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Antioxidant status in blood of obese children: the relation between trace elements, paraoxonase, and arylesterase
Yasemin Cayir1, Atilla Cayir, Mehmet Ibrahim Turan
1Faculty of Medicine, Department of Family Medicine, Ataturk University, Erzurum, Turkey.
Insights
Obese children show lower antioxidant markers, paraoxonase (PON1) and arylesterase (ARE). Selenium (Se) levels positively correlate with PON1, suggesting a link between selenium and antioxidant systems in pediatric obesity.
Area of Science:
- Pediatric Endocrinology
- Nutritional Biochemistry
- Oxidative Stress Research
Background:
- Obesity is linked to systemic complications driven by chronic inflammation and oxidative stress.
- Nutritional deficiencies, including trace element imbalances, can occur in obese children.
- Paraoxonase (PON1) and arylesterase (ARE) are key indicators of the body's oxidant-antioxidant status.
Purpose of the Study:
- To investigate the relationship between serum paraoxonase (PON1) and arylesterase (ARE) levels and serum concentrations of trace elements (zinc, copper, manganese, selenium) in obese children.
- To explore the role of trace elements in the oxidant-antioxidant balance in pediatric obesity.
Main Methods:
- Comparative analysis of 57 obese children (aged 6-17) and 48 healthy controls.
- Measurement of serum PON1 and ARE activity.
- Quantification of serum trace elements (Zn, Cu, Mn, Se) and various biochemical markers (lipids, glucose, liver enzymes).
Main Results:
- Obese children exhibited significantly lower serum PON1 and ARE activity compared to healthy controls (P < 0.05).
- Significant differences in serum copper, zinc, manganese, and selenium levels were observed between obese and control groups (P < 0.05).
- A significant positive correlation was found between serum selenium (Se) and PON1 levels in obese children (P < 0.05, r = 0.31).
Conclusions:
- Obesity in children is associated with reduced antioxidant enzyme activity (PON1, ARE).
- Trace element levels, particularly selenium, may play a role in modulating antioxidant capacity in obese children.
- The positive correlation between selenium and PON1 suggests a potential therapeutic target for managing oxidative stress in pediatric obesity.
Abstract:
Obesity is known to lead to complications involving several systems. The basic mechanism in obesity-related complications is chronic inflammation and increased oxidative stress. Trace element levels in obese children may vary due to poor nutritional habits. The purpose of this study was to investigate the relation between serum paraoxonase (PON1) and arylesterase (ARE) levels, markers of the oxidant-antioxidant balance in the body, and serum zinc (Zn), copper (Cu), manganese (Mn), and selenium (Se) concentrations in obese children. Fifty-seven overweight patients aged 6-17 and 48 age- and sex-matched healthy children were included in the study. Serum PON1 and ARE activity levels were measured, together with Cu, Zn, Mn, Se, total cholesterol, triglyceride, low-density lipoprotein, high-density lipoprotein, very low-density lipoprotein, glucose, aspartate amino transferase, and alanine amino transferase levels. PON1 and ARE activity levels were significantly lower in obese patients compared to those in healthy individuals (P < 0.05). Various changes were determined in Cu, Zn, Mn, and Se levels between the study and control groups (P < 0.05). In terms of the relation between trace elements and PON1 and ARE levels, a significant positive correlation was determined between serum Se and PON1 levels in the study group (P < 0.05, r = 0.31). No significant correlation was determined between other trace element levels and PON1 and ARE levels (P > 0.05). In conclusion, the detection in our study of a positive correlation between Se and PON1 levels in obese children may be significant in terms of showing a relation between Se and antioxidant systems in obese children.
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