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Adiponectin, Interleukin-6 and High-sensitivity C-reactive Protein Levels in Overweight/Obese Indian children
Vandana Jain1, Ajay Kumar, Anuja Agarwala
1Departments of Pediatrics, *Medicine and #Cardiac Biochemistry, All India Institute of Medical Sciences, New Delhi, India. Correspondence to: Dr Vandana Jain, Professor, Division of Pediatric Endocrinology, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi 110 029, India. drvandanajain@gmail.com.
Insights
This study found elevated inflammatory markers, high-sensitivity C-reactive protein (hsCRP) and Interleukin-6 (IL-6), in many overweight Indian children. Adiponectin and IL-6 levels correlated with traditional cardiovascular disease and diabetes risk factors.
Area of Science:
- Pediatric Endocrinology
- Cardiovascular Disease Research
- Metabolic Syndrome Studies
Background:
- Overweight and obesity are increasing globally in children.
- These conditions are associated with chronic inflammation and increased risk of cardiovascular disease (CVD) and type 2 diabetes.
- Biomarkers like adiponectin, IL-6, and hsCRP may indicate underlying metabolic dysfunction.
Purpose of the Study:
- To evaluate serum levels of adiponectin, IL-6, and hsCRP in overweight/obese Indian children.
- To investigate the correlation between these inflammatory markers and conventional CVD and diabetes risk factors.
- To understand the inflammatory status in pediatric obesity within the Indian population.
Main Methods:
- Cross-sectional study involving 84 overweight/obese Indian children (aged 7-15 years).
- Measurements included BMI, waist circumference, blood pressure, fasting serum adiponectin, IL-6, hsCRP, blood glucose, triglycerides, and cholesterol.
- Statistical analysis to determine correlations between biomarkers and risk factors.
Main Results:
- Mean adiponectin: 6.0 µg/mL, hsCRP: 3.4 mg/L, IL-6: 12.7 pg/mL.
- Elevated hsCRP (49.4%) and IL-6 (54.4%) were observed in a significant proportion of participants.
- Low adiponectin levels were found in 16.5% of children.
- Adiponectin showed an inverse correlation with waist circumference.
- IL-6 positively correlated with BMI and blood glucose levels.
Conclusions:
- Overweight Indian children exhibit elevated levels of inflammatory mediators, hsCRP and IL-6.
- Adiponectin and IL-6 demonstrate significant correlations with traditional risk markers for cardiovascular disease and diabetes.
- These findings highlight the importance of monitoring inflammatory status in pediatric obesity.
Objective:
The aim of our study was to assess serum Adiponectin, Interleukin-6 (IL-6) and high-sensitivity C-reactive protein (hsCRP) levels and their correlation with conventional risk factors for cardiovascular disease and diabetes in overweight/obese Indian children.
Methods:
Body mass index (BMI), waist circumference, blood pressure, fasting serum adiponectin, IL-6, hsCRP, blood glucose, triglycerides, and total and high density lipoprotein cholesterol were measured in children aged 7-15 years with BMI >85th centile.
Results:
84 overweight/obese children (48 boys) with mean (SD) age 10.2 (1.9) years were enrolled. Mean (SD) adiponectin, hsCRP and median (IQR) IL-6 levels were 6.0 (3.1) µg/mL, 3.4 (2.4) mg/L and 12.7 (5.0-90.0) pg/mL, respectively. Low adiponectin, high hsCRP and high IL-6 were noted in 16.5%, 49.4% and 54.4% participants, respectively. Adiponectin was inversely correlated with waist circumference, and IL-6 positively with BMI and blood glucose.
Conclusion:
Inflammatory mediators, hsCRP and IL-6 were elevated in half of the overweight children. Adiponectin and IL-6 correlated well with traditional risk markers.
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