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Relationship of Circulating Irisin with Body Composition, Physical Activity, and Cardiovascular and Metabolic
Leticia Elizondo-Montemayor1,2,3, Gerardo Mendoza-Lara4,5, Gustavo Gutierrez-DelBosque6,7
1Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Ave. Morones Prieto 3000, Monterrey N.L. 64710, Mexico. lelizond@itesm.mx.
Insights
Irisin, a myokine activated by exercise, shows inconsistent effects in children and adolescents. Research links it to body composition and metabolic health, but findings vary significantly with interventions and individual factors.
Area of Science:
- Pediatric Endocrinology
- Exercise Physiology
- Metabolic Health
Background:
- Irisin, an exercise-induced myokine, has known roles in adult metabolic regulation.
- Limited and conflicting data exist regarding irisin's impact on pediatric health.
- Understanding irisin in children is crucial for addressing obesity and metabolic syndrome.
Purpose of the Study:
- To review existing evidence on irisin in children and adolescents.
- To analyze irisin's association with body composition, exercise, and metabolic risk factors.
- To explore factors influencing irisin levels and effects in the pediatric population.
Main Methods:
- Systematic review of studies on irisin in pediatric populations.
- Analysis of correlations between irisin and anthropometric parameters.
- Examination of irisin's relationship with cardiovascular and metabolic markers.
- Inclusion of data on exercise training and dietetic interventions.
Main Results:
- Inconsistent correlations found between irisin levels and body composition metrics (BMI, fat mass).
- Conflicting associations reported for irisin with glucose, insulin resistance, and lipid profiles.
- Variability in findings based on gender, puberty, exercise type/duration, and diet.
Conclusions:
- The role of irisin in pediatric health and disease remains unclear due to contradictory evidence.
- Further research is needed to elucidate irisin's function in children, considering various influencing factors.
- Potential links between maternal-infant factors and circulating irisin warrant investigation.
Abstract:
Exercise-induced irisin, a recently discovered myokine, has been linked to insulin resistance, obesity, and other diseases in adults; however, information in children is scarce and contradictory. We analyzed the limited evidence of irisin's effects in children and adolescents, and its association with body composition, exercise training, cardiovascular risk factors, and metabolic diseases, as well as the results of dietetic interventions. Both positive and negative correlations between irisin concentrations and body mass index, fat mass, fat-free mass, and other anthropometric parameters were found. Likewise, contradictory evidence was shown associating irisin plasma levels with cardiovascular and metabolic parameters such as glucose, insulin resistance, and cholesterol and other lipid and fatty acid plasma levels in healthy children, as well as in those with obesity and the metabolic syndrome. Gender, puberty, and hormonal differences were also examined. Furthermore, important contradictory findings according to the type and duration of exercise and of dietetic interventions in healthy and unhealthy subjects were demonstrated. In addition, correlations between mother⁻infant relations and circulating irisin were also identified. This review discusses the potential role of irisin in health and disease in the pediatric population.
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