Relationship between obesity and leptin serum among low socioeconomic primary school children aged 5-7 years
Abstract
Background Obesity has become a major health problem globally, indicates as an epidemic problem by World Health Organization (WHO). Adiposity rebound period may represent critical period for the development of adiposity. Recent data suggest that, in industrialized countries, people of low socioeconomic group are more likely to be obese than their high socioeconomic counterparts. Level of serum leptin was reported to be higher in obese subjects. There has been lack of data regarding leptin serum level in Indonesian obese children.
Objective This study aimed to investigate leptin serum level in low socioeconomic obese children.Â
Methods This was a cross sectional study perfonned in Tuminting District, Manado. Obesity was defined based on body mass index for Asiaô€‡Pacific condition, i.e., grade I obesity (BMI 25/29.9 kg/ mL), grade II (BM] 30-40 kg/ml), and grade III (BM] > 40 kg/m2 Low socioeconomic status was detennined based on Government's program Cash Direct Aid Program. loBod sample was obtained from inclusion subjects, consisted of leptin serum.
Results Fiftyô€‡two low socioeconomic obese children were eligible \\lith age ranged between 5 to 7 years. They were divided into grade ] obesity (43 or 82.7%), and grade II (9 or 17.3%). The lowest leptin blood level was 10,291 pg/mL, while the highest was 41,500 pg/dL. All girls had nonnal serum leptin level; in contrast all boys had increased serum leptin level.Â
Conclusions Leprin level increased in those subjects whose BMIÂ increased.
References
2. Prentice AM. The emerging epidemic of obesity in eveloping countries. Int J Epidemiol. 2006;35:93-9.
3. Dietz WHo Critical periods in childhood for the evelopment
of obesity. Am) Clin Nutr. 1994;59,955-9.
4. Wang Y. Crossô€¯national comparison of childhood obesity: the epidemic and the relationship between obesity and socioeconomic status. Int J Epidemiol. 2001;30:1129-36.
5. Danielzik S, Czerwinskiô€¯Mast M, Langnase K, Dilba B, Muller MJ. Parental overweight, socioeconomic status and high birth weight are the major determinants of overweight and obsity in 5-7 year-old children: baseline data of the Kiel Obesity Prevention Study (KOPS). Int) Obes. 2004;28,1494-502.
6. Villaô€¯Caballero L, Caballeroô€¯Solano V, Chavarrfa-Gamboa M, Linaresô€¯Lomeli P, TOffesô€¯Valencia E, Medina-Santill:in R, et al. Obesity and socioeconomic status in children of Tijuana. Am) Prev Med. 2006;30,197-203.
7. Blomquist HK, Bergstrom E. Obesity in 4-year-old children more prevalent in girls and in municipalities with a low sosioeconomic level. Acta Paediatr. 2007;96:113-6.
8. Considine RY. Regulation of leptin production. Rev Endocr Metab Disord. 2001;2,357-63.
9. Paracchini V, Pedotti P, Taioli E. Genetics of leptin and obesity: a huge review. Am J Epidemiol. 2005;162:101-14. 10. Aroonparkmongkol S, Wacharasindhu S, Srivuthana S. Serum levels of leptin in obese Thai children. Chula Med J. 2005;49;694-9.
11. Venner AA, Lyon ME, Doyleô€¯Baker PK. Leptin: a potential biomarker for childhood obesity? Clin Biochem. 2006; 39,1047-56.
12. McMillen IC, Edwards L), Duffield ), Muhlhausler BS. Regulation of leptin synthesis and secretion before birth: implications for the early programming of adult obesity. Reproduction. 2006;131,415-27.
13. Steering Committee. The Asiaô€¯Pacific perspective: redefining obesity and its treatment. Health communications Australia Pty limited publicaton, 2000; p. 2l.
14. Loke KY. Consequences of childhood and adolescent obesity. Asia Pac) Clin Nutr. 2002; 11 (suppl);702S-4S.
15. Mozaffari H, Nabaei B. Obesity and related risk factors. Indian J Pediatr. 2007;74,265-7.
16. Florentino RF, Villavieja GM, Lana RD. Dietary and physical activity of 8- to10-year-old urban school children in Manila,
Philippines. Food Nutr Bull. 2002;23,267-73.
17. Sahu A. Resistance to the satiety action of leptin following
chronic central leptin infusion is associated with the development of leptin resistance in neuropeptide Y neurones.
J Neuroendocrinol. 2002;14,796-804.
18. Landt lv1, ParvinCA, Wong M. Leptinin cerebrospinal fluid from children: correlation v.ith plasma leptin, sexual pimorphism, and lack of protein binding. Cun Chem. 2000;46,854-8.
19. Singhal A, Farooqi IS, Cole TJ, O'Rahilly S, Fewtrell M, Kattenhorn M, et al. Influence of leptin on arterial distensibility. A novel link between obesity and cardiovascular disease. Circulaton. 2002;106:1919-24.
20. Saad MF, Riad-Gabtiel MG, Khan A, Sharma A, Michael R, Jinagouda SD, et al. Diurnal and ultradian rhytmicity of plasma leptin: effect of gender and adiposity. J Clin Endoctinol Metab. 1998;83A53-9.
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Accepted 2016-10-07
Published 2010-06-30