Acute phase markers in obese children and adolescents with metabolic disorders
Idalia Cura-Esquivel1, Paula Cordero-Pérez2, Liliana Torres-González2
1Departamento de Pediatría, Hospital Universitario "Dr. José E. González". idaliaaracely2008@hotmail.com.
Insights
Obese children show increased C-reactive protein. Metabolic syndrome is linked to higher apolipoprotein A-1 and haptoglobin, while hepatic steatosis correlates with elevated alpha-2-macroglobulin.
Area of Science:
- Pediatric Endocrinology
- Clinical Biochemistry
- Public Health
Background:
- Obesity is a global health crisis and a leading non-communicable chronic disease.
- Obesity is characterized by elevated inflammatory markers, including acute phase proteins and cytokines.
Purpose of the Study:
- To evaluate acute phase protein levels in obese children and adolescents.
- To investigate the association between these proteins and the presence of hepatic steatosis and metabolic syndrome.
Main Methods:
- Study included 45 obese children (BMI ≥ 95th percentile) aged 5.0-15.5 years.
- Measured C-reactive protein, haptoglobin, alpha-2-macroglobulin, and apolipoprotein A-1.
- Assessed hepatic steatosis using ultrasound.
Main Results:
- C-reactive protein levels were elevated in all obese participants.
- Metabolic syndrome was associated with increased apolipoprotein A-1 and haptoglobin.
- Hepatic steatosis correlated with significantly higher alpha-2-macroglobulin and C-reactive protein.
Conclusions:
- Obesity in children is associated with increased systemic inflammation, indicated by elevated C-reactive protein.
- Specific acute phase proteins may serve as biomarkers for metabolic complications like metabolic syndrome and hepatic steatosis in obese youth.
Introduction:
Obesity is a worldwide public health problem and the most common non-communicable chronic disease. It is associated with an increase in inflammatory acute phase proteins and proinflammatory cytokines.
Objective:
To assess the levels of acute phase proteins in obese children and adolescents with hepatic steatosis and metabolic syndrome. Methodology. Forty-five children with a body mass index ≥ 95th percentile aged 5.0-15.5 years were included. The following acute phase reactants were determined: C-reactive protein, haptoglobin, alpha-2-macroglobulin, and apolipoprotein A-1; besides, an ultrasound was done to assess hepatic steatosis.
Results:
C-reactive protein levels increased in all patients. Patients with metabolic syndrome also had high levels of apolipoprotein A-1 and haptoglobin. Patients with hepatic steatosis had a significant increase in alpha-2-macroglobulin in addition to high C-reactive protein.
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