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Published on: August 7, 2017
Serum total and free carnitine levels in children with asthma
Suna Asilsoy1, Ozlem Bekem, Ozkan Karaman
1Department of Pediatrics, Dokuz Eylül University Medical Faculty, Izmir, Turkey.
Insights
Serum carnitine levels decrease in children with moderate asthma during exacerbations. Levels were lower in acute attacks compared to stable asthma and healthy children.
Area of Science:
- Pediatric Pulmonology
- Nutritional Biochemistry
Background:
- Serum carnitine deficiency is linked to recurrent pulmonary infections.
- Asthma exacerbations may impact metabolic pathways, including carnitine levels.
Purpose of the Study:
- To investigate serum carnitine levels in children with asthma.
- To compare carnitine levels between asthmatic children (stable vs. acute attack) and healthy controls.
Main Methods:
- Assessed serum total and free carnitine in 40 children with asthma (stable and acute exacerbation) and healthy controls.
- Categorized asthma severity using a pulmonary score system.
- Collected blood samples during and after acute asthma attacks.
Main Results:
- Children with moderate asthma during acute attacks showed significantly lower serum carnitine levels compared to stable asthmatics and controls.
- No significant difference in carnitine levels was observed between stable asthmatics and healthy controls.
- Carnitine levels did not differ between mild and moderate attack severity or between samples taken during and after an acute attack.
Conclusions:
- Serum carnitine levels decrease in children with moderate asthma during exacerbations and shortly after.
- Further research is warranted to explore the therapeutic potential of carnitine supplementation in pediatric asthma.
Background:
Serum carnitine is decreased in recurrent pulmonary infections. We aimed to evaluate serum carnitine levels in asthmatic children.
Methods:
Study group consisted of children with stable asthma and those with acute asthma attacks, while control group included healthy children. Attack severity was determined by the pulmonary score system. Total and free carnitine levels were studied in one blood sample from the control group and stable asthmatics and in two samples from children with acute asthma exacerbation during and after the attack.
Results:
All the 40 patients in the study group had moderate asthma including 30 with acute attack (13 mild and 17 moderate) and 10 with stable asthma. Carnitine levels were significantly lower in acute attack asthmatics than in the stable asthmatics and controls, while there was no significant difference between the latter two groups. Carnitine levels were not different between asthmatics with mild and moderate attack, and were similar during and after an acute attack.
Conclusions:
Serum carnitine levels decrease in children with moderate asthma during exacerbation of asthma and shortly thereafter. Further studies are needed to evaluate the effect of carnitine treatment on serum carnitine level.
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