Department of Pediatrics, Baoji People's Hospital, Baoji, China.
Department of Integrated Traditional Chinese and Western Medicine, Children's Hospital Affiliated to Xi'an Jiaotong University (Xi'an Children's Hospital), Xi'an, China.
J Clin Lab Anal. 2019 Jul;33(6):e22915. doi: 10.1002/jcla.22915. Epub 2019 May 31.
This study aims to investigate the correlations of asthma in children with body mass index (BMI), adiponectin, and leptin.
A total of 122 children with asthma in our hospital from January 2017 to February 2018 were randomly selected and divided into control group (normal) and observation group (BMI > 28 kg/m ) according to BMI. BMI, adiponectin, and leptin levels between the two groups were measured and compared, and correlations of disease grade with BMI, adiponectin, or leptin were analyzed. Moreover, risk factors for asthma in children were also identified.
Body mass index, leptin level, forced vital capacity (FVC), FVC%, and forced expiratory volume in 1s (FEV1)/FVC in observation group were significantly higher than those in control group (P < 0.05), while the adiponectin level, forced expiratory capacity in 1s (FEC1), and FEV1% in observation group were significantly lower than those in control group (P < 0.05). The amount of severe patients in observation group was much larger than that in control group. The severity of disease was positively correlated with BMI and leptin and negatively correlated with adiponectin. BMI, adiponectin, and leptin were identified as risk factors for asthma in children.
Adiponectin, leptin, and BMI are involved in the pathogenesis of asthma in children, suggesting they might be therapeutic targets for clinical treatment.
本研究旨在探讨儿童哮喘与体重指数(BMI)、脂联素和瘦素的相关性。
选取我院 2017 年 1 月至 2018 年 2 月收治的 122 例哮喘患儿,根据 BMI 分为对照组(正常)和观察组(BMI>28kg/m2)。测量两组 BMI、脂联素、瘦素水平并进行比较,分析疾病程度与 BMI、脂联素或瘦素的相关性,并识别儿童哮喘的危险因素。
观察组 BMI、瘦素水平、用力肺活量(FVC)、FVC%和 1 秒用力呼气量(FEV1)/FVC 均显著高于对照组(P<0.05),而观察组脂联素水平、1 秒用力呼气量(FEC1)和 FEV1%显著低于对照组(P<0.05)。观察组重症患者数量明显多于对照组。疾病严重程度与 BMI 和瘦素呈正相关,与脂联素呈负相关。BMI、脂联素和瘦素被确定为儿童哮喘的危险因素。
脂联素、瘦素和 BMI 参与了儿童哮喘的发病机制,提示它们可能是临床治疗的靶点。