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Metabolic factors in obesity

dc.contributor.authorBrito, N
dc.contributor.authorFonseca, M
dc.contributor.authorDinis, I
dc.contributor.authorMirante, A
dc.date.accessioned2018-12-28T16:28:15Z
dc.date.available2018-12-28T16:28:15Z
dc.date.issued2010
dc.description.abstractObesity has a rising prevalence in children and adolescents, affecting 30% of the paediatric population in Portugal. Leptin is an important hormone involved in the pathogenesis of obesity and has been under investigation as a risk marker for future complications. AIMS: 1. To evaluate the relation between serum leptin levels and body mass index (BMI) and height. 2. To compare leptin levels in obese and non-obese children. 3. To evaluate the relation between leptin levels and insulin resistance index. METHODS: Cross-sectional study, using a sample of 70 obese children and a control group of 53 non-obese children. Obesity was defined as BMI standard deviation > 2 for age and sex. In the obese group we assessed sex, age, BMI SDS and height SDS for age and sex, and serum levels of glucose, insulin and leptin. In the control group were obtained BMI SDS and height SDS for age and sex and leptin levels. Data were analysed using SPSS 12. RESULTS: The mean age of obese and non-obese children was 10.3 +/- 2.9 versus 10.9 +/- 3.5 years. In the obese group, 32 (45.7%) were boys versus 18 (31.0%) in the non-obese group. BMI SDS in the obese group was 3.12 +/- 0.60 versus 0.20 +/- 0.99 in the non-obese group (p < 0.001). Leptin levels showed a positive correlation with BMI SDS (r = 0.69; p < 0.001) and height SDS (r = 0.31; p < 0.001). When comparing leptin levels between obese and non-obese groups, we found a significant difference in boys (50.7 +/- 27.3 versus 7.0 +/- 6.8 ng/ml; p < 0.001) and in girls (57.6 +/- 25.5 versus 16.5 +/- 10.3 ng/ml; p < 0.001). In the nonobese group, leptin levels were lower in boys. This difference was not seen in the obese group. Leptin showed a positive correlation with insulin resistance index in boys (r = 0.45, p = 0.05), but not in girls. CONCLUSIONS: This study has confirmed a positive correlation between leptin levels and BMI SDS. In obese children elevated leptin is associated with central resistance to its action. The positive correlation of leptin with insulin resistance index may suggest a major role of leptin in insulin resistance.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Pediatr Endocrinol Metab. 2010 Jan-Feb;23(1-2):97-100.pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.4/2194
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectAdolescentept_PT
dc.subjectCriançapt_PT
dc.subjectGlicemiapt_PT
dc.subjectResistência à Insulinapt_PT
dc.subjectLeptinapt_PT
dc.subjectObesidadept_PT
dc.titleMetabolic factors in obesitypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue1-2pt_PT
oaire.citation.startPage97-100pt_PT
oaire.citation.volume23pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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