Lower Circulating Leptin Levels Are Related to Non-Alcoholic Fatty Liver Disease in Children With Obesity.


Journal

Frontiers in endocrinology
ISSN: 1664-2392
Titre abrégé: Front Endocrinol (Lausanne)
Pays: Switzerland
ID NLM: 101555782

Informations de publication

Date de publication:
2022
Historique:
received: 23 02 2022
accepted: 04 04 2022
entrez: 9 6 2022
pubmed: 10 6 2022
medline: 11 6 2022
Statut: epublish

Résumé

While for individuals with obesity an association between hyperleptinemia and an increased risk of non-alcoholic fatty liver disease (NAFLD) is assumed, a leptin deficiency is also related to the development of NAFLD early in life in To investigate the association of circulating leptin levels in pre-pubertal children with obesity and steatosis hepatis. The cross-sectional study consisted data of n=97 (n One-third of the children with obesity were diagnosed with steatosis hepatis (I°: 63.6%, II°/III°: 36.4%). Children with steatosis hepatis had significantly lower z-scores of circulating leptin levels compared to children with an unremarkable liver ultrasonography (-2.1 ± 0.8 vs. -0.7 ± 0.6). Z-scores of circulating leptin levels correlate negatively with degree of steatosis hepatis. Children with low z-scores of circulating leptin levels had significantly higher triglyceride, fasting insulin and c-peptide levels compared to children with normal z-scores of circulating leptin levels. Prepubertal children with NAFLD and obesity and partial leptin deficiency might be defined as a clinical subgroup.

Sections du résumé

Background
While for individuals with obesity an association between hyperleptinemia and an increased risk of non-alcoholic fatty liver disease (NAFLD) is assumed, a leptin deficiency is also related to the development of NAFLD early in life in
Objectives
To investigate the association of circulating leptin levels in pre-pubertal children with obesity and steatosis hepatis.
Methods
The cross-sectional study consisted data of n=97 (n
Results
One-third of the children with obesity were diagnosed with steatosis hepatis (I°: 63.6%, II°/III°: 36.4%). Children with steatosis hepatis had significantly lower z-scores of circulating leptin levels compared to children with an unremarkable liver ultrasonography (-2.1 ± 0.8 vs. -0.7 ± 0.6). Z-scores of circulating leptin levels correlate negatively with degree of steatosis hepatis. Children with low z-scores of circulating leptin levels had significantly higher triglyceride, fasting insulin and c-peptide levels compared to children with normal z-scores of circulating leptin levels.
Conclusion
Prepubertal children with NAFLD and obesity and partial leptin deficiency might be defined as a clinical subgroup.

Identifiants

pubmed: 35677722
doi: 10.3389/fendo.2022.881982
pmc: PMC9169562
doi:

Substances chimiques

C-Peptide 0
Insulin 0
Leptin 0
Triglycerides 0

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

881982

Informations de copyright

Copyright © 2022 Brandt, von Schnurbein, Denzer, Kratzer and Wabitsch.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Stephanie Brandt (S)

Center for Rare Endocrine Diseases, Division of Paediatric Endocrinology and Diabetes, Department of Paediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany.

Julia von Schnurbein (J)

Center for Rare Endocrine Diseases, Division of Paediatric Endocrinology and Diabetes, Department of Paediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany.

Christian Denzer (C)

Center for Rare Endocrine Diseases, Division of Paediatric Endocrinology and Diabetes, Department of Paediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany.

Wolfgang Kratzer (W)

Department of Internal Medicine I, University Hospital Ulm, Ulm, Germany.

Martin Wabitsch (M)

Center for Rare Endocrine Diseases, Division of Paediatric Endocrinology and Diabetes, Department of Paediatrics and Adolescent Medicine, University Medical Center Ulm, Ulm, Germany.

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Classifications MeSH