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Increased endothelial microparticles in obese and overweight children
Zübeyde Gündüz1, İsmail Dursun, Sebahat Tülpar
1Faculty of Medicine, Department of Pediatric Nephrology, Erciyes University, 38039 Kayseri, Turkey.
Childhood obesity is linked to early endothelial damage. Obese children show higher levels of circulating endothelial microparticles (EMPs), indicating dysfunction may be related to weight.
Area of Science:
- Pediatric Cardiology
- Vascular Biology
- Metabolic Disorders
Background:
- Childhood obesity is a growing concern, increasing the risk of atherosclerosis.
- Endothelial dysfunction is a key factor in atherosclerosis development.
- Endothelial microparticles (EMPs) serve as potential biomarkers for endothelial dysfunction.
Purpose of the Study:
- To evaluate circulating EMPs in obese and overweight children.
- To identify the obesity measure most strongly associated with EMPs and carotid atherosclerosis.
Main Methods:
- Prospective study of 55 obese/overweight children and 23 controls.
- Measured circulating EMPs (CD144+, CD146+) via flow cytometry.
- Assessed carotid intima-media thickness (cIMT) and left ventricular mass index (LVMI) via ultrasound/echocardiography.
Main Results:
- Higher blood pressure, CD144+EMP levels, and LVMI in the patient group.
- CD144+EMP and systolic blood pressure showed a linear relationship with overweight and obesity.
Conclusions:
- Endothelial damage begins in early childhood obesity.
- Increased circulating CD144+EMPs in obese children suggest a link between endothelial dysfunction and obesity.
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