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Higher levels of C-reactive protein associated with higher adiposity in mexican schoolchildren
Fátima López-Alcaraz1, Mario Del Toro-Equihua2, Mariana Orta-Duarte2
1Facultad de Medicina. Universidad de Colima. Colima. México.. calicesr26@hotmail.com.
Insights
Childhood obesity is linked to higher C-reactive protein (CRP) levels, indicating subclinical inflammation. Tumor necrosis factor-alpha showed no significant association with adiposity in schoolchildren. This highlights CRP as a key inflammatory biomarker in pediatric obesity.
Area of Science:
- Pediatric Endocrinology
- Inflammation Research
- Public Health Nutrition
Background:
- Childhood obesity is a growing concern, increasing the risk of chronic-degenerative diseases.
- Previous studies on pediatric inflammatory biomarkers and adiposity have yielded inconsistent findings.
- Identifying reliable indicators of health risks in obese children is crucial for effective prevention.
Purpose of the Study:
- To investigate the relationship between serum C-reactive protein (CRP) and tumor necrosis factor-alpha (TNF-α) levels and adiposity in schoolchildren.
- To assess the utility of bioimpedance analysis (BIA) in measuring adiposity in this context.
- To explore potential inflammatory markers associated with pediatric obesity.
Main Methods:
- A cross-sectional study involving 74 randomly selected schoolchildren in Colima, Mexico.
- Adiposity was measured using bioimpedance analysis and anthropometric methods.
- Serum CRP and TNF-α levels were quantified via enzyme-linked immunosorbent assay (ELISA).
- Statistical analysis included non-parametric (Mann Whitney, Kruskal Wallis) and parametric (Pearson's correlation) tests.
Main Results:
- Children with obesity exhibited significantly higher serum CRP levels compared to normal-weight children (p < 0.001).
- No significant difference in serum TNF-α levels was observed between obese and normal-weight children.
- A modest positive correlation was found between serum CRP levels and various measures of adiposity, including BIA-derived fat mass (r = 0.453, p < 0.001).
- No correlation was identified between adiposity and serum TNF-α levels.
Conclusions:
- Elevated serum CRP levels in schoolchildren are associated with increased fat mass, suggesting subclinical inflammation.
- Bioimpedance analysis is a viable method for assessing adiposity in pediatric populations.
- CRP may serve as a valuable inflammatory biomarker for identifying health risks associated with childhood obesity, while TNF-α does not appear to be a significant indicator in this age group.
Introduction:
The development of chronic-degenerative diseases secondary to obesity in early infancy has alerted health providers to the importance of identifying the risk factors for obesity and assessing preventive treatment to reduce risks. Studies performed on a pediatric population have examined the role of inflammatory biomarkers (specifically CRP and TNF-α) and adiposity with inconsistent results.
Objective:
To assess the relationship between the serum levels of C-reactive protein and tumor necrosis factor-alfa with adiposity measured by bioimpedance analysis in schoolchildren.
Methods:
Cross sectional design. Data were collected from 74 schoolchildren randomly selected in a local primary school in the city of Colima, Mexico. The mean age was 9.4 years (1.5, SD); 33 (44.6%) were girls. The adiposity (percentage of fat mass) was measured using bioimpedance analysis and anthropometric measurements. Serum C-reactive protein and tumor necrosis factor alpha were determined with enzyme-linked immunosorbent assay. The association between adiposity and serum inflammatory biomarkers was assessed with non parametric tests (Mann Whitney and Kruskall Wallis tests), and parametric tests (Pearson's correlation).
Results:
Children with obesity had a significantly higher level of C-reactive protein [2.90 mg/L (0.07-9.37)] compared with children with a normal percentage of fat mass [0.71 mg/L (0.07-5.75)] (p < 0.001). No differences between groups were identified regarding serum levels of tumor necrosis factor-alfa. Modest correlations were identified between serum levels of C-reactive protein, adiposity determined by bioimpedance analysis (r = 0.453, p < 0.001); body mass index (r = 0.398, p = 0.001); triceps skinfold (r = 0.369, p = 0.002); and subescapular skinfold (r = 0.405, p < 0.001). No correlation was found between adiposity and serum tumor necrosis factor-alfa.
Conclusion:
Subclinical inflammation manifested by higher serum levels of C-reactive protein was identified in schoolchildren with higher percentage of fat mass as determined by bioimpedance analysis and other anthropometric measurements.
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