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Updated: May 1, 2026

Breath Collection from Children for Disease Biomarker Discovery
Published on: February 14, 2019
Breathprints of childhood obesity: changes in volatile organic compounds in obese children compared with lean
1Department of Pediatric Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, OH, USA; Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA; Center for Cardiovascular Diagnostics and Prevention, Cleveland Clinic, Cleveland, OH, USA.
Insights
Overweight and obese children exhibit distinct volatile organic compound (VOC) patterns in their breath. These VOC changes may offer insights into the biological processes driving childhood obesity.
Area of Science:
- Metabolomics
- Pediatric Health
- Biochemistry
Background:
- Childhood obesity is a growing global health concern.
- Understanding the underlying physiological changes is crucial for effective intervention.
- Volatile organic compounds (VOCs) in breath reflect metabolic processes.
Purpose of the Study:
- To investigate differences in exhaled breath volatile organic compounds (VOCs) between overweight/obese children and lean children.
- To identify specific VOCs associated with childhood obesity.
- To explore the potential of VOCs as biomarkers for obesity.
Main Methods:
- Breath samples were collected from children.
- Selective Ion Flow Tube Mass Spectrometry (SIFT-MS) was used for VOC analysis.
- Statistical comparisons were made between obese and lean groups.
Main Results:
- Sixty overweight/obese children and 55 lean children participated.
- Over 50 VOCs differed significantly between the groups.
- Isoprene, 1-decene, 1-octene, ammonia, and hydrogen sulfide were higher in obese children.
- A panel of four VOCs accurately identified overweight/obesity.
Conclusions:
- Obese children possess a unique exhaled VOC profile.
- Observed VOC alterations may indicate pathophysiological pathways in obesity development.
- Breath VOC analysis shows promise for understanding and potentially diagnosing childhood obesity.
Objective:
The objective of this study was to investigate changes in volatile organic compounds (VOCs) in exhaled breath in overweight/obese children compared with their lean counterparts.
Study Design:
Single exhaled breath was collected and analyzed per protocol using selective ion flow tube mass spectrometry (SIFT-MS).
Results:
Sixty overweight/obese children and 55 lean controls were included. Compared with the lean group, the obese group was significantly older (14.1 ± 2.8 vs. 12.1 ± 3.0 years), taller (164.8 ± 10.9 vs. 153.3 ± 17.1 cm) and more likely to be Caucasian (60% vs. 35.2%); P < 0.05 for all. A comparison of the SIFT-MS results of the obese group with the lean group revealed differences in concentration of more than 50 compounds. A panel of four VOCs can identify the presence of overweight/obesity with excellent accuracy. Further analysis revealed that breath isoprene, 1-decene, 1-octene, ammonia and hydrogen sulfide were significantly higher in the obese group compared with the lean group (P value < 0.01 for all).
Conclusion:
Obese children have a unique pattern of exhaled VOCs. Changes in VOCs observed in this study may help to gain insight into pathophysiological processes and pathways leading to the development of childhood obesity.
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