Effect of a Three-month Period of Diet and pPhysical Activity on Adipokines and Inflammatory Status in Children with Metabolic Syndrome

Ramona Stroescu,Mihai Gafencu,Adrian Voicu,Teofana Bizerea,Aniko Manea,Marilena Motoc,Otilia Mărginean ,Gabriela Doroş

doi:10.37358/rc.19.1.6910

Abstract

The prevalence of metabolic syndrome (MetS) in the young population continues to rise. This study aimed to determine whether adipokines are significant markers in defining MetS in a pediatric population and to assess the effect of a hypocaloric diet and physical activity on serum concentrations of adiponectin, leptin, and high-sensitivity C-reactive protein (hs-CRP). A prospective study was conducted over a period of 1 year, between January and December 2015, on 66 cases of obesity in children diagnosed at the Louis Turcanu Emergency Hospital for Children in Timisoara, Romania. The patients diagnosed with MetS were put on diet and physical exercise for 3 months. MetS was present in 63.6 % of obese children. There was a significant and positive correlation between MetS and both leptin and hs-CRP and a significant, negative correlation between MetS and adiponectin. After diet and physical activity, 3 patients no longer met the criteria for MetS. Leptin, adiponectin and hs-CRP concentrations statistically improved after a three-month diet and physical activity program. In conclusion, hs-CRP, leptin and adiponectin can be used as predictors of cardiovascular risk in the pediatric population. Diet and physical activity have an impact on metabolic status.

Highlights

The prevalence of metabolic syndrome (MetS) in the young population continues to rise
As indicated in previous studies, children and adolescents with risk factors such as obesity, dyslipidemia, elevated blood pressure and impaired glucose metabolism are at increased risk of developing atherosclerosis in adulthood [2, 3]
The present study proposes an assessment of the importance of various adipogenic factors as incipient risk factors for atherosclerosis in the pediatric population

Summary

Introduction

The prevalence of metabolic syndrome (MetS) in the young population continues to rise. This study aimed to determine whether adipokines are significant markers in defining MetS in a pediatric population and to assess the effect of a hypocaloric diet and physical activity on serum concentrations of adiponectin, leptin, and high-sensitivity C-reactive protein (hs-CRP). Adiponectin and hs-CRP concentrations statistically improved after a three-month diet and physical activity program. As the obese population continues to rise, the prevalence of MetS is increasing in both children and adolescents [1]. As indicated in previous studies, children and adolescents with risk factors such as obesity, dyslipidemia, elevated blood pressure and impaired glucose metabolism are at increased risk of developing atherosclerosis in adulthood [2, 3]. Adiponectin concentrations are inversely correlated with body fat mass. The reduction of fat mass improves insulin sensitivity, reduces the levels of inflammation markers and ameliorates endothelial dysfunction, slowing down the development of diabetic complications

Objectives

Methods

Results