Kassem Eias, Na'amnih Wasef, Shapira Maanit, Ornoy Asher, Muhsen Khitam
Department of Pediatrics, Hillel Yaffe Medical Center, Hadera 3810101, Israel.
Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa 3109601, Israel.
J Clin Med. 2022 Nov 26;11(23):6973. doi: 10.3390/jcm11236973.
Childhood obesity is a major health problem. We examined differences between children with obesity and normal weight in nutritional and inflammation biomarkers. A cross-sectional study was conducted among healthy children aged 10-12 years from Arab villages in Israel. Parents were interviewed regarding sociodemographic and children's health status. Body weight and height measurements were performed and weight categories were defined using the 2007 WHO growth curves. Blood samples were tested for complete blood count, levels of iron, ferritin, lipids, uric acid, and C-reactive protein (CRP). Overall, 146 children (59.0% males, mean age = 11.3 [SD = 0.5]) were enrolled. In total 43.8%, 14.1% and 42.3% of the participants had normal weight, overweight and obesity, respectively. A multivariable logistic regression model showed that children with overweight and obesity had lower iron, and HDL-C levels than children with normal weight. Levels of CRP, uric acid, LDL-C and lymphocytes were higher among children with overweight and obesity. In conclusion, our findings highlight the worse metabolic and nutritional status in overweight and obese children. Such markers play a role in metabolic syndrome, thus suggesting that metabolic syndrome might start in childhood.
儿童肥胖是一个主要的健康问题。我们研究了肥胖儿童和正常体重儿童在营养和炎症生物标志物方面的差异。对以色列阿拉伯村庄10至12岁的健康儿童进行了一项横断面研究。就社会人口统计学和儿童健康状况对家长进行了访谈。测量了体重和身高,并使用2007年世界卫生组织生长曲线定义了体重类别。对血样进行了全血细胞计数、铁、铁蛋白、脂质、尿酸和C反应蛋白(CRP)水平的检测。总体而言,共纳入146名儿童(59.0%为男性,平均年龄=11.3岁[标准差=0.5])。参与者中分别有43.8%、14.1%和42.3%的儿童体重正常、超重和肥胖。多变量逻辑回归模型显示,超重和肥胖儿童的铁和高密度脂蛋白胆固醇(HDL-C)水平低于体重正常的儿童。超重和肥胖儿童的CRP、尿酸、低密度脂蛋白胆固醇(LDL-C)和淋巴细胞水平较高。总之,我们的研究结果突出了超重和肥胖儿童较差的代谢和营养状况。这些标志物在代谢综合征中起作用,因此提示代谢综合征可能始于儿童期。