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Published on: July 17, 2018
Adiposity is associated with endothelial activation in healthy 2-3 year-old children
Cecilia Castro1, Russell P Tracy, Richard J Deckelbaum
1Department of Medicine, Columbia University College of Physicians & Surgeons, New York, NY, USA.
Insights
Adiposity, or excess body fat, is linked to inflammation and endothelial activation markers in healthy toddlers. This study found associations between body mass index (BMI) and specific inflammatory markers in very young children.
Area of Science:
- Pediatric Health
- Cardiovascular Health
- Inflammation Research
Background:
- Adiposity is linked to C-reactive protein in healthy children and endothelial activation in adults.
- Data on adiposity's association with inflammation and endothelial markers in very young children are limited.
Purpose of the Study:
- To investigate the relationship between adiposity and markers of inflammation and endothelial activation in healthy Hispanic children aged 2-3 years.
Main Methods:
- Analysis of data from 491 healthy Hispanic children (mean age 2.7 years).
- Measurements included body mass index (BMI), ponderal index, waist circumference, fasting insulin, insulin resistance, fasting glucose, E-selectin, and soluble vascular cell adhesion molecule (sVCAM).
- Statistical analysis to determine associations, adjusted for age, sex, and fasting glucose.
Main Results:
- E-selectin levels were significantly associated with BMI, ponderal index, waist circumference, fasting insulin, and insulin resistance.
- Soluble vascular cell adhesion molecule (sVCAM) levels were associated with BMI.
- These associations remained significant after adjusting for age, sex, and fasting glucose.
Conclusions:
- Adiposity is associated with inflammation and endothelial activation in very early childhood.
- Findings suggest that early childhood adiposity may contribute to subclinical inflammatory processes and vascular changes.
Abstract:
Adiposity is associated with C-reactive protein level in healthy 2-3 year-old children and with other markers of endothelial activation in adults, but data are lacking in very young children. Data from 491 healthy Hispanic children were analyzed. Mean age was 2.7 years (SD 0.5, range 2-3 years); mean body mass index (BMI) was 17.2 kg/m2 (SD 1.9) among boys and 17.1 kg/m2 (SD 2.1) among girls. E-selectin level was associated with BMI (R = 0.11; p < 0.02), ponderal index (p < 0.02), waist circumference (p = 0.02), fasting insulin (p < 0.02), and insulin resistance (p < or = 0.05); these associations remained significant after adjustment for age, sex and fasting glucose. sVCAM was also associated with BMI (R = 0.12; p < 0.05). These observations indicate that adiposity is associated with inflammation and endothelial activation in very early childhood.
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