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[Proinflammatory state in obese children]
M C Luciardi1, T R Carrizo1, E I Díaz1
1Facultad de Bioquímica, Universidad Nacional de Tucumán, Argentina.
Insights
Obese children show higher levels of inflammatory markers like soluble CD40 ligand (sCD40L) and monocyte chemoattractant protein 1 (MCP-1). These elevated markers indicate low-grade inflammation linked to childhood obesity.
Area of Science:
- Pediatric Endocrinology
- Immunology
- Metabolic Disorders
Background:
- Obesity is a chronic disease in children linked to insulin resistance, type 2 diabetes, and cardiovascular issues.
- Adipose tissue in obese individuals releases pro-inflammatory molecules, potentially driving atherosclerosis.
- Low-grade inflammation is a key concern in pediatric obesity.
Purpose of the Study:
- To compare serum levels of specific inflammatory markers in obese children versus a control group.
- To investigate the relationship between these inflammatory markers and anthropometric/metabolic variables in obese children.
Main Methods:
- A cross-sectional observational study involving 37 obese children and 20 normal-weight children (ages 8-12).
- Serum levels of soluble CD40 ligand (sCD40L), MCP-1, IL-6, TNF-α, and hsCRP were measured.
- Spearman correlation was used to analyze relationships between variables.
Main Results:
- Obese children exhibited significantly higher serum levels of sCD40L, MCP-1, IL-6, TNF-α, and hsCRP compared to controls.
- Body mass index and waist circumference showed positive correlations with sCD40L and MCP-1 levels.
Conclusions:
- Elevated levels of the studied inflammatory molecules suggest an association with low-grade inflammation in obese children.
- These findings highlight potential inflammatory pathways involved in pediatric obesity and its complications.
Introduction:
Obesity is a chronic disease that affects adults as well as children and is associated with insulin resistance, type 2 diabetes and cardiovascular disease. One of the reasons for the presence of low-grade inflammation in these patients could be that adipose tissue of the obese produces proin flammatory molecules that favor the development of atherosclerosis.
Objective:
To determine serum levels of soluble CD40 ligand (sCD40L), monocyte chemoattractant protein 1 (MCP-1), interleukin 6 (IL-6), Tumor Necrosis Factor alpha (TNF-α) and high sensitivity CRP (hsCRP), in an obese chil dren population compared to a control group, also to analyze the correlation of these molecules with the anthropometric and metabolic variables.
Patients And Method:
A cross-sectional, observational study was carried out on 37 obese children, aged 8 to 12 years, and 20 children with normal weight. Serum levels of sCD40L, MCP-1, IL-6, TNF-α and hsCRP were determined. Data were expressed as the median and interquartil range and Spearman coefficient was used to investigate correlations between variables.
Results:
Compared to the control group, obese children presented significantly higher values of sCD40L, MCP-1, IL-6, TNF-α, and hsCRP than control group. Body mass index and waist circumference correlated positively with sCD40L and MCP-1.
Conclusion:
Elevated levels of the studied molecules studied suggest the presence of low-grade inflammation associated with obesity in this population.
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