Comparative result showing impact of age on various markers
Variables$
Adolescents (n= 140)
Young adults (n= 140)
Pvalue
Non-obese (n= 70)
Obese (n= 70)
Non-obese (n= 70)
Obese (n= 70)
Adiponectin (μg/mL)
8.7 ± 1.79
7.1 ± 1.79
5.9 ± 1.94
4.1 ± 1.43
*P = 0.01#P = 0.01
hs-CRP (mg/L)
1.9 ± 0.85
1.9 ± 0.83
2.1 ± 0.77
2.2 ± 0.98
*P = 0.04#P = 0.01
C3 (mg/dL)
150.7 ± 30.93
153.5 ± 32.23
156.9 ± 14.68
172.6 ± 17.8
*P = 0.51#P = 0.001
C4 (mg/dL)
30.7 ± 11.41
38.5 ± 15.92
33 ± 8.20
36.3 ± 7.28
*P = 0.68#P = 0.38
Cp (IU/L)
68.2 ± 20.05
72 ± 20.17
78.07 ± 20.12
96.3 ± 16.22
*P = 0.01#P = 0.001
TBARS (nmol/mL)
5.1 ± 0.77
5.1 ± 1.31
4.7 ± 1.31
6.7 ± 0.01
*P = 0.289#P = 0.01
TAC (mmol/L)
1.6 ± 0.56
1.7 ± 0.56
1.6 ± 0.34
0.7 ± 0.48
*P = 1.0#P = 0.01
Results presented as geometric mean ± SD. $ unpaired t test; * non-obese adolescents vs. non-obese young adults; # obese adolescents vs. obese young adults. Intergroup analysis: 2 way analysis of variance (ANOVA)
Declarations
Acknowledgments
The authors thank all participants in the study and the institution without whose support the work would not have been possible. We thank the institution for supporting us with the infrastructure and equipments for the conduct of the study. We also thank the technical staff for providing help with the analysis.
The authors declare that they have no conflict of interest.
Ethical approval
JNMC Institutional Ethics Committee on Human Subjects Research ethical committee clearance was obtained (Ref No: KLEU/D 6596-6599). This study complies with the Declaration of Helsinki.
Consent to participate
Written consent form if aged more than 18 and assent from the participants with consent of the parent or the guardian if aged less than 18.
Consent to publication
The informed consent to publication was obtained from the parent of the patient.
Hinnouho GM, Czernichow S, Dugravot A, Batty GD, Kivimaki M, Singh-Manoux AS.Metabolically healthy obesity and risk of mortality: does the definition of metabolic health matter?Diabetes Care. 2013;36:2294–300. [DOI] [PubMed] [PMC]
Geetha L, Deepa M, Anjana RM, Mohan V.Prevalence and clinical profile of metabolic obesity and phenotypic obesity in Asian Indians. J Diabetes Sci Technol.2011;5:439–46. [DOI] [PubMed] [PMC]
Cone JB.Inflammation. Am J Surgery.2001;182:558–62. [DOI] [PubMed]
Gabay C, Kushner I.Acute-phase proteins and other systemic responses to inflammation. N Eng J Med.1999;340:448–54. [DOI] [PubMed]
Schisterman EF, Faraggi D, Browne R, Freudenheim J, Dorn J, Muti P, et al. TBARS and cardiovascular disease in a population-based sample. J Cardiovasc Risk.2001;8:219–25. [DOI] [PubMed]
Kusano C, Ferrari CKB.Total antioxidant capacity: a biomarker in biomedical and nutritional studies. J Mol Cell Biol. 2008;7:5407–2.
Blüher M.The distinction of metabolically ‘healthy’ from ‘unhealthy’ obese individuals. Curr Opin Lipidol. 2010;21:38–43. [DOI] [PubMed]
Shin MJ, Hyun YJ, Kim OY, Kim JY, Jang Y, Lee JH.Weight loss effect on inflammation and LDL oxidation in metabolically healthy but obese (MHO) individuals: low inflammation and LDL oxidation in MHO women. Int J Obes (Lond). 2006;30:1529–34. [DOI] [PubMed]
Aguilar-Salinas CA, García EG, Robles L, Riano D, Ruiz-Gomez DG, García-Ulloa AC, et al. High adiponectin concentrations are associated with the metabolically healthy obese phenotype. J Clin Endocrinol Metab.2008;93:4075–9. [DOI] [PubMed]
Doumatey AP, Bentley AR, Zhou J, Huang H, Adeyemo A, Rotimi CN.Paradoxical hyperadiponectinemia is associated with the metabolically healthy obese (MHO) phenotype in African Americans. J Endocrinol Metab.2012;2:51–65. [DOI] [PubMed] [PMC]
Koster A, Stenholm S, Alley DE, Kim LJ, Simonsick EM, Kanaya AM, et al. Body fat distribution and inflammation among obese older adults with and without metabolic syndrome. Obesity. 2010;18:2354–61. [DOI] [PubMed] [PMC]
National Adolescent Health Information Center. A health profile of adolescent and young adult males: 2005 brief [Internet]. San Francisco: National Adolescent Health Information Center University of California, Division of Adolescent Medicine; 2005 [cited 2015 Feb 20]. Available from: https://nahic.ucsf.edu/wp-content/uploads/2005/10/2005.Male_.Brief_.pdf
Martínez-Mesa J, González-Chica DA, Bastos JL, Bonamigo RR, Duquia RP.Sample size: how many participants do I need in my research?An Bras Dermatol. 2014;89:609–15. [DOI] [PubMed] [PMC]
Sonoli SS, Kothiwale VA, Malleshappa AM.Adiponectin, inflammatory and lipid profile in healthy obese young adults of an urban population in South India - a cross sectional study. Biomedicine (India). 2013;33:487–93.
Snehalata C, Viswanathan V, Ramachandran A.Cutoff values for normal anthropometric variables in Asian Indian adults. Diabetes Care. 2003;26:1380–4. [DOI] [PubMed]
Carroll MC.The complement system in regulation of adaptive immunity. Nat Immunol.2004;5:981–6. [DOI] [PubMed]
Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL et al.;National Heart, Lung, and Blood Institute Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood PressureNational High Blood Pressure Education Program Coordinating Committee. The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. JAMA. 2003;289:2560–71. [DOI] [PubMed]
National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 2004;114:555–76. [PubMed]
Ebinuma H, Miyazaki O, Yago H, Hara K, Yamauchi T, Kadowaki T.A novel ELISA system for selective measurement of human adiponectin multimers by using proteases. Clin Chim Acta. 2006;372:47–53. [DOI] [PubMed]
Wei TQ, Kramer S, Chu VP, Hudson D, Kilgore D, Salyer S, et al. An improved automated immunoassay for C-reactive protein on the Dimension® clinical chemistry system. J Autom Methods Manag Chem.2000;22:125–31. [DOI] [PubMed] [PMC]
Ledue TB, Collins MF, Ritchie RF.Development of immunoturbidimetric assays for fourteen human serum proteins on the Hitachi 912™. Clin Chem Lab Med. 2002;40:520–8. [DOI] [PubMed]
Schoslnsky KH, Lehmann HP, Beeler MF.Measurement of ceruloplasmin from its oxidase activity in serum by use of o-dianisidine dihydrochloride. Clin Chem. 1974;20:1556–63. [DOI] [PubMed]
Placer ZA, Crushman LL, Johnson BC.Estimation of product of lipid peroxidation (malonyl dialdehyde) in biochemical systems. Anal Biochem.1966;16:359–64. [DOI] [PubMed]
Koracevic D, Koracevic G, Djordjevic V, Andrejevic S, Cosic V.Method for the measurement of antioxidant activity in human fluids. J Clin Pathol. 2001;54:356–61. [DOI] [PubMed] [PMC]
Vilarrasa N, Vendrell J, Maravall J, Broch M, Estepa A, Megia A, et al. Distribution and determinants of adiponectin, resistin and ghrelin in a randomly selected healthy population. Clin Endocrinol (Oxf). 2005;63:329–35. [DOI] [PubMed]
Marques-Vidal P, Bochud M, Paccaud F, Mooser V, Waeber G, Vollenweider P.Distribution of plasma levels of adiponectin and leptin in an adult Caucasian population. Clin Endocrinol (Oxf). 2010;72:38–46. [DOI] [PubMed]
Ostlund RE Jr, Yang JW, Klein S, Gingerich R.Relation between plasma leptin concentration and body fat, gender, diet, age, and metabolic covariates. J Clin Endocrinol Metab. 1996;81:3909–13. [DOI] [PubMed]
Koh SJ, Hyun YJ, Choi SY, Chae JS, Kim JY, Park S, et al. Influence of age and visceral fat area on plasma adiponectin concentrations in women with normal glucose tolerance. Clin Chim Acta. 2008;389:45–50. [DOI] [PubMed]
Staiger H, Tschritter O, Machann J, Thamer C, Fritsche A, Maerker E, et al. Relationship of serum adiponectin and leptin concentrations with body fat distribution in humans. Obes Res. 2003;11:368–76. [DOI] [PubMed]
Combs TP, Berg AH, Rajala MW, Klebanov S, Iyengar P, Jimenez-Chillaron JC, et al. Sexual differentiation, pregnancy, calorie restriction, and aging affect the adipocyte-specific secretory protein adiponectin. Diabetes. 2003;52:268–76. [DOI] [PubMed]
Verma S, Szmitko PE, Ridker PM.C-reactive protein comes of age. Nat Clin Pract Cardiovasc Med.2005;2:29–36. [DOI] [PubMed]
Arima H, Kubo M, Yonemoto K, Doi Y, Ninomiya T, Tanizaki Y, et al. High-sensitivity C-reactive protein and coronary heart disease in a general population of Japanese: the Hisayama study. Arterioscler Thromb Vasc Biol. 2008;28:1385–91. [DOI] [PubMed]
Milne DB, Johnson PE.Assessment of copper status: effect of age and gender on reference ranges in healthy adults. Clin Chem. 1993;39:883–7. [DOI] [PubMed]
Mutlu-Türkoglu U, lhan E, Oztezcan S, Kuru A, Aykaç-Toker G, Uysal M.Age-related increases in plasma malondialdehyde and protein carbonyl levels and lymphocyte DNA damage in elderly subjects. Clin Biochem.2003;36:397–400. [DOI] [PubMed]
Finkel T, Holbrook NJ.Oxidants, oxidative stress and the biology of ageing. Nature.2000;408:239–47. [DOI] [PubMed]
Limberaki E, Eleftheriou P, Vagdatli E, Kostoglou V, Petrou Ch.Serum antioxidant status among young, middle-aged and elderly people before and after antioxidant rich diet. Hippokratia. 2012;16:118–23. [PubMed] [PMC]
Nishizawa H, Shimomura I, Kishida K, Maeda N, Kuriyama H, Nagaretani H, et al. Androgens decrease plasma adiponectin, an insulin-sensitizing adipocyte-derived protein. Diabetes. 2002;51:2734–41. [DOI] [PubMed]
Ahonen T, Saltevo J, Laakso M, Kautiainen H, Kumpusalo E, Vanhala M.Gender differences relating to metabolic syndrome and proinflammation in Finnish subjects with elevated blood pressure. Mediators Inflamm.2009;2009:959281. [DOI] [PubMed] [PMC]
Wang Y, Lam KSL, Yau MH, Xu A.Post-translational modifications of adiponectin: mechanisms and functional implications. Biochem J.2008;409:623–33. [DOI] [PubMed]
Yoon SJ, Lee HS, Lee SW, Yun JE, Kim SY, Cho ER, et al. The association between adiponectin and diabetes in the Korean population. Metabolism. 2008;57:853–7. [DOI] [PubMed]
Araneta MRG, Barrett-Connor E.Adiponectin and ghrelin levels and body size in normoglycemic Filipino, African-American, and white women. Obesity (Silver Spring). 2007;15:2454–62. [DOI] [PubMed]
Considine RV, Premkumar A, Reynolds JC, Sebring NG, Ricks M, Sumner AE.Adiponectin and leptin in African Americans. Obesity (Silver Spring). 2008;16:428–34. [DOI] [PubMed]
Lakoski SG, Cushman M, Criqui M, Rundek T, Blumenthal RS, D’Agostino RB, et al. Gender and C-reactive protein: data from the Multiethnic Study of Atherosclerosis (MESA) cohort. Am Heart J. 2006;152:593–8. [DOI] [PubMed]
Ford ES, Giles WH, Mokdad AH, Myers GL.Distribution and correlates of C-reactive protein concentrations among adult US women. Clin Chem. 2004;50:574–81. [DOI] [PubMed]
Khera A, Vega GL, Das SR, Ayers C, McGuire DK, Grundy SM, et al. Sex differences in the relationship between C-reactive protein and body fat. J Clin Endocrinol Metab.2009;94:3251–8. [DOI] [PubMed] [PMC]
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 Pediatr (Rio J). 2007;83:477–80. [DOI] [PubMed]
Lyngbye J, Kroll J.Quantitative immunoelectrophoresis of proteins in serum from a normal population: season-, age-, and sex-related variations. Clin Chem. 1971;17:495–500. [DOI] [PubMed]
Sonoli SS, Kothiwale VA, Malleshappa AM.A cross sectional study to assess oxidative stress, ceruloplasmin and physical activity status in healthy obese young adults. Indian J Public Health Res & Dev. 2015;6:214–9. [DOI]
Ibrahim MM.Subcutaneous and visceral adipose tissue: structural and functional differences. Obes Rev. 2010;11:11–8. [DOI] [PubMed]
Le Lay S, Simard G, Martinez MC, Andriantsitohaina R.Oxidative stress and metabolic pathologies: from an adipocentric point of view. Oxid Med Cell Longev.2014;2014:908539. [DOI] [PubMed] [PMC]
Kwon H, Pessin JE.Adipokines mediate inflammation and insulin resistance. Front Endocrinol (Lausanne). 2013;4:71. [DOI] [PubMed] [PMC]