Evaluation of Adiposity-Related Parameters in Obese Children
Authors: Mustafa M. Donma, Ahsen Yilmaz, Savas Guzel, Orkide Donma
Abstract:
The aim of the study was to evaluate possible relations among biochemical parameters thought to be related to adiposity-related mechanisms in children with normal body mass index (N-BMI), obese (OB) children, and children with metabolic syndrome (MetS). Weight, height, as well as waist, hip, head, and neck circumference values were taken and BMI values were calculated. Children aged 6-18 years were investigated. 176 children (44 children whose BMI percentiles between the 15th and 85th were classified as the control, 88 children with BMI percentiles above the 95th percentile were categorized as the OB group, and 44 children meeting the criteria for MetS were included in the MetS group) were surveyed in total. Serum leptin, ghrelin, adiponectin, asprosin, liver-expressed antimicrobial peptide 2 (Leap2), obestatin, and interleukin-6 levels were determined using ELISA. Statistical analyses were performed using SPSS for Windows. Leptin concentrations increased with the progression of obesity, while ghrelin concentrations showed a corresponding decrease. Interleukin-6, as a proinflammatory marker, increased in obese groups compared to those in the control group. Adiponectin appeared to be a parameter, did not significant potential for distinguishing OB children from those with MetS. In the MetS group, interleukin-6 was correlated with fasting blood glucose (FBG). Strong correlations were obtained among asprosin, Leap2, and obestatin in all groups. Strong correlations among asprosin, Leap2, and obestatin, suggesting their potential interrelation through various mechanisms in different metabolic phases. The association between FBG, as a key predictor of MetS, and interleukin-6 in the MetS group highlights the potential importance of including interleukin-6 in the list of MetS components.
Keywords: Adiposity, interleukin-6, metabolic syndrome, obese children.
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