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Endoglin and obestatin levels, cardiometabolic risk factors and subclinical atherosclerosis in children aged 10–18 years

  • Nurullah Çelik EMAIL logo , Peyami Cinaz , Aysun Bideci , Betül Derinkuyu , Hamdi Cihan Emeksiz , Esra Döğer , Çağrı Damar , Özge Yüce and Orhun Çamurdan
Published/Copyright: September 28, 2016

Abstract

Background:

The aim of this study was to investigate the early signs of atherosclerosis and to evaluate serum endoglin and obestatin levels as predictors of subclinical atherosclerosis in obese children.

Methods:

A total of 95 children (60 obese and 35 controls) aged 10–18 years were included in the study. Their endoglin and obestatin levels and biochemical parameters were measured. The carotid intima media thickness (cIMT) and brachial artery flow-mediated dilatation (FMD) responses were evaluated.

Results:

The cIMT values were higher (p < 0.001) and FMD responses were lower (p = 0.003) in the obese group than in the control group. A logistic regression multivariate analysis revealed that cIMT was independently associated with the body mass index (BMI) Z-score (β = 0.323, p = 0.003) and low density lipoprotein (LDL) (β = 0.29, p = 0.008), while FMD % was independently associated with waist circumference (β = −0.36, p = 0.002). The obese and control groups were similar in endoglin (p = 0.67) and obestatin levels (p = 0.70). The endoglin level was inversely correlated with the cholesterol and LDL levels (r = −0.23, p = 0.032; rho = −0.25, p = 0.019).

Conclusions:

The cIMT and brachial artery FMD response in obese children are significantly different compared to healthy controls. Circulating endoglin and obestatin levels are not predictive markers for subclinical atherosclerosis in obese children aged 10–18 years old.


Corresponding author: Nurullah Çelik, MD, Division of Endocrinology, Department of Pediatrics, Faculty of Medicine, Gazi University, Ankara, Turkey, Phone: 0 312 2026046 (Business), Fax: 0 312 2026046

  1. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved submission.

  2. Research funding: None declared.

  3. Employment or leadership: None declared.

  4. Honorarium: None declared.

  5. Competing interests: The funding organization(s) played no role in the study design; in the collection, analysis, and interpretation of data; in the writing of the report; or in the decision to submit the report for publication.

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Received: 2016-9-9
Accepted: 2016-9-9
Published Online: 2016-9-28
Published in Print: 2016-10-1

©2016 Walter de Gruyter GmbH, Berlin/Boston

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