Elevated visfatin levels in obese children are related to proinflammatory factors
Rui-Zhen Li1, Xi n-Yu Ma, Xiu-Fen Hu
1Department of Endocrinology, Huazhong University of Science and Technology, Wuhan, China.
Insights
Obese children show higher visfatin and inflammatory markers, but visfatin
Area of Science:
- Endocrinology and Metabolism
- Pediatric Obesity Research
- Inflammation Biology
Background:
- Obesity is linked to chronic low-grade inflammation, involving abnormal cytokine production.
- Visfatin is identified as both an adipokine and an inflammatory cytokine.
- Understanding visfatin's role in pediatric obesity and inflammation is crucial.
Purpose of the Study:
- To investigate the association between serum visfatin levels and systemic inflammation markers (hs-CRP, IL-6, TNF-a) in Chinese obese children.
- To assess the relationship between visfatin concentrations and insulin resistance in this population.
- To explore potential gender differences in these associations.
Main Methods:
- Study included 44 obese and 50 normal-weight Chinese children.
- Measurements included anthropometrics, blood pressure, and fasting levels of visfatin, hs-CRP, IL-6, TNF-a, glucose, insulin, and lipids.
- Insulin resistance was assessed using the homeostasis model assessment (HOMA-IR).
Main Results:
- Obese children had significantly higher serum visfatin, hs-CRP, and IL-6 levels compared to controls.
- No significant difference in TNF-a levels or between genders for these markers.
- Visfatin correlated with BMI and IL-6 in boys only, not with insulin resistance.
Conclusions:
- Circulating visfatin's association with anthropometric and inflammatory factors is gender-dependent.
- No correlation was found between serum visfatin and insulin resistance in this cohort.
- Visfatin may serve as a key inflammatory cytokine indicating a low-grade inflammatory state in obesity.
Background:
Obesity and related metabolic diseases are associated with a state of chronic low-grade inflammation,which is characterized by abnormal cytokine production and increased synthesis of proinflammatory proteins.Recent studies have indicated that visfatin is both an adipokine and an inflammatory cytokine.
Objective:
In this study, we assessed the association between serum visfatin concentrations and markers of systemic inflammation [high-sensitivity C-reactive protein (hs-CRP), interleukin 6 (IL-6), and tumor necrosis factor a (TNF-a)] and insulin resistance in Chinese obese children.
Methods:
A total of 44 obese Chinese children (23 boys and 21 girls) and 50 age- and gender-matched normal weight children (23 boys and 27 girls) were enrolled in the study. Anthropometric measurements and blood pressure were taken. Fasting levels of visfatin, hs-CRP, IL-6, TNF-a,glucose, insulin, and lipid profile were assayed, and the homeostasis model assessment for insulin resistance was calculated as a marker of insulin resistance.
Results:
Serum visfatin levels [obese group (OB):7.48±0.39 vs. C: 5.31±0.28, p
Conclusion:
The association of circulating visfatin with anthropometric parameters, metabolic parameters, and inflammatory factors is dependent on gender, although no such correlation was observed between serum visfatin concentration and insulin resistance. Visfatin could bean important inflammatory cytokine representing a low grade inflammatory state in obesity.
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