Chair and Department of Topographic and Descriptive Anatomy, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland.
Chair and Department of Medical and Molecular Biology, Faculty of Medical Sciences in Zabrze, Medical University of Silesia in Katowice, Poland.
Pediatr Endocrinol Diabetes Metab. 2022;28(4):263-273. doi: 10.5114/pedm.2022.119782.
Obesity is a complex condition with multifactorial aetiopathogenesis. Adipose tissue is reservoir of many adipokines which play a great role in proinflammatory response in obesity. Aim of the study: Comparative assessment of ghrelin, leptin, and interleukin-6 (IL-6) salivary concentration among children having proper and excess of body mass. Analysis of the interrelationship between the obtained concentrations of substances and selected anthropometric parameters and blood pressure values in the studied children.
The study group comprised 102 children aged 7-10 years. The nutritional status of children was assessed by the use of the BMI index. The control group (n = 74) comprised children with proper body mass, and the study group (n = 28) contained children having overweight/obesity. Saliva samples were taken from all children at school. Subsequently, some anthropometric parameters and blood pressure values of the children were measured. The laboratory assessment of substances was made by ELISA method. Next, statistical analysis of all obtained results was performed using professional software.
Salivary ghrelin, leptin, and IL-6 concentrations were statistically significantly higher in the study group than in the control group (p = 0.001). The study revealed a positive correlation between salivary ghrelin concentration and BMI in the whole study population (p = 0.001), and between ghrelin concentration and body weight, waist circumference, hip circumference, and waist-to-hip ratio in all subjects. In the study group, the BMI value was positively correlated only with IL-6 saliva concentration (p = 0.005).
The study revealed significant differences between saliva ghrelin, leptin, and IL-6 concentration between the control group and the study group. The above findings can be a good predictor with which to detect co-existing metabolic alternations in obese patients.
肥胖是一种具有多因素发病机制的复杂病症。脂肪组织是许多脂肪因子的储存库,这些脂肪因子在肥胖的促炎反应中起着重要作用。研究目的:比较评估正常体重和超重/肥胖儿童的唾液中 ghrelin、瘦素和白细胞介素-6(IL-6)的浓度。分析所获得的物质浓度与研究儿童中选择的人体测量参数和血压值之间的相互关系。
研究组包括 102 名 7-10 岁的儿童。儿童的营养状况通过 BMI 指数进行评估。对照组(n = 74)包括体重正常的儿童,研究组(n = 28)包括超重/肥胖的儿童。所有儿童均在学校采集唾液样本。随后,测量了一些儿童的人体测量参数和血压值。使用 ELISA 法对物质进行实验室评估。接下来,使用专业软件对所有获得的结果进行统计分析。
研究组儿童的唾液 ghrelin、瘦素和 IL-6 浓度明显高于对照组(p = 0.001)。研究表明,整个研究人群的唾液 ghrelin 浓度与 BMI 呈正相关(p = 0.001),并且在所有受试者中,ghrelin 浓度与体重、腰围、臀围和腰臀比呈正相关。在研究组中,BMI 值仅与 IL-6 唾液浓度呈正相关(p = 0.005)。
本研究显示了对照组和研究组之间唾液 ghrelin、瘦素和 IL-6 浓度的显著差异。上述发现可以作为一种很好的预测指标,用于检测肥胖患者中并存的代谢改变。