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Correlation of Childhood Obesity and Related Insulin Resistance with Leptin and Retinol Binding Protein 4
Vasanthi Thiruvengadam1, Sumanth Amperayani, R Prakash Babu
1Department of Pediatrics, Kanchi Kamakoti CHILDS Trust Hospital and The CHILDS Trust Medical Research Foundation, Chennai, Tamil Nadu, 600034, India, dr_vasanthi@hotmail.com.
Insights
This study investigated obesity in children, finding abnormal leptin levels in all participants and high retinol binding protein 4 (RBP4) in most. However, no significant link was found between insulin resistance and RBP4 levels.
Area of Science:
- Pediatrics
- Endocrinology
- Metabolic Research
Background:
- Obesity is a growing global health concern in children.
- Metabolic dysfunction, including insulin resistance, is a common comorbidity of childhood obesity.
- Retinol Binding Protein 4 (RBP4) is a protein secreted by adipocytes and the liver, implicated in insulin resistance.
Purpose of the Study:
- To examine the relationship between obesity and various metabolic parameters in children.
- To investigate the correlation between insulin resistance and levels of leptin and retinol binding protein 4 (RBP4).
Main Methods:
- A cross-sectional study was conducted at a tertiary care children's hospital.
- 98 obese children were enrolled.
- Metabolic parameters, insulin resistance, and RBP4 levels were analyzed.
Main Results:
- All participating children exhibited abnormal leptin levels.
- Elevated RBP4 levels were detected in 69.6% of the children.
- No statistically significant association was observed between insulin resistance and RBP4 levels (p = 0.8).
Conclusions:
- While RBP4 has been suggested to play a role in insulin resistance, this study did not find a significant positive association in obese children.
- Further research may be needed to clarify the role of RBP4 in pediatric metabolic disorders.
Objectives:
To study the correlation of obesity with various metabolic parameters and correlation between insulin resistance and leptin and retinol binding protein 4 (RBP4) levels.
Methods:
This is a cross sectional study in a tertiary care children's hospital wherein 98 obese children were included and their metabolic parameters analysed with regards to insulin resistance and RBP4 levels.
Results:
Leptin levels were abnormal for all children and high RBP4 levels were observed in 69.6 %. There was no significant association between insulin resistance and RBP4 levels (p 0.8).
Conclusions:
RBP4, the sole retinol transporter in blood, secreted from adipocytes and liver has been implicated in insulin resistance. The index study however, did not show a significant positive association.
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