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Published on: January 7, 2018
Insulin-Like Growth Factors and Metabolic Syndrome in Obese Children
Elena Inzaghi1, Barbara Baldini Ferroli1, Danilo Fintini1
1Dipartimento Pediatrico Universitario Ospedaliero "Bambino Gesù" Children's Hospital-Tor Vergata University, Rome, Italy.
Insights
Insulin-like growth factors (IGFs) were not linked to metabolic syndrome in obese children. However, IGF-II was higher in obese youth and correlated with insulin sensitivity, suggesting a potential role.
Area of Science:
- Pediatric Endocrinology
- Metabolic Health
- Growth Factors
Background:
- Insulin-like growth factor (IGF)-I is linked to cardiometabolic risk in adults.
- The metabolic role of IGF-II is less understood.
- Obesity in children is a growing concern with potential metabolic complications.
Purpose of the Study:
- To investigate Insulin-like growth factors (IGFs) in obese children.
- To correlate IGF-I and IGF-II levels with metabolic syndrome (MetS) components.
- To explore the relationship between IGFs and body composition in pediatric obesity.
Main Methods:
- Retrospective analysis of 574 obese children (mean age 11.34 years).
- Assessment of anthropometry, biochemical markers, and body composition.
- Measurement of IGF-I in 300 and IGF-II in 77 obese children; categorization by MetS criteria.
Main Results:
- IGF-I, IGF-II, and IGF-I/IGFBP-3 ratio did not correlate with the number of MetS criteria or body composition.
- In younger children (<10 years), IGF-I correlated with high-density lipoprotein cholesterol.
- IGF-II was elevated in obese children and associated with insulin sensitivity parameters.
Conclusions:
- IGFs are not associated with MetS or body composition in obese children.
- Further research is required to elucidate the connection between IGF-II and insulin sensitivity.
- The findings suggest a complex interplay between IGFs, obesity, and metabolic health in pediatrics.
Background/Aims:
Insulin-like growth factor (IGF)-I is related to cardiometabolic risk in adults, whereas the metabolic role of IGF-II is unclear. The aim of this study was to assess IGFs in obese children and correlate them with metabolic syndrome (MetS) components.
Methods:
This is a retrospective study including 574 obese children (11.34 ± 3.16 years). All subjects underwent complete anthropometry and biochemical assessment. In a subgroup of 136 subjects, body composition was evaluated. IGF-I was measured in 300 obese subjects and IGF-II in 77 obese and 15 lean children. 177 subjects were divided according to the presence of 1 or more MetS criteria: group 1, subjects with 1 MetS criterion; group 2, subjects with 2 components; and group 3, subjects with MetS diagnosis.
Results:
IGF-I, IGF-II, and IGF-I/insulin-like growth factor-binding protein-3 ratio were not different among subjects with an increasing number of MetS criteria and were not associated with single components of MetS as well as with body composition parameters. In children younger than 10 years, IGF-I directly correlated with high-density lipoprotein cholesterol (p < 0.005) even after controlling for confounders. IGF-II was significantly higher in obese children and correlated with parameters of insulin sensitivity (p < 0.05).
Conclusion:
IGFs were neither related to MetS nor to body composition parameters in obese children. Further studies are needed to clarify the mechanisms underlying the relationship between IGF-II and insulin sensitivity.
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