Obesity and immune status in children
Related Experiment Video
Updated: Dec 3, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Xingyuan Fang1, Jorge Henao-Mejia2, Sarah E Henrickson1
1Division of Allergy Immunology, Department of Pediatrics.
Insights
Childhood obesity disrupts immune function, increasing risks from infections and impacting vaccine responses. Further research is crucial to understand and manage immune dysregulation in obese children.
Area of Science:
- Immunology
- Pediatrics
- Metabolic Disorders
Background:
- Childhood obesity is a global epidemic characterized by chronic inflammation.
- Obesity leads to immune system dysregulation, affecting immune cell balance and function.
- This impacts the host's ability to fight infections, cancer, and respond to vaccines.
Purpose of the Study:
- To review the impact of obesity on immune function in children.
- To highlight alterations in immune cell activation and host defense capabilities.
- To emphasize the need for better understanding of pediatric obesity's immunological consequences.
Main Methods:
- Review of current literature on obesity and immune function in children.
- Analysis of findings from single-cell RNA-sequencing studies in adipose tissue.
- Synthesis of data on immune system alterations in response to infection, vaccination, and malignancy.
Main Results:
- Obesity causes systemic immune dysregulation, altering cytokine, adipokine, and immune cell levels.
- Single-cell RNA-sequencing reveals changes in immune cell subsets and their activation states.
- Obesity impairs the immune response to infections (e.g., COVID-19), vaccination, and malignancy.
Conclusions:
- Mechanistic research in pediatric obesity is limited, hindering effective clinical care.
- Understanding baseline and perturbed immune health in obese children is essential.
- This knowledge is vital for managing infections, vaccine development, and therapeutic strategies.
Purpose Of Review:
Childhood obesity, with persistent chronic inflammation, is a worldwide epidemic. Obesity causes dysregulation throughout the immune system, affecting the balance and levels of cytokines, adipokines, and innate and adaptive immune cells. The present review focuses on the impact of obesity on immune function in children: altering the baseline activation state of immune cells and affecting the ability of the host to combat pathogens and malignancy and respond appropriately to vaccination.
Recent Findings:
Obesity causes dysregulation of the immune system. Single-cell RNA-sequencing of adipose tissue and resident immune cells is quantifying the impact of obesity on the frequency of immune cell subsets and their states. The system-wide alterations in immune function in obesity are most evident upon perturbation, including the response to infection (e.g. increased risk of severe COVID-19 in the ongoing pandemic), vaccination, and malignancy. However, mechanistic research in pediatric obesity is limited and this impacts our ability to care for these children.
Summary:
We must better understand baseline and perturbed immune health in obese children to determine how to account for altered frequency and function of humoral and cellular immune components in acute infection, during vaccine design and when considering therapeutic options for this complex, medically vulnerable group.
Related Concept Videos
Obesity
Pharmacokinetics in Obese Patients: Drug Absorption and Distribution
Drug Dosing: Obese Patients
Pharmacokinetics in Obese Patients: Drug Metabolism and Excretion
Factors Affecting the Risk of Infection
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...
Immunodeficiency Diseases
There are three main causes of immunodeficiency...

