Epidemiology Research Unit of UMAE, Hospital de Especialidades, Centro Médico Nacional Siglo XXI , Mexico city , Mexico.
Biomedical Research Unit of the Mexican Social Security Institute at Durango , Durango , Mexico.
Endocr Res. 2019 Nov;44(4):159-167. doi: 10.1080/07435800.2019.1610771. Epub 2019 May 1.
Given that adipocytokines may play an important role in the pathophysiology of high blood pressure (HBP) and because related reports in children are scarce and controversial, we evaluated the relationship of leptin, resistin, tumor necrosis factor-α, interleukin-6, adiponectin, and interferon-γ with HBP. . A total of 129 (53.8%) girls and 111 (46.2%) boys, with average ages of 10.8 ± 0.9 and 10.6 ± 1.0 years, respectively, were enrolled in a cross-sectional study. HBP was defined by systolic blood pressure (SBP) and/or diastolic blood pressure (DBP) between the 90th and 95th percentiles. A multivariate logistic regression backwards-stepwise analysis adjusted for body mass index, waist circumference, and triglyceride levels was performed to compute the association between adipocytokines and HBP. . Seventy-two (30.0%) participants showed HBP: 44 (61.1%) girls and 28 (38.9%) boys. Multivariate analysis showed that, irrespective of obesity, serum levels of adiponectin, but not those of other adipocytokines, are inversely associated with HBP (odds ratio 0.93; 95% CI 0.77 to 0.98, p = .04). . Our results show that low serum adiponectin levels, but not those of other adipocytokines, are inversely associated with HBP; this association is independent of obesity.
鉴于脂肪细胞因子可能在高血压 (HBP) 的病理生理学中发挥重要作用,并且由于相关的儿童报告很少且存在争议,我们评估了瘦素、抵抗素、肿瘤坏死因子-α、白细胞介素-6、脂联素和干扰素-γ与 HBP 的关系。共纳入 129 名 (53.8%)女孩和 111 名 (46.2%)男孩,平均年龄分别为 10.8 ± 0.9 岁和 10.6 ± 1.0 岁。采用横断面研究。HBP 的定义为收缩压 (SBP) 和/或舒张压 (DBP) 在第 90 至 95 百分位之间。进行多元逻辑回归向后逐步分析,调整体重指数、腰围和甘油三酯水平,以计算脂肪细胞因子与 HBP 之间的关联。72 名 (30.0%)参与者表现出 HBP:44 名 (61.1%)女孩和 28 名 (38.9%)男孩。多变量分析表明,无论肥胖与否,血清脂联素水平而不是其他脂肪细胞因子水平与 HBP 呈负相关 (比值比 0.93;95%CI 0.77 至 0.98,p =.04)。我们的结果表明,低血清脂联素水平而不是其他脂肪细胞因子水平与 HBP 呈负相关;这种关联独立于肥胖。