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Updated: May 22, 2026

Quantitative Magnetic Resonance Imaging of Skeletal Muscle Disease
Published on: December 18, 2016
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.
Background And Objectives:
The role of serum copper in modulating body composition in patients with spinal muscular atrophy (SMA) remains uncertain. This study aimed to illustrate the correlation between serum copper concentration and body composition in children with SMA.
Methods And Study Design:
This study was conducted at a pediatric medical center in China from July 2019 to August 2022. The study included anthropometric measurements, serum analysis for copper, magnesium, zinc, and iron, as well as comprehensive body composition assessments. Multivariate analysis was utilized to assess the connection between serum copper concentration and body composition metrics.
Results:
This cross-sectional analysis included 87 patients [median (IQR) age: 7 years (5-10), 57.5% male] diagnosed with SMA receiving comprehensive multi-disciplinary management. The results revealed a positive association between serum copper concentration and both fat mass percentage (β = 0.50, 95% confidence interval (CI): 0.07 to 0.92, p = 0.025) and fat-muscle ratio (β = 0.02, 95% CI: 0.01 to 0.03, p = 0.009). Conversely, a negative correlation was found between serum copper concentration and muscle mass percentage (β = -0.70, 95% CI: -1.11 to -0.29, p = 0.001).
Conclusions:
These findings suggest a correlation between copper concentration and body composition in SMA, offering valuable insights for addressing metabolic dysregulation in these patients.
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