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The Complex Interplay of Irisin Levels, Low Birth Weight, and Blood Pressure in Prepubescent Children
Raissa Munhão Serra1,2, Franciele De Meneck1, Fernanda Thomazini1
1Program of Translational Medicine, School of Medicine, Federal University of São Paulo, São Paulo, Brazil.
Insights
Low birth weight in children is linked to lower irisin levels and higher blood pressure. Irisin may play a complex role in cardiovascular health, especially in those with low birth weight.
Area of Science:
- Endocrinology
- Cardiovascular Research
- Pediatric Health
Background:
- Irisin is a hormone involved in metabolic, inflammatory, and oxidative stress processes.
- Irisin is a potential target for managing cardiovascular diseases.
- This study investigated plasma irisin levels in prepubertal children.
Purpose of the Study:
- To evaluate plasma irisin levels in prepubertal children.
- To examine the relationship between irisin and birth weight, anthropometry, biochemical profile, and blood pressure.
- To understand the role of irisin in cardiometabolic programming.
Main Methods:
- Cross-sectional study of 136 prepubertal children (ages 6-11).
- Assessed anthropometric parameters, blood pressure, and biochemical profiles.
- Included 27.9% of participants born at low birth weight.
Main Results:
- Low birth weight children had significantly lower irisin levels (p < 0.001).
- Birth weight negatively correlated with blood pressure and positively with irisin.
- Irisin levels positively associated with systolic blood pressure, even after adjustments.
Conclusions:
- A complex interplay exists between birth weight, irisin, and cardiovascular regulation in children.
- Low birth weight and high plasma irisin are predictive of elevated blood pressure.
- Irisin may have dual roles in different tissues and compensatory mechanisms.
Background:
Irisin regulates various metabolic, inflammatory, and oxidative stress processes. It has been considered a promising target in the context of the development and maintenance of cardiovascular diseases. We conducted a study to evaluate the levels of plasma irisin in prepubertal children, examining its relationship with birth weight, anthropometric parameters, biochemical profile, and blood pressure levels.
Methods:
A cross-sectional study was conducted involving 136 prepubertal children aged 6 to 11 years, with 27.9% born at a low weight. Anthropometric parameters, blood pressure, and biochemical profiles were assessed.
Results:
Children with low birth weight had significantly lower irisin levels compared to those with normal birth weight (p < 0.001). Birth weight was negatively correlated with blood pressure levels (systolic: r = -0.213, p = 0.013; diastolic: r = -0.223, p = 0.009) and positively correlated with irisin levels (p < 0.001). Irisin levels were positively associated with systolic blood pressure, even after adjusting for birth weight, BMI, and physical activity (p < 0.001). The linear regression analysis indicated that low birth weight and high plasma levels of irisin were recognized as predictive factors of elevated blood pressure levels.
Conclusion:
The positive correlation observed between circulating irisin and systolic blood pressure levels in children with low birth weight, despite their lower irisin levels, suggests a complex interplay between birth weight, irisin, cardiovascular regulation, and metabolic function. Understanding this relationship may require considering that irisin may play dual roles in different tissues, compensatory mechanisms, and the broader context of cardiometabolic programming in children with low birth weight.
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