The Level of Inflammatory Markers and Their Relationship with Fat Tissue Distribution in Children with Obesity and Type 2 Diabetes Mellitus.

IF 1.3 Q3 PEDIATRICS
Beyza Akalın Ertürk, Özlem Gülbahar, Seda Kaynak Şahap, Tuba Saadet Deveci Bulut, Semra Çetinkaya, Şenay Savaş Erdeve
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Abstract

Objective: This study aimed to determine the changes in proinflammatory and anti-inflam- matory markers in children aged 10-18, who were not diagnosed with type 2 diabetes mel- litus, were obese/overweight, and children with type 2 diabetes mellitus. In addition, we aimed to investigate whether these markers were associated with clinical and laboratory parame- ters, subcutaneous adipose tissue, preperitoneal adipose tissue, visceral adipose tissue, and hepatosteatosis.

Materials and methods: Children between the ages of 10 and 18, obese/overweight, with type 2 diabetes mellitus, and with a normal body mass index were included. Fat tissue thick- ness was measured. Tumor necrosis factor-α, interleukin-1β, interleukin-6, interleukin-18, and interferon-γ as proinflammatory markers and transforming growth factor-β and interleukin-10 levels as anti-inflammatory markers were studied.

Results: Twenty-eight (31.8%) controls, 44 (50%) obese/overweight, and 16 (18.2%) patients with type 2 diabetes mellitus were included in our study. Age, sex, and puberty were similar between the groups. In the type 2 diabetes mellitus group, the subcutaneous fat tissue thick- ness was higher than that in the obese group, and the preperitoneal and visceral fat tissue thicknesses were similar to those in the obese group. Proinflammatory markers and interleu- kin-10 levels were similar in the obese/overweight, type 2 diabetes mellitus, and control groups. Transforming growth factor-β levels were significantly lower in the type 2 diabetes mellitus group than in the control group (P = .039). Transforming growth factor-β levels and other labo- ratory variables did not differ significantly in the type 2 diabetes mellitus group.

Conclusion: While there was no change in all markers in the obese/overweight group com- pared with the control group, proinflammatory markers in the type 2 diabetes mellitus group were similar to those in the obese/overweight and control groups, and transforming growth factor-β level, an anti-inflammatory marker, was lower in the type 2 diabetes mellitus group than in the control group.

Abstract Image

肥胖和2型糖尿病儿童炎症标志物水平及其与脂肪组织分布的关系。
目的:本研究旨在确定10-18岁未被诊断为2型糖尿病、肥胖/超重和2型糖尿病儿童的促炎和抗炎标志物的变化。此外,我们旨在研究这些标志物是否与临床和实验室参数、皮下脂肪组织、腹膜前脂肪组织、内脏脂肪组织和肝脂肪变性有关。材料和方法:纳入10至18岁、肥胖/超重、2型糖尿病和体重指数正常的儿童。测量脂肪组织厚度。研究了肿瘤坏死因子-α、白介素-1β、白介素-6、白介素-18和干扰素-γ作为促炎标志物,转化生长因子-β和白介素-10水平作为抗炎标志物。结果:我们的研究包括28名(31.8%)对照组、44名(50%)肥胖/超重患者和16名(18.2%)2型糖尿病患者。年龄、性别和青春期在两组之间是相似的。2型糖尿病组的皮下脂肪组织厚度高于肥胖组,腹膜前和内脏脂肪组织厚度与肥胖组相似。在肥胖/超重、2型糖尿病和对照组中,促炎性标志物和白细胞介素-10水平相似。2型糖尿病组的转化生长因子-β水平显著低于对照组(P=0.039)。2型糖尿病患者的转化生长因数-β水平和其他实验室变量没有显著差异。结论:虽然肥胖/超重组的所有标志物与对照组相比没有变化,但2型糖尿病组的促炎标志物与肥胖/超重和对照组相似,2型糖尿病的抗炎标志物转化生长因子-β水平低于对照组。
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