Department of Pediatric and Adolescent Endocrinology, Chair of Pediatrics, Pediatric Institute, Jagiellonian University, Medical College, Ul. Wielicka 265, 30-663, Kraków, Poland.
Department of Pediatrics, Gastroenterology and Nutrition, Institute of Pediatrics, Jagiellonian University Medical College, Kraków, Poland.
J Pediatr Endocrinol Metab. 2020 May 29;33(6):729-734. doi: 10.1515/jpem-2019-0460.
Background Elevated chemerin level is observed in patients with arterial hypertension. The aim of the study was to determine the relationship between chemerin level, and parameters of blood pressure and arterial stiffness in children and adolescents with obesity but without arterial hypertension. Methods In 23 children with obesity (13 girls, mean age 9.3, SD 1.9, mean BMI SDS 3.9, SD 1.7) 24 h ABPM (Spacelabs 90,217, USA), common carotids and abdominal aorta intima media thickness measurements (Voluson 730, GE Medical System 8.5 and 3.5 MHz probes), body composition analysis (Tanita BC 418 S MA, Tokyo, Japan) were performed. Glucose, triglycerides, total, LDL and HDL cholesterol, liver enzymes, uric acid, creatinine, sodium, insulin and chemerin levels were assessed in blood sample taken after a 12-h fasting period. Results There was a significant correlation of circulating chemerin level with systolic blood pressure load in ABPM (r=0.5, p<0.05). Conclusion Elevated chemerin level may be associated with increased systolic blood pressure in obese children.
动脉高血压患者的趋化素水平升高。本研究旨在确定肥胖但无动脉高血压的儿童和青少年趋化素水平与血压和动脉僵硬度参数之间的关系。
在 23 名肥胖儿童(13 名女孩,平均年龄 9.3±1.9 岁,平均 BMI SDS 为 3.9±1.7)中进行了 24 小时 ABPM(Spacelabs 90217,美国)、颈总动脉和腹主动脉内中膜厚度测量(Voluson 730,GE Medical System 8.5 和 3.5 MHz 探头)、身体成分分析(Tanita BC 418SMA,东京,日本)。在禁食 12 小时后采集血样,评估血糖、甘油三酯、总胆固醇、LDL 和 HDL 胆固醇、肝酶、尿酸、肌酐、钠、胰岛素和趋化素水平。
循环趋化素水平与 ABPM 中的收缩压负荷呈显著相关性(r=0.5,p<0.05)。
趋化素水平升高可能与肥胖儿童的收缩压升高有关。