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.
Abstract

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