期刊
METABOLISM-CLINICAL AND EXPERIMENTAL
卷 62, 期 2, 页码 226-234出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.metabol.2012.08.001
关键词
Energy homeostasis; Hypothalamus; Leptin; Lifestyle intervention; Cardiovascular risk
资金
- obesity network LARGE [01 GI0839]
- German Federal Ministry of Research
- Bundesministerium fur Bildung und Forschung (Obesity network: LARGE grant) [01 GI0839]
- Bonfor Research Foundation, University of Bonn, Germany
Objective. Brain-derived neurotrophic factor (BDNF) is a regulator of energy homeostasis and food intake through hypothalamic signaling. Currently, data regarding BDNF in children with obesity are lacking. We evaluated serum BDNF concentrations in obese children, both before and after lifestyle intervention, in reference to those of lean children. Methods. A total of 90 (24 normal weight; 66 obese) children were studied utilizing a cross-sectional clinical outpatient study design. In addition, longitudinal data analysis was performed in 30 obese children participating in a lifestyle intervention for one year. Results. Fasting serum BDNF concentrations were higher in obese vs. normal weight children (BDNF 20.3 +/- 1.0 vs. 12.5 +/- 1.7ng/mL, respectively, mean +/- SEM, p<0.001) and correlated significantly to BMI standard deviation score (r=0.426, p<0.001), and leptin (r=0.414, p<0.01). BDNF concentrations were not regulated in response to food, 60min after ingestion of a liquid test meal. After one year lifestyle intervention, delta BDNF correlated significantly to delta leptin (r=0.475, p<0.01), but not to changes of insulin resistance index HOMA-IR, systolic and diastolic blood pressure, HDL, LDL, and triglycerides. In a multiple stepwise linear regression adjusted for pubertal stage, age, sex, and BMI, delta BDNF correlated significantly (p<0.05) to delta leptin and delta triceps skinfold and in tendency to delta subscapularis skinfold thickness (p=0.050). Conclusions. Our results in children do not indicate a significant relationship between BDNF and insulin resistance or cardiovascular risk factors. However, the correlation between changes of BDNF and changes of leptin suggests a relationship between BDNF and fat mass. (c) 2013 Elsevier Inc. All rights reserved.
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