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Published on: December 4, 2014
Adipocyte fatty acid-binding protein in obese children before and after weight loss
Thomas Reinehr1, Birgit Stoffel-Wagner, Christian L Roth
1Vestische Hospital for Children and Adolescents Datteln, University of Witten/Herdecke, 45711, Datteln, Germany. t.reinehr@kinderklinik-datteln.de
Insights
Adipocyte fatty acid-binding protein (A-FABP) is higher in obese children and linked to body fat and leptin levels. Weight loss significantly decreased A-FABP, suggesting its role in pediatric obesity management.
Area of Science:
- Pediatric Endocrinology
- Obesity Research
- Metabolic Syndrome
Background:
- Adipocyte fatty acid-binding protein (A-FABP) is elevated in obese adults and associated with metabolic syndrome.
- Limited research exists on A-FABP in pediatric weight loss and obese children.
Purpose of the Study:
- To investigate A-FABP levels in obese children before and after a 1-year weight loss intervention.
- To examine the relationship between A-FABP, body composition, and metabolic syndrome markers in pediatric obesity.
Main Methods:
- Measured serum A-FABP, leptin, and metabolic syndrome markers in 30 obese children and 10 nonobese controls.
- Assessed weight status (BMI, body fat percentage) before and after a 1-year intervention.
- Utilized multivariate regression analysis to identify correlations.
Main Results:
- Obese children exhibited significantly higher A-FABP concentrations than nonobese children.
- A-FABP levels correlated with percentage body fat and leptin, not metabolic syndrome markers.
- Significant weight loss in a subset of children led to a decrease in A-FABP levels.
Conclusions:
- A-FABP levels are associated with adiposity and leptin in obese children.
- Weight loss interventions may reduce A-FABP in pediatric obesity.
- Further research is needed to clarify A-FABP's role in the metabolic syndrome in children.
Abstract:
Adipocyte fatty acid-binding protein (A-FABP) has been reported to be increased in obese adults and to be related to metabolic syndrome. Because studies concerning A-FABP in weight loss are limited and studies in obese children are missing, we analyzed A-FABP in obese children before and after weight loss. Fasting serum A-FABP, leptin, insulin, glucose, triglycerides, low-and high-density lipoprotein cholesterol, high-sensitivity C-reactive protein, and tumor necrosis factor alpha concentrations as markers of the metabolic syndrome, and weight status (body mass index and percentage body fat based on skinfold measurements) were determined in 30 obese children (median age, 11.9 years) before and after participating in a 1-year obesity intervention. Furthermore, A-FABP levels were measured in 10 nonobese children of similar age, sex, and pubertal stage. Obese children had significantly (P < .001) higher A-FABP concentrations compared with nonobese children. In backward multivariate linear regression analysis, A-FABP correlated significantly (P < .05) with percentage body fat and leptin, but not with any of the markers of the metabolic syndrome. Changes of A-FABP concentrations correlated significantly with changes of percentage body fat (r = 0.53, P = .001) and leptin (r = 0.55, P < .001), but not with any changes of parameters of the metabolic syndrome. Substantial weight loss in 10 children led to a significant (P < .05) decrease in A-FABP levels in contrast to the 20 children without change of weight status. In cross-sectional as well as longitudinal analyses, A-FABP levels were related to weight status and leptin levels. Further longitudinal studies are necessary to study the relationship between A-FABP concentrations and parameters of the metabolic syndrome.
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