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Nutritional Status Influences Oxidative Stress and Insulin Resistance in Preschool Children
Claudia Erika Fuentes-Venado1,2,3, Guadalupe Terán-Pérez4, Victor Manuel Espinosa-Hernández5,6
1Doctorado en Ciencias Biológicas y de la Salud-Universidad Autónoma Metropolitana, Mexico City, Mexico.
Insights
Childhood malnutrition, particularly obesity, is linked to metabolic and oxidative stress (OS) issues. Early intervention is crucial to prevent long-term health problems in preschool children.
Area of Science:
- Pediatrics
- Biochemistry
- Public Health
Background:
- Child malnutrition poses significant public health challenges with lasting physiological and social consequences.
- Nutritional status profoundly impacts children's health, influencing metabolic and oxidative stress markers.
- Understanding these impacts is vital for developing effective interventions in early childhood.
Purpose of the Study:
- To investigate the relationship between nutritional status and oxidative stress (OS) markers in children aged 3-6 years.
- To compare OS markers across different weight categories: underweight, normal weight, overweight, and obesity.
- To identify specific metabolic and OS disturbances associated with varying degrees of malnutrition in young children.
Main Methods:
- Children were classified into four nutritional status groups: underweight, normal weight, overweight, and obesity.
- Key metabolic markers (glucose, cholesterol, insulin, triacylglycerols, TyG index, HOMA-IR) were analyzed.
- Oxidative stress markers (malondialdehyde, 3-nitrotyrosine) and antioxidant defense markers (superoxide dismutase, catalase, GSH/GSSG ratio) were quantified.
Main Results:
- Obese children exhibited elevated malondialdehyde (MDA), 3-nitrotyrosine (3-NT), and superoxide dismutase (SOD) compared to normal-weight children.
- Metabolic markers, OS markers (MDA, 3-NT), and SOD positively correlated with body mass index (BMI) and CDC percentiles (CDC PC).
- Antioxidant markers (catalase, GSH/GSSG ratio) showed negative correlations with BMI and CDC PC, with specific variations observed in underweight and overweight groups.
Conclusions:
- Malnutrition, especially obesity, is strongly associated with metabolic and oxidative stress disturbances in preschool-aged children.
- These findings highlight the critical need for preventative strategies targeting malnutrition during early development.
- Addressing malnutrition in early childhood is essential for mitigating future co-morbidities and improving long-term health outcomes.
Abstract:
Child malnutrition represents a major public health problem with physiological, psychological, and social short- and long-term implications. To compare the influence of nutritional status on oxidative stress (OS) markers in children aged 3-6 years. Children were categorized into four groups: underweight, normal weight, overweight, and obesity. Glucose (Glu), cholesterol (Chol), high-density lipoproteins, insulin, triacylglycerols (TG), triacylglycerols/glucose (TyG) index, and the homeostasis model assessment of insulin resistance (HOMA-IR) were analyzed. In addition, OS [malondialdehyde (MDA) and 3-nitrotyrosine (3-NT)] and antioxidant defense markers [superoxide dismutase (SOD), catalase (CAT), and the ratio of reduced/oxidized glutathione (GSH/GSSG)] were quantified. Children with obesity showed significantly higher levels of MDA and 3-NT, and increased SOD activity compared with normal weight children. Glu, Chol, TG levels, TyG indexes, HOMA-IR, MDA, 3-NT, and SOD positively correlated with body mass index (BMI) and Centers for Disease Control and Prevention percentiles (CDC PC). However, CAT concentration and the GSH/GSSG ratio correlated negatively with BMI and CDC PC. In children with underweight, we found a positive correlation of TG levels and TyG indexes with BMI, whereas both markers positively correlated with BMI and CDC PC in children with overweight. MDA negatively correlated with BMI in children with underweight, while a positive association was observed in children with overweight. Finally, SOD, CAT, and GSH/GSSG negatively correlated with both BMI and CDC PC in children with overweight. Malnutrition, especially obesity, is associated with metabolic and OS disturbances in preschool children. It is urgent to design strategies to prevent malnutrition in this age group since this stage of development is crucial to potentially avoid future co-morbidities.
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