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Updated: Aug 16, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Serum copeptin as a biomarker of hypertension in children with obesity
Zeynep Gor1, Digdem Bezen2, Yelda Turkmenoglu1
1Department of Pediatrics, Health Science University, Prof. Dr. Cemil Tascioglu City Hospital, Istanbul, Turkey.
Insights
Children with obesity and hypertension have higher levels of copeptin and uric acid, and lower potassium. These biomarkers may aid in diagnosing and monitoring pediatric hypertension.
Area of Science:
- Pediatric Endocrinology
- Cardiovascular Health in Children
- Metabolic Disorders
Background:
- Hypertension is increasingly prevalent in obese children.
- The specific roles of copeptin and uric acid in pediatric obesity-related hypertension are not well understood.
- This study investigates novel biomarkers for hypertension in this population.
Purpose of the Study:
- To examine the relationship between hypertension and serum copeptin and uric acid levels in children with obesity.
- To identify potential diagnostic and monitoring markers for pediatric hypertension.
Main Methods:
- Study included 80 children with obesity admitted to a hospital.
- Patients were categorized into hypertensive and non-hypertensive groups.
- Serum copeptin levels were quantified using enzyme-linked immunosorbent assay.
Main Results:
- Significantly elevated copeptin levels were observed in hypertensive children compared to non-hypertensive controls (p < 0.0001).
- Hypertensive children also showed higher serum uric acid and lower serum potassium levels (p < 0.01).
- A positive correlation was found between blood sodium and copeptin levels (p = 0.037).
Conclusions:
- Obese children with hypertension exhibit higher serum copeptin and uric acid, and lower blood potassium.
- Copeptin levels demonstrated a positive correlation with blood sodium levels.
- Serum uric acid, potassium, and sodium, alongside copeptin, may be crucial for managing pediatric hypertension.
Background:
Hypertension (HT) in obesity has been reported frequently in children in recent years. The role of copeptin and uric acid here are not well known. We aimed to investigate the relationship between HT and serum copeptin and uric acid levels in children with obesity.
Methods:
We included 80 children with obesity who were admitted to our hospital between April 2018 and September 2018. The patients were separated into two groups: hypertensive and non-hypertensive. Serum copeptin levels were measured using the enzyme-linked immunosorbent assay.
Results:
Copeptin levels were significantly higher in patients with HT than in those without (p = 0.0001). In addition, serum uric acid levels in patients with HT were significantly higher, while the serum potassium levels were significantly lower (p = 0.01) than in those without HT (p = 0.001). In correlation analyses, a positive correlation was detected between blood sodium and copeptin levels (p = 0.037).
Conclusions:
Hypertensive children with obesity had higher serum copeptin and uric acid and lower blood potassium levels. Moreover, copeptin levels were positively correlated with blood sodium levels. Thus, in addition to copeptin, serum uric acid, potassium, and sodium levels may be important in the diagnosis and follow-up of children with HT.
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