Akelma Ahmet Zulfikar, Abaci Ayhan, Ozdemir Osman, Celik Aydin, Avci Zekai, Razi Cem Hasan, Hizli Samil, Akin Okhan
Department of Pediatrics, Kecioren Teaching and Research Hospital, Ankara, Turkey.
J Pediatr Endocrinol Metab. 2012;25(5-6):525-8. doi: 10.1515/jpem-2011-0477.
We aimed to evaluate the association between serum lipocalin-2 level and clinical and metabolic parameters in obese children.
The study included obese children with a body mass index (BMI) >95th percentile who presented to Kecioren Teaching and Research Hospital with the complaint of weight gain and healthy children with a BMI <85th percentile. The height and weight of the patients were measured for compartment of anthropometric data. Fasting blood glucose, insulin, lipid profile, and serum lipocalin-2 level were measured to evaluate the laboratory parameters.
The study included 33 obese and 34 healthy nonobese children. Comparison of data on the obese subjects with those of the healthy subjects shows differences in BMI, BMI-SDS, triglyceride, insulin, and homeostasis model assessment index-insulin resistance levels between the two groups were statistically significant (p < 0.05), whereas serum lipocalin-2 was not statistically significant (p >0.05). There was no statistically significant difference in serum lipocalin-2 levels when obese and control groups were reclassified as prepubertal and pubertal ( p >0.05).
In this study, we did not find any relationships among serum lipocalin-2 level, anthropometric parameters, or metabolic parameters. According to the results of this study, we do not suggest routine investigation of serum lipocalin-2 level in obese subjects for risk stratification of the obesity-related complications.
我们旨在评估肥胖儿童血清2-微球蛋白水平与临床及代谢参数之间的关联。
该研究纳入了体重指数(BMI)>第95百分位数、因体重增加主诉就诊于凯乔伦教学与研究医院的肥胖儿童,以及BMI<第85百分位数的健康儿童。测量患者的身高和体重以获取人体测量数据。检测空腹血糖、胰岛素、血脂谱和血清2-微球蛋白水平以评估实验室参数。
该研究纳入了33名肥胖儿童和34名健康非肥胖儿童。肥胖受试者与健康受试者的数据比较显示,两组之间的BMI、BMI标准差、甘油三酯、胰岛素和稳态模型评估指数-胰岛素抵抗水平存在统计学显著差异(p<0.05),而血清2-微球蛋白无统计学显著差异(p>0.05)。将肥胖组和对照组重新分类为青春期前和青春期后时,血清2-微球蛋白水平无统计学显著差异(p>0.05)。
在本研究中,我们未发现血清2-微球蛋白水平、人体测量参数或代谢参数之间存在任何关联。根据本研究结果,我们不建议对肥胖受试者常规检测血清2-微球蛋白水平以进行肥胖相关并发症的风险分层。