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Published on: January 7, 2018
Oxidative stress in obese children and its relation with insulin resistance
Ilker Tolga Ozgen1, Mehmet Emre Tascilar, Pelin Bilir
1Division of Pediatric Endocrinology, Department of Pediatrics, Bezm-i Alem Vakif University, Istanbul, Turkey. drtolgaozgen@yahoo.com
Insights
Obese children show oxidative stress, with higher nitrite/nitrate and lower glutathione peroxidase levels linked to insulin resistance (IR). These markers correlate with HOMA-IR, indicating a connection between oxidative stress and IR in pediatric obesity.
Area of Science:
- Pediatric Endocrinology
- Oxidative Stress Research
- Metabolic Syndrome Studies
Background:
- Obesity is linked to oxidative stress, a key factor in diseases like diabetes and atherosclerosis.
- Investigating oxidative stress markers in obese children is crucial for understanding disease pathogenesis.
- This study focuses on nitrite/nitrate and glutathione peroxidase levels in relation to insulin resistance (IR).
Purpose of the Study:
- To assess oxidative stress status in obese children by measuring nitrite/nitrate and glutathione peroxidase levels.
- To determine the relationship between these oxidative stress markers and insulin resistance (IR).
- To explore the correlation of oxidative stress markers with HOMA-IR in pediatric obesity.
Main Methods:
- A study involving 63 obese children divided into three groups: obese with IR, obese without IR, and a control group.
- Measurements included nitrite/nitrate and glutathione peroxidase levels.
- Statistical analysis, including multiple regression, was used to assess correlations with HOMA-IR, BMI, and other factors.
Main Results:
- Obese children with IR exhibited lower glutathione peroxidase and higher nitrite/nitrate levels compared to controls and obese children without IR.
- Nitrite/nitrate levels positively correlated with HOMA-IR, independent of BMI, age, gender, lipids, and pubertal status.
- Glutathione peroxidase levels negatively correlated with BMI and HOMA-IR, independent of age, gender, pubertal status, and lipids.
Conclusions:
- Oxidative stress is present in obese children.
- Specific oxidative stress markers, nitrite/nitrate and glutathione peroxidase, are significantly related to insulin resistance (IR) in this population.
- These findings highlight the role of oxidative stress in pediatric obesity and its association with IR, as indicated by HOMA-IR.
Background:
In obese populations, oxidative stress plays a major role in the pathogenesis of serious diseases such as diabetes, coronary heart disease, and atherosclerosis. In this study, we investigated the status of oxidative stress in obese children as to nitrite/nitrate and glutathione peroxidase levels, and their relation with insulin resistance (IR).
Methods:
A total of 63 obese children were enrolled in the study. Each was relegated to one of three groups: 20 obese children without IR (11 adolescents, 9 prepubertal; mean age 10.27 +/- 2.36 years; 10 males, 10 females), 22 obese children with IR (13 adolescents, 9 prepubertal; mean age 11.26 +/- 2.52 years; 10 males, 12 females), and a control group of 21 children (14 adolescents, 7 prepubertal; mean age 11.41 +/- 2.00 years; 10 males, 11 females).
Results:
Glutathione peroxidase levels were lower in the obese group with IR than in either the control group or the obese group without IR (0.032 +/- 0.01 vs. 0.048 +/- 0.01 and 0.042 +/- 0.01, respectively). Nitrite/nitrate levels were higher in the obese group with IR than in the control group or the obese group without IR (89.83 +/- 25.00 vs. 66.00 +/- 21.75, and 68.65 +/- 28.98, respectively) and compared by pubertal status, adolescents' results were similar. However, in prepubertal children, nitrite/nitrate and glutathione peroxidase levels were not significantly different between groups. Multiple regression analysis revealed that nitrite/nitrate levels were positively correlated with the homeostasis model assessment of IR (HOMA-IR) independent of body mass index, age, gender, serum lipids, and pubertal stages, and that glutathione peroxidase levels were negatively correlated with body mass index and HOMA-IR independent of age, gender, pubertal status, and serum lipids.
Conclusion:
This study demonstrates that oxidative stress exists even in populations of obese children, and that oxidative stress markers have a relation with the HOMA-IR, which was used as a surrogate marker of IR.
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