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Peroxisome proliferator activated receptor (PPAR)-gamma concentrations in childhood obesity
Nesibe Akyürek1, Zehra Aycan2, Semra Çetinkaya2
1a Department of Pediatrics.
Insights
Childhood obesity is linked to lower concentrations of peroxisome proliferator-activated receptor-gamma (PPAR-γ). Lower PPAR-γ levels correlated with increased waist circumference in obese children, suggesting potential therapeutic targets.
Area of Science:
- Endocrinology
- Metabolic Disorders
- Molecular Biology
Background:
- Peroxisome proliferator-activated receptors (PPARs) are nuclear proteins regulating transcriptional responses.
- Limited research exists on PPAR expression in childhood obesity.
- This study investigates PPAR-gamma (PPAR-γ) in obese children.
Purpose of the Study:
- Evaluate PPAR-γ concentrations in obese children and adolescents.
- Examine the relationship between PPAR-γ and BMI, waist-hip ratio, blood pressure, insulin resistance, and lipid profiles.
Main Methods:
- Study included 44 obese and 25 healthy children (aged 8-16).
- Measurements included blood pressure, waist-hip circumference, blood glucose, insulin, lipid profile, liver function tests, and PPAR-γ concentrations.
- All samples were analyzed after a 12-hour overnight fast.
Main Results:
- PPAR-γ concentrations were significantly lower in obese children (0.226 ± 0.128) compared to controls (0.547 ± 0.546).
- Obese children had 2.42-fold lower PPAR-γ levels than controls (p = 0.008).
- Negative correlation found between PPAR-γ and waist circumference; positive correlation with birth weight in obese children.
Conclusions:
- PPAR-γ concentrations are reduced in obese children.
- Findings suggest potential for PPAR-targeting therapies in pediatric obesity, similar to adult treatments.
- This could offer hope for managing obesity, insulin resistance, dyslipidemia, and cardiovascular disease in children.
Background:
Peroxisome proliferator-activated receptors (PPARs) are nuclear proteins that regulate transcriptional responses to peroxisome proliferators. There has been limited research concerned with the childhood expression of these receptors. In this study, we aimed to evaluate PPAR-gamma (PPAR-γ) concentrations and their relationship to body mass index (BMI), ratio of waist and hip, blood pressure levels, insulin resistance and lipid profile in obese children and adolescents.
Subjects And Methods:
Children aged 8-16 years old were included in the study; 44 obese children and 25 healthy children were taken into the study. Blood pressure and waist-hip circumference of obese patients were measured. Following a 12-hour nighttime fasting, venous blood samples were taken, including blood glucose, insulin, lipid profile, liver function tests and PPAR-γ concentrations, and all samples were analyzed at the same time.
Findings:
PPAR-γ concentrations were 0.226 + 0.128 in obese children and 0.547 + 0.546 in the control group. PPAR-γ concentrations were lower in obese children and this difference was statistically significant (p = 0.008). PPAR-γ concentrations of control children were 2.42-fold higher than obese children. There was a negative correlation between PPAR-γ concentrations and waist circumference, and a positive correlation between birth weight and PPAR-γ concentrations in obese children.
Conclusion:
In our study we found that PPAR-γ concentrations were low in obese children. In adults, treatment modalities aimed at enhancing the activation of PPAR in obesity lead to a decrease in obesity, insulin resistance, dyslipidemia and cardiovascular disease and this gives hope that similar treatment modalities can be used for children.
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