed worse cardiometabolic profile and higher cardiovascular and T2D risk. The area under the curve performed better when ucOC levels were included along with the classic T2D risk factors. The measurement of circulating ucOC could be a useful tool to identify increased cardiovascular and T2D risk in MetS patients without T2D. PB Springer Nature YR 2020 FD 2020-02-04 LK http://hdl.handle.net/10668/3919 UL http://hdl.handle.net/10668/3919 LA en NO Riquelme-Gallego B, García-Molina L, Cano-Ibáñez N, Sánchez-Delgado G, Andújar-Vera F, García-Fontana C, et al. Circulating Undercarboxylated Osteocalcin as Estimator of Cardiovascular and Type 2 Diabetes Risk in Metabolic Syndrome Patients. Sci Rep. 2020 Feb 4;10(1):1840 DS RISalud RD Apr 11, 2025