Comparison of coenzyme Q10 plasma levels in obese and normal weight children

Thomas Menke1, Petra Niklowitz, Gideon de Sousa

  • 1Vestische Kinderklinik Datteln, Universität Witten/Herdecke, Dr.-Friedrich-Steiner-Str. 5, D-45711 Datteln, Germany. th.menke@t-online.de

Insights

Childhood obesity does not lower coenzyme Q10 (CoQ10) levels in children. Obese children, even with insulin resistance, maintain normal CoQ10 plasma concentrations, suggesting it

Area of Science:

  • Biochemistry
  • Pediatric Endocrinology
  • Nutritional Science

Background:

  • Childhood obesity is linked to lower lipophilic antioxidant levels, potentially impairing low-density lipoprotein (LDL) protection.
  • Obese individuals with insulin resistance show increased oxidized LDL.
  • Coenzyme Q10 (CoQ10) is a lipophilic antioxidant that inhibits LDL oxidative damage.

Purpose of the Study:

  • To compare coenzyme Q10 (CoQ10) plasma levels in obese children versus normal-weight children.
  • To investigate the relationship between CoQ10 levels and insulin resistance in obese children.

Main Methods:

  • Coenzyme Q10 (CoQ10) plasma concentrations were measured in 67 obese children (BMI > 97th percentile) and 50 normal-weight children.
  • Insulin resistance was assessed using the Homeostasis Model Assessment (HOMA).
  • CoQ10 levels were analyzed in relation to plasma cholesterol concentrations.

Main Results:

  • After adjusting for plasma cholesterol, no significant difference in CoQ10 levels was found between obese and normal-weight children.
  • No significant difference in CoQ10 levels was observed between insulin-resistant and non-insulin-resistant obese children.

Conclusions:

  • Coenzyme Q10 (CoQ10) plasma levels are not reduced in obese children.
  • CoQ10 levels in obese children are not associated with insulin resistance.
Abstract

Related Concept Videos

Pharmacokinetics in Obese Patients: Drug Absorption and Distribution01:25

Pharmacokinetics in Obese Patients: Drug Absorption and Distribution

Obesity significantly alters the pharmacokinetic processes of drug absorption and distribution, presenting unique challenges in medical treatment. The increased fat tissue and decreased lean muscle in obese individuals can significantly affect how drugs are absorbed into the body and distributed across different tissues. This alteration can lead to variances in the effectiveness and safety of medications, necessitating adjustments in dosing or drug selection for obese patients.One notable...
Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion01:20

Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion

Drug metabolism, a critical process in the liver, involves two primary phases: Phase I reactions and Phase II conjugation. Obesity introduces significant alterations in this metabolic process, primarily due to fatty infiltration of the liver, leading to conditions such as nonalcoholic fatty liver disease (NAFLD). This condition can modify the activities of both Phase I and II enzymes, impacting how drugs are metabolized in obese patients.Phase I metabolism sees variable effects across...
Drug Dosing: Obese Patients01:21

Drug Dosing: Obese Patients

In the United States, obesity is a prominent concern. It is linked to heightened mortality rates due to increased occurrences of conditions such as hypertension, atherosclerosis, coronary artery disease, and diabetes compared to nonobese individuals. A patient is classified as obese if their actual body weight surpasses the ideal or desirable body weight by 20%, based on Metropolitan Life Insurance Company data. Ideal body weights consider average weights and heights for males and females...
Pharmacokinetics in Pediatric Patients: Drug Metabolism01:24

Pharmacokinetics in Pediatric Patients: Drug Metabolism

In pediatric care, understanding the nuances of hepatic drug metabolism is crucial, as it significantly differs from that of adults. This divergence is primarily due to the developmental stage of drug-metabolizing enzymes, which affects how medications are processed in the body. In neonates, for instance, the activity of Phase I enzymes—critical for the initial breakdown of drugs—is markedly reduced, functioning at just 20–40% of the levels seen in adults. This reduction poses a challenge in...
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight, compared...