Association between serum copper concentration and body composition in children with spinal muscular atrophy: a

Qi Long1, Yijie Feng2, Yicheng Yu2

  • 1Department of Clinical Nutrition, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China.

Insights

Serum copper levels correlate with body composition in children with spinal muscular atrophy (SMA). Higher copper is linked to more fat mass and a higher fat-muscle ratio, but less muscle mass in SMA patients.

Area of Science:

  • Pediatric Endocrinology
  • Metabolic Disorders
  • Nutritional Biochemistry

Background:

  • Spinal muscular atrophy (SMA) is a genetic neuromuscular disorder affecting motor neurons.
  • Body composition changes, including altered fat and muscle mass, are observed in SMA patients.
  • The specific role of serum copper in modulating body composition in SMA is not well-established.

Purpose of the Study:

  • To investigate the association between serum copper concentration and body composition metrics in pediatric patients with SMA.
  • To explore potential metabolic dysregulation related to copper levels in SMA.

Main Methods:

  • Cross-sectional study involving 87 children with SMA at a pediatric medical center in China.
  • Measurements included anthropometry, serum copper, magnesium, zinc, and iron levels.
  • Body composition was assessed comprehensively, and multivariate analysis was used to determine correlations.

Main Results:

  • A positive correlation was found between serum copper concentration and fat mass percentage (β = 0.50, p = 0.025).
  • Serum copper was positively associated with the fat-muscle ratio (β = 0.02, p = 0.009).
  • A negative correlation was observed between serum copper concentration and muscle mass percentage (β = -0.70, p = 0.001).

Conclusions:

  • Serum copper concentration is correlated with body composition in children with SMA.
  • These findings suggest copper's role in metabolic dysregulation within SMA.
  • Further research may inform interventions targeting metabolic balance in SMA patients.
Abstract

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