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.
Abstract

Related Concept Videos

Obesity01:24

Obesity

The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
1.5K
Pharmacokinetics in Obese Patients: Drug Absorption and Distribution01:25

Pharmacokinetics in Obese Patients: Drug Absorption and Distribution

Obesity significantly alters the pharmacokinetic processes of drug absorption and distribution, presenting unique challenges in medical treatment. The increased fat tissue and decreased lean muscle in obese individuals can significantly affect how drugs are absorbed into the body and distributed across different tissues. This alteration can lead to variances in the effectiveness and safety of medications, necessitating adjustments in dosing or drug selection for obese patients.One notable...
324
Insulin: The Receptor and Signaling Pathways01:28

Insulin: The Receptor and Signaling Pathways

Insulin action is mediated through a receptor tyrosine kinase, akin to the IGF-1 receptor. The number of receptors per cell varies significantly, from 40 on erythrocytes to 300,000 on adipocytes and hepatocytes. The insulin receptor consists of linked α/β subunit dimers, forming a heterotetramer glycoprotein with two extracellular α subunits and two β subunits spanning the membrane. The α subunits inhibit the inherent tyrosine kinase activity of the β subunits, but...
5.2K
Insulin: Dosing Regimen and Adverse Effects01:16

Insulin: Dosing Regimen and Adverse Effects

Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
957
Oral Hypoglycemic Agents: Biguanides and Glitazones01:26

Oral Hypoglycemic Agents: Biguanides and Glitazones

Biguanides, particularly metformin (Glucophage), are insulin sensitizers that enhance glucose uptake, thereby reducing insulin resistance. Unlike sulfonylureas, metformin doesn't prompt insulin secretion, which helps to curb hypoglycemia risk. Metformin is beneficial in treating conditions like polycystic ovary syndrome due to its insulin-resistance reduction capability. The drug's primary action involves curtailing hepatic gluconeogenesis, a significant contributor to high blood...
741
Diabetes Mellitus: Overview and Type I Subtype01:22

Diabetes Mellitus: Overview and Type I Subtype

Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
5.7K