Reduced retinal nerve fibre layer thickness in children with severe obesity

J Pacheco-Cervera1, P Codoñer-Franch2,3, R Simó-Jordá2

  • 1Department of Ophthalmology, Doctor Peset University Hospital, Valencia, Spain.

Pediatric Obesity
|January 7, 2015
PubMed

Insights

Childhood obesity is linked to thinner retinal nerve fiber layers (RNFL), a potential indicator of optic nerve damage. This suggests obesity-related inflammation may harm retinal ganglion cells in children.

Area of Science:

  • Ophthalmology
  • Pediatrics
  • Endocrinology

Background:

  • Optic nerve diseases can be asymptomatic.
  • Reduced retinal nerve fiber layer (RNFL) thickness is linked to increased body mass index in adults.
  • Childhood obesity is a growing public health concern.

Purpose of the Study:

  • To investigate the association between childhood obesity and RNFL thickness.
  • To assess if obesity-related factors correlate with RNFL changes in children.

Main Methods:

  • Included 97 children aged 5-14 years, categorized by BMI standard deviation score (SDS-BMI).
  • Analyzed metabolic risk parameters, adipocytokines (leptin, adiponectin), and interleukin-6.
  • Performed comprehensive ophthalmologic examinations and RNFL evaluation using optical coherence tomography.

Main Results:

  • Severely obese children (SDS-BMI > 4) exhibited decreased average, inferior, superior, and nasal RNFL thickness compared to other groups.
  • No significant association was found between obesity groups and temporal RNFL thickness.
  • A significant inverse correlation was observed between RNFL thickness and adiposity indices, leptin, and interleukin-6 in overweight and obese children.

Conclusions:

  • Adiposity and obesity-related inflammation may contribute to retinal ganglion cell loss in children.
  • Findings highlight a potential link between metabolic health and ocular structures in pediatric populations.
  • Early identification of RNFL changes in obese children could inform preventative strategies for eye health.
Abstract