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

IF 1.3 Q3 PEDIATRICS
Sultan Kaba, Sinan Kılıç
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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.

调查肥胖儿童体内的微量元素水平和有毒金属:单中心经验
导致儿童肥胖症发病机制的各种因素的作用仍有待全面阐明。有关儿童肥胖症中微量元素的研究十分有限。我们的目的是评估健康儿童和肥胖儿童体内的微量元素和铅(Pb)、铜(Cu)(均为有毒金属)水平,并研究这些元素与肥胖相关的人体测量指标、血脂特征以及胰岛素和葡萄糖水平之间的潜在相关性。研究采用炉原子吸收分光光度法测量血清中微量元素的浓度。此外,还测定了肥胖儿童(体重指数≥年龄和性别第 95 百分位数)和 50 名健康儿童的空腹血糖、胰岛素和血脂水平。只有肥胖组儿童接受了口服葡萄糖耐量试验(OGTT)。肥胖儿童体内铁、镁、锌和钴的含量明显降低,而铜、铅和锰的含量则有所升高(P < .001,P < 0.01)。
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