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Updated: Jul 2, 2026

Breath Collection from Children for Disease Biomarker Discovery
Published on: February 14, 2019
Urinary volatile organic compounds as potential non-invasive markers for childhood obesity
Adebowale Samuel Oyerinde1, Jeremy Carson2, Mallory Gibson2
1Department of Nutritional Sciences, Auburn University, Auburn, AL, USA.
Insights
Childhood obesity is linked to specific urinary volatile organic compounds (VOCs). These biomarkers could help identify overweight/obese children non-invasively, aiding early detection and intervention strategies.
Area of Science:
- Metabolomics
- Biomarker Discovery
- Pediatric Health
Background:
- Childhood obesity presents significant health risks, impacting multiple organ systems and increasing the likelihood of chronic diseases later in life.
- Identifying reliable biomarkers for childhood obesity is crucial for early detection and management.
Purpose of the Study:
- To investigate differences in urinary volatile organic compounds (VOCs) between normal weight (NW) and overweight/obese (OW/OB) children.
- To explore potential racial disparities in VOC profiles related to weight status.
Main Methods:
- Analysis of urine samples from 159 children using solid-phase microextraction gas chromatography-mass spectrometry (SPME-GC-MS).
- Employing multiple linear regression to correlate urinary VOCs with Body Mass Index (BMI) z-scores.
Main Results:
- Sixty-five VOCs showed significant differences between NW and OW/OB children.
- Ten VOCs emerged as robust predictors of obesity, independent of race and socioeconomic status.
- The identified VOCs demonstrated moderate diagnostic potential with AUC values up to 0.737.
Conclusions:
- Specific VOCs, including benzaldehyde and hexanal, are positively associated with higher BMI z-scores in children.
- These urinary VOCs show promise as non-invasive biomarkers for childhood obesity.
- Findings may elucidate the chronic inflammation associated with pediatric obesity.
Background:
Childhood obesity is a complex disease and adversely affects multiple organ systems and increases the risk for several health problems, including diabetes, cancer, atherosclerosis, and premature cardiovascular disease in adulthood. This study aimed to identify differences in volatile organic compounds (VOCs) between normal weight (NW) and overweight/obese (OW/OB) children, as well as between European American and African American children.
Methods:
A total of 159 children participated in this cross-sectional study. Urine samples were analyzed using solid-phase microextraction gas chromatography-mass spectrometry (SPME-GC-MS) following glucuronidase and sulfatase treatment to capture a broad range of urinary volatiles with diverse physicochemical properties. Multiple linear regression was used to examine associations between urinary VOCs and BMI z-scores, and to identify VOCs that differentiated NW from OW/OB children.
Results:
Sixty-five VOCs were identified as differing between NW and OW/OB children, with ten remaining significant predictors of obesity after adjusting for race and socioeconomic status. These compounds exhibited area under the curve values ranging from 0.503 and 0.737, with sensitivity and specificity above 0.60.
Conclusions:
Key VOCs, including benzaldehyde, furan, hexanal, 4-heptanone and 2-pentylfuran, were positively associated with BMI z-score and may contribute to the low-grade chronic inflammation characteristic of obesity. These findings highlight the potential of urinary VOCs as non-invasive biomarkers for childhood obesity.
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