Adiponectin, leptin and high sensitivity C-reactive protein values in obese children - important markers for
Ramona F Stroescu1,2, Otilia Mărginean1,2, Teofana Bizerea1,2
1Louis Țurcanu Emergency Hospital for Children, Timișoara, Romania.
Insights
In obese children, adiponectin, leptin, and high-sensitivity C-reactive protein (hs-CRP) levels are significantly altered in those with metabolic syndrome (MetS). These adipokines can predict cardiovascular risk in this pediatric population.
Area of Science:
- Pediatric Endocrinology
- Cardiovascular Risk Assessment
- Metabolic Disorders
Background:
- Obesity is a chronic inflammatory condition.
- Leptin, adiponectin, and C-reactive protein (CRP) are key players in obesity.
- Understanding adipokine roles in pediatric metabolic syndrome is crucial.
Purpose of the Study:
- Investigate relationships between adiposity markers (leptin, adiponectin, hs-CRP) and metabolic syndrome (MetS) in obese children.
- Determine if these adipokines are significant markers for defining MetS in the pediatric population.
Main Methods:
- A 1-year cross-sectional study involving 122 obese children.
- Patients were grouped based on the presence or absence of MetS.
- Analyzed adiponectin, leptin, and high-sensitivity C-reactive protein (hs-CRP) levels.
Main Results:
- Metabolic syndrome (MetS) was identified in 27% of the obese children studied.
- Adiponectin, leptin, and hs-CRP levels were significantly different in the MetS group (p=0.04, p=0.04, p=0.01).
- No significant differences in age, sex, or BMI were observed between groups.
Conclusions:
- High-sensitivity C-reactive protein (hs-CRP), leptin, and adiponectin show significant alterations in obese children with MetS.
- These adipokines can serve as valuable predictors of cardiovascular risk in the pediatric population.
- Further research can explore therapeutic targets based on these findings.
Abstract:
Background Obesity is a chronic inflammatory disorder in which leptin, adiponectin and C-reactive protein (CRP) play an important role. This study aimed to investigate the relationship between markers of adiposity such as leptin, adiponectin and high sensitivity C-reactive protein (hs-CRP) in obese children, and to determine whether these adipokines are significant markers in defining metabolic syndrome (MetS) in pediatric population. Methods A cross-sectional study was conducted over a period of 1 year, between July 2013 and June 2014, on 122 cases of obesity in children diagnosed at the Louis Ţurcanu Emergency Hospital for Children Timişoara, in the departments of Diabetes and Nutritional Diseases, Endocrinology and Cardiology. The patients were divided into two groups, according to the presence of MetS. Results MetS was present in 27% of obese children. The groups were homogenous with respect to age, sex and body mass index (BMI). Adiponectin, leptin and hs-CRP were significantly modified in the group with MetS (p=0.04, p=0.04, p=0.01, respectively). Conclusions hs-CRP, leptin and adiponectin can be used as predictors of cardiovascular risk in pediatric population.
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