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Purification of Pathogen Vacuoles from Legionella-infected Phagocytes
Published on: June 19, 2012
Infections in children with simple obesity: The relation to phagocytic function and serum leptin
Nadin N Toaima1, Rasha H El-Owaidy2, Dina L Zaki3
1Pediatric Endocrine Unit, Children's Hospital, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Insights
Obese children face increased infection risks and higher leptin levels, which may impair phagocytic functions. This study explored these connections in pediatric obesity.
Area of Science:
- Pediatric Endocrinology
- Immunology
- Nutritional Science
Background:
- Obesity is linked to an increased susceptibility to infections.
- Leptin, a hormone associated with obesity, may play a role in immune function.
Purpose of the Study:
- To investigate phagocytic functions in obese children.
- To examine the relationship between serum leptin levels and immune function in pediatric obesity.
Main Methods:
- A cross-sectional study involving 40 obese children and controls.
- Assessed caloric intake, infection history, BMI z-score, complete blood count, serum leptin (ELISA), and Dihydrorhodamine (DHR) flow cytometry.
Main Results:
- Obese children had a higher frequency of infections (p<0.001) and elevated serum leptin (p<0.001).
- Phagocytic function (DHR) was comparable between obese children and controls (p=0.067).
- Leptin levels correlated positively with infection frequency (p=0.019) and negatively with absolute lymphocytic count (p=0.043).
Conclusions:
- Obese children exhibit an increased risk of infections.
- Elevated serum leptin in obese children may negatively impact phagocytic functions, contributing to higher infection rates.
Introduction:
There is a possible association between obesity and infections. We sought to investigate phagocytic functions in obese children and their relation to serum leptin levels.
Methods:
A cross sectional, controlled study was conducted, comprising 40 cases with simple visceral-type obesity. Subjects were evaluated for percentage of caloric intake, frequency and type of infections, body mass index (BMI) z score, in addition to complete blood counting, serum leptin assay (ELISA) and Dihydrorhodamine (DHR) flowcytometry.
Results:
Cases were 21 males (52.5%) and 19 females (47.5%) with mean age 7.14 years±2.73 SD with median duration of obesity 4.2 years (IQR: 2-6). Cases had higher frequency of infections compared with controls (p<0.001). Serum leptin was significantly higher among cases (t=-12.391, p<0.001), while DHR results were comparable in the studied groups (p=0.067). Among cases, absolute lymphocytic count (ALC) correlated negatively with percentage of total caloric intake (p=0.045). Leptin levels correlated positively with frequency of infections (p=0.019) but negatively with ALC (p=0.043). DHR results showed weak negative correlations with serum leptin (p=0.177) and with BMI Z score (p=0.109).
Conclusion:
Obese children are posed at increased risk of infections and have higher serum leptin levels with possible negative effects of leptin on phagocytic functions.
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