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肥胖儿童微量元素水平及有毒金属的调查:单中心经验

Investigation of Trace Element Levels and Toxic Metals in Obese Children: A Single-Center Experienc.

作者信息

Kaba Sultan, Kılıç Sinan

机构信息

Department of Pediatric Endocrinology, Faculity of Medicine, Okan University, İstanbul, Türkiye.

Department of Pediatric Surgery, Gebze Yuzyil Hospital, Kocaeli, Türkiye.

出版信息

Turk Arch Pediatr. 2024 Jul 1;59(4):390-396. doi: 10.5152/TurkArchPediatr.2024.24016.

Abstract

The complete role of factors contributing to the pathogenesis of childhood obesity remains to be fully elucidated. Limited research has addressed trace elements in the context of child obesity. Our objective was to assess trace element and lead (Pb), copper (Cu) (are toxic metal) levels in both healthy and obese children, and to investigate the potential correlations between these elements and obesity-related anthropometric measurements, lipid profiles, as well as insulin and glucose levels. Furnace atomic absorption spectrophotometry was employed to measure the concentrations of trace elements in the serum. Additionally, fasting glucose, insulin, and lipid levels were determined in obese children (body mass index ≥ 95th percentile for age and sex), along with 50 healthy children. Only the obesity group underwent an oral glucose tolerance test (OGTT). Significantly reduced levels of Fe, Mg, Zn, and Co were observed in obese children, whereas Cu, Pb, and Mn levels were elevated (P < .001, P <.001, P = .002, P = .008, P <.001, P = .001, P = .007, respectively). Significant positive correlations were found between the 2-hour glucose level in OGTT and Mn (P = .013), as well as between peak insulin and insulin levels at the 30th and 60th minutes, and Fe (P = .001, P = .025, P = .001). This study indicates that an imbalance in trace element levels and the accumulation of Pb may be associated with obesity, while levels of Mn and Fe may be linked to glucose intolerance.

摘要

导致儿童肥胖发病机制的各种因素的完整作用仍有待充分阐明。在儿童肥胖背景下针对微量元素的研究有限。我们的目标是评估健康儿童和肥胖儿童体内的微量元素以及铅(Pb)、铜(Cu)(有毒金属)水平,并研究这些元素与肥胖相关人体测量指标、血脂谱以及胰岛素和血糖水平之间的潜在相关性。采用火焰原子吸收分光光度法测定血清中微量元素的浓度。此外,还测定了肥胖儿童(年龄和性别体重指数≥第95百分位数)以及50名健康儿童的空腹血糖、胰岛素和血脂水平。只有肥胖组进行了口服葡萄糖耐量试验(OGTT)。肥胖儿童体内铁(Fe)、镁(Mg)、锌(Zn)和钴(Co)水平显著降低,而铜(Cu)、铅(Pb)和锰(Mn)水平升高(分别为P < .001、P <.001、P = .002、P = .008、P <.001、P = .001、P = .007)。OGTT中2小时血糖水平与锰(Mn)之间存在显著正相关(P = .013),30分钟和60分钟时的胰岛素峰值和胰岛素水平与铁(Fe)之间也存在显著正相关(P = .001、P = .025、P = .001)。本研究表明,微量元素水平失衡和铅的蓄积可能与肥胖有关,而锰和铁的水平可能与葡萄糖不耐受有关。

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