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Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
CHANGES IN C-REACTIVE PROTEIN AND BIOCHEMICAL PROFILE IN PRESCHOOL CHILDREN WITH OBESITY
Enrique Carmona-Montesinos1, Zugaila Ruiz-Fragoso2, Graciela Ponce-Hinojosa3
1Departamento de Fisología, Facultad de Medicina, UNAM. Hospital Pediátrico San Juan de Aragón, Secretaria de Salud del Distrito Federal.. srivas@unam.mx.
Insights
Childhood obesity in 3-5 year olds significantly elevates C-reactive protein (CRP), triglycerides, LDL, and glucose, while lowering HDL. These metabolic changes highlight the critical impact of early-life obesity on long-term health.
Area of Science:
- Pediatrics
- Public Health
- Metabolic Disorders
Background:
- Childhood obesity is a significant public health concern.
- Unchecked weight gain can lead to serious health complications like insulin resistance, dyslipidemia, and metabolic syndrome.
- Early identification and intervention are crucial for preventing long-term health issues.
Purpose of the Study:
- To evaluate C-reactive protein (CRP) concentrations, lipid profiles, and glucose levels in obese preschool children.
- To compare these metabolic markers between obese and eutrophic children aged three to five years.
Main Methods:
- A cohort of 100 children aged 3-5 years was divided into eutrophic (n=50) and obese (n=50) groups.
- Anthropometric measurements were taken for all participants.
- Plasma levels of ultrasensitive CRP, triglycerides, cholesterol, LDL-C, HDL-C, and glucose were quantified.
Main Results:
- Obese children exhibited significantly higher height, weight, BMI, ultrasensitive CRP, triglycerides, LDL, and glucose levels (p < 0.0001).
- Obese children also showed significantly decreased HDL levels (p < 0.0001) compared to eutrophic children.
- All measured metabolic markers showed statistically significant differences between the two groups.
Conclusions:
- Metabolic alterations in obese preschool children include elevated inflammatory markers and adverse lipid profiles.
- Preschool age is critical for adipocyte development, influencing lifelong obesity-related complications.
- Early metabolic changes in obese children underscore the need for timely interventions.
Introduction:
the childhood obesity is a serious public health problem because if weight gain continues, complications such as insulin resistance, dyslipidemia, orthopedic disorders, sleep apnea, and metabolic syndrome may occur in other stages of child development.
Objective:
the objective of this study was to evaluate C-reactive protein (CRP) concentrations, lipid profiles, and glucose levels in obese children three to five years of age and compare them to eutrophic children.
Methods:
in this study, 100 children aged three to five years were selected and divided into two groups (n = 50 per group): a group of eutrophic children (< 84th percentile) and a group of obese children (> 95th percentile). An anthropometric evaluation and quantification of plasma levels of ultrasensitive CRP, triglycerides, cholesterol, LDL-C, HDL-C, and glucose were performed.
Results:
the data showed a significant increase in obese children with regard to height (p < 0.005), weight (p < 0.0001), body mass index (p < 0.0001), ultrasensitive CRP (p < 0.0001), triglycerides (p < 0.0001), LDL (p < 0.0001), and glucose levels (p < 0.0001) as well as decreased levels of HDL (p < 0.0001) compared to eutrophic children.
Conclusions:
metabolic changes that occur in obese preschool children are characterized by increases in inflammatory markers and lipid profiles. Considering that during preschool age the programming and number of adipocytes that will remain with the individual for the rest of their life are determined, this stage is crucial in the development of complications associated with obesity.
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