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Low-grade systemic inflammation and the risk of type 2 diabetes in obese children and adolescents
Anhelli Syrenicz1, Barbara Garanty-Bogacka, Małgorzata Syrenicz
1Department of Endocrinology, Arterial Hypertension and Metabolic Diseases, Pomeranian Medical University, Szczecin, Poland. anhelli@asymed.ifg.pl
Insights
Low-grade systemic inflammation is linked to type 2 diabetes risk factors in obese youth. Inflammatory markers correlated with insulin resistance, HbA1c, lipids, and lifestyle factors, supporting links between inflammation and diabetes development.
Area of Science:
- Pediatrics
- Endocrinology
- Immunology
Background:
- Growing evidence links low-grade systemic inflammation to type 2 diabetes pathogenesis.
- Obesity is a significant risk factor for type 2 diabetes in children and adolescents.
Purpose of the Study:
- To investigate the relationship between serum inflammatory markers and type 2 diabetes risk factors in obese children and adolescents.
- To explore the role of inflammation in the development of type 2 diabetes in pediatric populations.
Main Methods:
- Measured fasting levels of C-reactive protein (CRP), fibrinogen (FB), interleukin-6 (IL-6), interleukin 1-beta (IL-1beta), glucose, insulin, lipid profile, and white blood cell count (WBC) in 281 obese youth.
- Assessed fasting glucose to insulin ratio (FGIR) as an insulin resistance index.
- Utilized Pearson's correlation to analyze relationships between inflammatory markers and clinical parameters.
Main Results:
- Inflammatory markers showed significant correlations with insulin resistance indices (e.g., FGIR).
- Significant associations were found between inflammatory markers and HbA1c, lipid profile, hypertension, family history of type 2 diabetes, low physical fitness, and diet.
- These findings highlight the link between systemic inflammation and multiple risk factors for type 2 diabetes.
Conclusions:
- Serum inflammatory markers are significantly correlated with most factors implicated in type 2 diabetes development.
- These results support the association between subclinical inflammation and type 2 diabetes risk in obese children and adolescents.
- The study underscores the importance of addressing inflammation in the prevention and management of type 2 diabetes in youth.
Background:
There is growing evidence that low-grade systemic inflammation is closely involved in the pathogenesis of type 2 diabetes.
Objective:
The aim of this study was to investigate the relationship between serum inflammatory markers and selected parameters known as risk factors of type 2 diabetes in obese children and adolescents.
Subjects And Methods:
Fasting levels of C-reactive protein (CRP), fibrinogen (FB) interleukin-6 (IL-6), interleukin 1-beta (IL-1beta), glucose, insulin, total, HDL and LDL cholesterol, triglycerides, white blood cell count (WBC) and fasting glucose to insulin ratio (FGIR) were measured in 281 obese children and adolescents. Pearson's correlation was used for assessing the relationship between inflammatory markers and selected clinical parameters.
Results:
Inflammatory markers correlated significantly with insulin resistance indices, HbA1c, lipid profile, hypertension, positive family history of type 2 diabetes, low physical fitness, and mixed high-fat and high-carbohydrate diet.
Conclusions:
Serum inflammatory markers were significantly correlated with most factors implicated in the development of type 2 diabetes. These data provide additional support for previously reported in adults relationship between subclinical inflammation and the risk of type 2 diabetes.
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