Obesity and CRP, Adiponectin, Leptin, and Lipid Profile in Saudi Arabian Adolescent Females
PDF

Keywords

 CRP, leptin, adiponectin, cholesterol, LDL, HDL, triglycerides, adolescents, BMI, WHR, WC, obesity, inflammation, immunity.

How to Cite

Sawsan Hassan Mahassni, & Rajaa Braik Sebaa. (2013). Obesity and CRP, Adiponectin, Leptin, and Lipid Profile in Saudi Arabian Adolescent Females. Journal of Basic & Applied Sciences, 9, 500–509. https://doi.org/10.6000/1927-5129.2013.09.65

Abstract

Overweight and obesity are increasing tremendously in female Saudi Arabian adolescents. Overweight and obesity lead to many medical risks and affects the immune system. In this study, the effects of obesity on the immune system of 100 Saudi female adolescent students were investigated. Using a blood sample from each subject, the following immune related parameters were determined: concentrations of C-reactive protein (CRP), adiponectin and leptin hormones, and the complete lipid profile. Finally, to assess the body weight status of the subjects and to categorize them, the weight, height, and the waist and hip circumferences were measured to calculate the body mass index (BMI), waist-to-hip ratio (WHR), and the waist circumference (WC). Results show highly significant increases for the CRP and leptin and a highly significant decrease of adiponectin with increasing body weight measured by the three methods. As for the lipid profile, both triglycerides and LDL increased while HDL decreased as body weight increased. Cholesterol did not change with changing body weight measured by the three methods. The findings indicate that obesity seriously affects the immune systems of the subjects and confirm the finding of other researchers that obesity is an inflammatory disease, which explains some health complications associated with obesity.

https://doi.org/10.6000/1927-5129.2013.09.65
PDF

References

El-Hazmi MAF, Warsy AS. A comparative study of prevalence of overweight and obesity in children in different provinces of Saudi Arabia. J Trop Pediatr 2002; 48: 172-7. http://dx.doi.org/10.1093/tropej/48.3.172

Abalkhail B. Overweight and obesity among Saudi Arabian children and adolescents between 1994 and 2000. East Mediterr Health J 2002; 8: 470-9.

Korner A, Kratzsch J, Gausche R, et al. Metabolic syndrome in children and adolescents--risk for sleep-disordered breathing and obstructive sleep-apnoea syndrome? Arch Physiol Biochem 2008; 114: 237-43. http://dx.doi.org/10.1080/13813450802306685

Lee YS. Consequences of childhood obesity. Ann Acad Med Singapore 2009; 38: 75-81.

Marti A, Marcos A, Martinez JA. Obesity and immune function relationships. Obes Rev 2001; 2: 131-40. http://dx.doi.org/10.1046/j.1467-789x.2001.00025.x

Falagas ME, Kompoti M. Obesity and Infection. Lancet 2006; 6: 438-46.

Samartin S, Chandra RK. Obesity, overnutrition and the immune system. Nutr Res 2001; 21: 243-62. http://dx.doi.org/10.1016/S0271-5317(00)00255-4

Wardwell L, Chapman-Novakofski K, Herrel S, Woods J. Nutrient intake and immune function of elderly subjects. J Am Dietetic Assoc 2008; 108: 2005-12. http://dx.doi.org/10.1016/j.jada.2008.09.003

Al-Sufiyani AA, Mahassni SH. Obesity and immune cells in Saudi females. Innate Immu 2011; 17: 439-50. http://dx.doi.org/10.1177/1753425910372536

Mahassni SH, Sebaa RB. Obesity and the immune system in Saudi Arabian adolescent females. Int J Biochem Biotech Sci 2012; 1: 1-16.

Nieman DC, Nehlsen-Cannarella SL, Henson DA, et al. Immune response to obesity and moderate weight loss. Int J Obesity 1996; 20: 353-60.

Lee Y-H, Pratley RE. The evolving role of inflammation in obesity and the metabolic syndrome. Curr Diabetes Rep 2005; 5: 70-5. http://dx.doi.org/10.1007/s11892-005-0071-7

Cancello R, Clément K. Is obesity an inflammatory illness? Role of low-grade inflammation and macrophage infiltration in human white adipose tissue. BJOG: Int J Obstet Gynaecol 2006; 113: 1141-7.

Wärnberg J, Marcos A. Low-grade inflammation and the metabolic syndrome in children and adolescents. Curr Opin Lipidol 2008; 19: 11-5. http://dx.doi.org/10.1097/MOL.0b013e3282f4096b

de Heredia FP, Gómez-Martínez S, Marcos A. Obesity, inflammation and the immune system. Proc Nutr Soc 2012; 71: 332-8. http://dx.doi.org/10.1017/S0029665112000092

Das UN. Is obesity an inflammatory condition? Nutrition 2001; 17: 953-66. http://dx.doi.org/10.1016/S0899-9007(01)00672-4

Weiss R, Dziura J, Burgert TS, et al. Obesity and the metabolic syndrome in children and adolescents. N Engl J Med 2004; 350: 2362-74. http://dx.doi.org/10.1056/NEJMoa031049

Visser M, Bouter LM, McQuillan GM, Wener MH, Harris TB. Elevated C-reactive protein levels in overweight and obese adults. JAMA 1999; 282: 2131-5. http://dx.doi.org/10.1001/jama.282.22.2131

Wärnberg J, Nova E, Moreno LA, et al. Inflammatory proteins are related to total and abdominal adiposity in a healthy adolescent population: the AVENA Study. Am Soc Nutr 2006; 84: 505-12.

Winer JC, Zern TL, Taksali SE, et al. Adiponectin in childhood and adolescent obesity and its association with inflammatory markers and components of the metabolic syndrome. J Clin Endocrinol Metab 2006; 91: 4415-23. http://dx.doi.org/10.1210/jc.2006-0733

Guzik TJ, Mangalat D, Korbut R. Adipocytokines-novel link between inflammation and vascular function? J Physiol Pharmacol 2006; 57: 505-28.

Lago F, Dieguez C, Gomez-reino J, Gualillo O. Adipokines as emerging mediators of immune response and inflammation. Nat Clin Pract Rheumatol 2007; 3: 716-24. http://dx.doi.org/10.1038/ncprheum0674

Lam QL, Lu L. Role of leptin in immunity. Cell Mol Immunol 2007; 4: 1-13.

Fruhbeck G. Intracellular signalling pathways activated by leptin. Biochem J 2006; 393: 7-20. http://dx.doi.org/10.1042/BJ20051578

Poppitt SD, Keogh GF, Lithander FE, et al. Postprandial response of adiponectin, interleukin-6, tumor necrosis factor-?, and C-reactive protein to a high-fat dietary load. Nutrition 2008; 24: 322-9. http://dx.doi.org/10.1016/j.nut.2007.12.012

Bacha F, Saad R, Gungor N, Arslanian SA. Adiponectin in youth: Relationship to visceral adiposity, insulin sensitivity and beta-cell function. Diabetes Care 2004; 27: 547-52. http://dx.doi.org/10.2337/diacare.27.2.547

Pool R. Fat: fighting the obesity epidemic. Oxford University Press: Oxford 2001.

Bhatnagar D, Soran H, Durrington PN. Hypercholestero-laemia and its management. BMJ 2008; 337: a993. http://dx.doi.org/10.1136/bmj.a993

Flegal KM, Ogden CL, Wei R, Kuczmarski RL, Johnson CL. Prevalence of overweight in US children: comparison of US growth charts from the Centers for Disease Control and Prevention with other reference values for body mass index. Am J Clin Nutr 2001; 73: 1086-93.

Cozamanis D. Longevity Made Easy By Damon Cozamanis. USA: iUniverse 2006.

Rolfes S, Pinna K, Whitney E. Understanding Normal and Clinical Nutrition. 7th ed, USA: Thomson Learning, Inc. 2006.

Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, et al. CDC growth charts: United States, Pubmed 2001; 314: 1-27.

Hall JE, Nieman LK. Handbook of Diagnostic Endocrinology, USA: Humana Press 2003.

Geissler C, Powers H. Human Nutrition, China, Elsevier 2005.

Kopelman PG, Caterson ID, Dietz WH. Clinical Obesity in Adults and Children, 3rd ed., Wiley online library: UK 2010.

Park HS, Park JY, Yu R. Relationship of Obesity and Visceral Adiposity with Serum Concentrations of CRP, TNF-[alpha

Brasil AR, Norton RC, Rossetti MB, Leão E, Mendes RP. C-reactive protein as an indicator of low intensity inflammation in children and adolescents with and without obesity. J de Pediatria 2007; 83: 477-80.

Gøbel RJ, Jensen SM, Frøkiaer H, Mølgaard C, Michaelsen KF. Obesity, inflammation and metabolic syndrome in Danish adolescents. Acta Paediatr 2012; 101: 192-200. http://dx.doi.org/10.1111/j.1651-2227.2011.02493.x

Weiss R, Dufour S, Groszmann A, et al. Low adiponectin levels in adolescent obesity: a marker of increased intramyocellular lipid accumulation. Endocrine Soc 2003; 88: 2014-8.

Zou CC, Liang L, Hong F, Fu JF, Zhao ZY. Serum adiponectin, resistin levels and non-alcoholic fatty liver disease in obese children. Endocr J 2005; 52: 519-24. http://dx.doi.org/10.1507/endocrj.52.519

Harel Z, Riggs S, Vaz R, Flanagan P, Harel D. Isolated Low HDL Cholesterol Emerges as the most common lipid abnormality among obese adolescents. Clin Pediatr (Phila) 2010; 49: 29-34. http://dx.doi.org/10.1177/0009922809341076

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Copyright (c) 2013 Sawsan Hassan Mahassni , Rajaa Braik Sebaa