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Published in: BMC Pediatrics 1/2024

Open Access 01-12-2024 | Obesity | Research

Zonulin and copeptin relation to some metabolic markers in school-aged obese children

Authors: Sahar Abd El-Raufe El-Masry, Rehab A. Mahmoud, Nayera E Hassan, Manal M. Aly, Hanaa Reyad Abdallah, Sherin Hamdy, Safinaz Megahed, Dina Y. Elalfy

Published in: BMC Pediatrics | Issue 1/2024

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Abstract

Background

Using Zonulin and Copeptin as potential obesity markers in children, hasn’t yet been focused.

Aim

To evaluate the association between serum levels of both Zonulin and Copeptin with the obesity markers, and to assess their role as metabolic disturbance predictors in obese children.

Methods

A case-control study comprised 111 Egyptian children (45 males and 66 females); aged 6–10 years to avoid the effect of puberty (prepubertal). They were classified according to their body mass index (BMI) percentiles into: 72 obese (BMI  95th ), and 39 control ones (BMI > 15th - <85th ), based on the Egyptian Growth Charts for children and adolescents. Anthropometric parameters and blood pressure were measured, and body composition analysis, lipid profile, Zonulin, and Copeptin levels were assessed.

Results

The obese group showed a significantly higher value of Copeptin and a lower value of Zonulin than the control one Also, the obese group showed significant negative correlations between Zonulin and both anthropometric obesity markers and body composition, whereas Copeptin showed significant positive ones. Moreover, significant positive correlations were found between Copeptin and both body weight and fat distribution. Insignificant correlations were observed between both serum Zonulin and Copeptin levels and blood pressure and lipid profile.

Conclusion

Zonulin and Copeptin cannot be used as metabolic disturbance predictors, among Egyptian children, as they were insignificantly correlated with lipid profile or blood pressure.
Literature
1.
go back to reference Sedky A, Gaber M, Magdy N, El Safoury S. American University in Cairo ―AUC‖ Knowledge Fountain.The Public Policy HUB. Combating the high prevalence of obesity among Egyptian households: a pilot study: Port-Said households. The School of Global Affairs and Public Policy (GAPP); 2021. Sedky A, Gaber M, Magdy N, El Safoury S. American University in Cairo ―AUC‖ Knowledge Fountain.The Public Policy HUB. Combating the high prevalence of obesity among Egyptian households: a pilot study: Port-Said households. The School of Global Affairs and Public Policy (GAPP); 2021.
4.
go back to reference Ghalli I, Salah N, Hussien F, et al. Egyptian growth curves for infants, children and adolescents. In: Satorio A, Buckler JMH, Marazzi N, editors. Crecere nel mondo. Italy: Ferring; 2008. Ghalli I, Salah N, Hussien F, et al. Egyptian growth curves for infants, children and adolescents. In: Satorio A, Buckler JMH, Marazzi N, editors. Crecere nel mondo. Italy: Ferring; 2008.
6.
go back to reference Al-Jawaldeh A, Abul-Fadl A. Regional disparities in prevalence of obesity among school-aged children in Egypt: a country case study from the Eastern Mediterranean Region. Indian J Child Health. 2021;8(8):262–8.CrossRef Al-Jawaldeh A, Abul-Fadl A. Regional disparities in prevalence of obesity among school-aged children in Egypt: a country case study from the Eastern Mediterranean Region. Indian J Child Health. 2021;8(8):262–8.CrossRef
7.
go back to reference Küme T, Acar S, Tuhan H, Çatlı G, Anık A, Gürsoy Çalan Ö, Böber E, Abacı A. (2017): The Relationship between Serum Zonulin Level and Clinical and Laboratory Parameters of Childhood Obesity. J Clin Res Pediatr Endocrinol. 2017;9(1):31–38. Küme T, Acar S, Tuhan H, Çatlı G, Anık A, Gürsoy Çalan Ö, Böber E, Abacı A. (2017): The Relationship between Serum Zonulin Level and Clinical and Laboratory Parameters of Childhood Obesity. J Clin Res Pediatr Endocrinol. 2017;9(1):31–38.
8.
go back to reference Seethaler B, Basrai M, Neyrinck AM, Nazare JA, Walter J, Delzenne NM, Bischoff SC. (2021): Biomarkers for assessment of intestinal permeability in clinical practice. Am J Physiol Gastrointest Liver Physiol. 2021; 321(1):G11-G17. https://doi.org/10.1152/ajpgi.00113.2021. Epub 2021 May 19. PMID: 34009040. Seethaler B, Basrai M, Neyrinck AM, Nazare JA, Walter J, Delzenne NM, Bischoff SC. (2021): Biomarkers for assessment of intestinal permeability in clinical practice. Am J Physiol Gastrointest Liver Physiol. 2021; 321(1):G11-G17. https://​doi.​org/​10.​1152/​ajpgi.​00113.​2021. Epub 2021 May 19. PMID: 34009040.
9.
go back to reference Mkumbuzi L, Mfengu MMO, Engwa GA, Sewani-Rusike CR. (2020): Insulin Resistance is Associated with Gut Permeability Without the Direct Influence of Obesity in Young Adults Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 13: 2997–3008. Mkumbuzi L, Mfengu MMO, Engwa GA, Sewani-Rusike CR. (2020): Insulin Resistance is Associated with Gut Permeability Without the Direct Influence of Obesity in Young Adults Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 13: 2997–3008.
10.
go back to reference Parkhomenko LK, Strashok LA, Khomenko MA. Role of zonulin in the devolpment of liver fibrosis in obese children. Wiadomości Lekarskie. 2021;74(1):77–82.CrossRefPubMed Parkhomenko LK, Strashok LA, Khomenko MA. Role of zonulin in the devolpment of liver fibrosis in obese children. Wiadomości Lekarskie. 2021;74(1):77–82.CrossRefPubMed
12.
go back to reference Ding C, Magkos F. Oxytocin and vasopressin systems in obesity and metabolic health: mechanisms and perspectives. Curr Obes Rep. 2019;8(3):301–16.CrossRefPubMed Ding C, Magkos F. Oxytocin and vasopressin systems in obesity and metabolic health: mechanisms and perspectives. Curr Obes Rep. 2019;8(3):301–16.CrossRefPubMed
14.
go back to reference Fenske W, Refardt J, Chifu I, Schnyder I, Winzeler B, Drummond J, Ribeiro-Oliveira A Jr. Copeptin-based approach in the diagnosis of diabetes insipidus. N Engl J Med. 2018;379(5):428–39.CrossRefPubMed Fenske W, Refardt J, Chifu I, Schnyder I, Winzeler B, Drummond J, Ribeiro-Oliveira A Jr. Copeptin-based approach in the diagnosis of diabetes insipidus. N Engl J Med. 2018;379(5):428–39.CrossRefPubMed
15.
16.
go back to reference Kirkendall WM. Recommendations for human blood pressure determination by sphygmomanometers. Circulation. 1980;62:1146A–55A.PubMed Kirkendall WM. Recommendations for human blood pressure determination by sphygmomanometers. Circulation. 1980;62:1146A–55A.PubMed
17.
go back to reference Hiernaux J, Tanner J. (1969): Growth and physical studies. In: Weiner JS and Lourie SA, editors Human. Hiernaux J, Tanner J. (1969): Growth and physical studies. In: Weiner JS and Lourie SA, editors Human.
18.
go back to reference Krebs N, Himes J, Jacohson D. (2007): Assessment of Child and Adolescent Overweight and Obesity. Pediatrics; 120: SI93-S228. Krebs N, Himes J, Jacohson D. (2007): Assessment of Child and Adolescent Overweight and Obesity. Pediatrics; 120: SI93-S228.
19.
go back to reference Tietz NW. (1995): Clinical guide to laboratory tests, Philadelphia. Tietz NW. (1995): Clinical guide to laboratory tests, Philadelphia.
20.
go back to reference Demacker PN, Hijmans AG, Brenninkmeijer BJ, et al. Five methods for determining low-density lipoprotein cholesterol compared. Clin Chem. 1984;30:1797–800.CrossRefPubMed Demacker PN, Hijmans AG, Brenninkmeijer BJ, et al. Five methods for determining low-density lipoprotein cholesterol compared. Clin Chem. 1984;30:1797–800.CrossRefPubMed
21.
go back to reference Al – Tufaily Y, Ibrahim R, Hassnawi FS. Assessment of prevalence and risk factors of obesity in pediatric age group between (5–15) years. Journal of University of Babylon for pure and applied science (JUBPAS). May-August. 2021;29(2):119–36. Al – Tufaily Y, Ibrahim R, Hassnawi FS. Assessment of prevalence and risk factors of obesity in pediatric age group between (5–15) years. Journal of University of Babylon for pure and applied science (JUBPAS). May-August. 2021;29(2):119–36.
22.
go back to reference Pacifico L, Bonci E, Marandola L, Romaggioli S, et al. Increased circulating zonulin in children with biopsy-proven nonalcoholic fatty liver disease. World J Gastroenterol. 2014;20(45):17107–14.CrossRefPubMedPubMedCentral Pacifico L, Bonci E, Marandola L, Romaggioli S, et al. Increased circulating zonulin in children with biopsy-proven nonalcoholic fatty liver disease. World J Gastroenterol. 2014;20(45):17107–14.CrossRefPubMedPubMedCentral
23.
go back to reference Pinheiro G, Mello J, Gaya A, Gaya AR. Blood pressure in children: Association with Anthropometric Indicators, body composition, Cardiorespiratory Fitness and Physical Activity. Arquivos brasileiros de cardiologia. 2021;116:950–6.CrossRefPubMedPubMedCentral Pinheiro G, Mello J, Gaya A, Gaya AR. Blood pressure in children: Association with Anthropometric Indicators, body composition, Cardiorespiratory Fitness and Physical Activity. Arquivos brasileiros de cardiologia. 2021;116:950–6.CrossRefPubMedPubMedCentral
24.
go back to reference Rothermel J, Kulle A, Holterhus P, Toschke C, Lass N, Reinehr T. Copeptin in obese children and adolescents: relationships to body mass index, cortisol and gender. Clin Endocrinol. 2016;85:868–87.CrossRef Rothermel J, Kulle A, Holterhus P, Toschke C, Lass N, Reinehr T. Copeptin in obese children and adolescents: relationships to body mass index, cortisol and gender. Clin Endocrinol. 2016;85:868–87.CrossRef
25.
go back to reference Yin C, Liu W, Xu E, Zhang M, Lv W, Lu Q, Xiao Y. Copeptin and Nesfatin-1are interesting interrelated biomarkers playing a role in the pathogenesis of insulin resistance in Chinese obese children. Annals Nutr Metabolism. 2020;76(4):223–32. https://doi.org/10.1159/000508883. Epub 2020 Oct 7.CrossRef Yin C, Liu W, Xu E, Zhang M, Lv W, Lu Q, Xiao Y. Copeptin and Nesfatin-1are interesting interrelated biomarkers playing a role in the pathogenesis of insulin resistance in Chinese obese children. Annals Nutr Metabolism. 2020;76(4):223–32. https://​doi.​org/​10.​1159/​000508883. Epub 2020 Oct 7.CrossRef
26.
go back to reference Lee EKP, Choi RCM, Liu L, Gao T, Yip BHK, Wong SYS. Preference of blood pressure measurement methods by primary care doctors in Hong Kong: a cross-sectional survey. BMC Fam Pract. 2020;21:1–9.CrossRef Lee EKP, Choi RCM, Liu L, Gao T, Yip BHK, Wong SYS. Preference of blood pressure measurement methods by primary care doctors in Hong Kong: a cross-sectional survey. BMC Fam Pract. 2020;21:1–9.CrossRef
27.
go back to reference Leskinen T, Eloranta AM, Tompuri T, Saari A, Ollila H, Mäkelä J, Niinikoski H, Lagström H. Changes in body composition by age and obesity status in preschool-aged children: the STEPS study. Eur J Clin Nutr. Jan; 2021;75(1):57–65.CrossRefPubMed Leskinen T, Eloranta AM, Tompuri T, Saari A, Ollila H, Mäkelä J, Niinikoski H, Lagström H. Changes in body composition by age and obesity status in preschool-aged children: the STEPS study. Eur J Clin Nutr. Jan; 2021;75(1):57–65.CrossRefPubMed
28.
go back to reference Song K, Park G, Choi Y, Oh JS, Choi HS, Suh J, Chae HW. Association of vitamin D status and physical activity with lipid profile in Korean children and adolescents: a population-based study. Children. 2020;7(11):241.CrossRefPubMedPubMedCentral Song K, Park G, Choi Y, Oh JS, Choi HS, Suh J, Chae HW. Association of vitamin D status and physical activity with lipid profile in Korean children and adolescents: a population-based study. Children. 2020;7(11):241.CrossRefPubMedPubMedCentral
29.
30.
go back to reference Tenderenda-Banasiuk E, Wasilewska A, Filonowicz R, et al. Serum copeptin levels in adolescents with primary hypertension. Pediatr Nephrol. 2014;29:423–9.CrossRefPubMed Tenderenda-Banasiuk E, Wasilewska A, Filonowicz R, et al. Serum copeptin levels in adolescents with primary hypertension. Pediatr Nephrol. 2014;29:423–9.CrossRefPubMed
31.
go back to reference Rothermel J, Kulle A, Holterhus PM, Toschke C, Lass N, Reinehr T. Copeptin in obese children and adolescents: relationships to body mass index, cortisol and gender. Clin Endocrinol. 2016;85(6):868–73.CrossRef Rothermel J, Kulle A, Holterhus PM, Toschke C, Lass N, Reinehr T. Copeptin in obese children and adolescents: relationships to body mass index, cortisol and gender. Clin Endocrinol. 2016;85(6):868–73.CrossRef
32.
go back to reference Saleem U, Khaleghi M, Morgenthaler NG, Bergmann A, Struck J, Mosley THJ, Kullo IJ. Plasma carboxy-terminal provasopressin (copeptin): a novel marker of insulin resistance and metabolic syndrome. J Clin Endocrinol Metab. 2009;94:2558–64.CrossRefPubMedPubMedCentral Saleem U, Khaleghi M, Morgenthaler NG, Bergmann A, Struck J, Mosley THJ, Kullo IJ. Plasma carboxy-terminal provasopressin (copeptin): a novel marker of insulin resistance and metabolic syndrome. J Clin Endocrinol Metab. 2009;94:2558–64.CrossRefPubMedPubMedCentral
33.
go back to reference Enhörning S, Wang TJ, Nilsson PM, Almgren P, Hedblad B, Berglund G, Struck J, Morgenthaler NG. Plasma copeptin and the risk of diabetes mellitus. Circulation. 2010;121:2102–8.CrossRefPubMedPubMedCentral Enhörning S, Wang TJ, Nilsson PM, Almgren P, Hedblad B, Berglund G, Struck J, Morgenthaler NG. Plasma copeptin and the risk of diabetes mellitus. Circulation. 2010;121:2102–8.CrossRefPubMedPubMedCentral
34.
go back to reference Schiel R, Perenthaler TJ, Steveling A, Stein G. Plasma copeptin in children and adolescents with type 1 diabetes mellitus in comparison to healthy controls. Diabetes Res Clin Pract. 2016;118:156–61.CrossRefPubMed Schiel R, Perenthaler TJ, Steveling A, Stein G. Plasma copeptin in children and adolescents with type 1 diabetes mellitus in comparison to healthy controls. Diabetes Res Clin Pract. 2016;118:156–61.CrossRefPubMed
35.
go back to reference Lewandowski KC, Lewinski A, Skowronska-Jozwiak E, et al. Copeptin under glucagon stimulation. Endocrine. 2016;52:344–51.CrossRefPubMed Lewandowski KC, Lewinski A, Skowronska-Jozwiak E, et al. Copeptin under glucagon stimulation. Endocrine. 2016;52:344–51.CrossRefPubMed
36.
go back to reference Sedaghat G, Montazerifar F, Keykhaie MA, Karajibani M, Shourestani S, Dashipour A. Effect of pre-meal water intake on the serum levels of Copeptin, glycemic control, lipid profile and anthropometric indices in patients with type 2 diabetes mellitus: a randomized, controlled trial. J Diabetes Metabolic Disorders. 2021;20:171–7.CrossRef Sedaghat G, Montazerifar F, Keykhaie MA, Karajibani M, Shourestani S, Dashipour A. Effect of pre-meal water intake on the serum levels of Copeptin, glycemic control, lipid profile and anthropometric indices in patients with type 2 diabetes mellitus: a randomized, controlled trial. J Diabetes Metabolic Disorders. 2021;20:171–7.CrossRef
37.
go back to reference Kim JH, Heo JS, Baek KS, Kim SY, Kim JH, Baek KH, Kim KE, Sheen YH. Zonulin level, a marker of intestinal permeability, is increased in association with liver enzymes in young adolescents. Clin Chim Acta. 2018;481:218–24.CrossRefPubMed Kim JH, Heo JS, Baek KS, Kim SY, Kim JH, Baek KH, Kim KE, Sheen YH. Zonulin level, a marker of intestinal permeability, is increased in association with liver enzymes in young adolescents. Clin Chim Acta. 2018;481:218–24.CrossRefPubMed
38.
go back to reference Sapone A, de Magistris L, Pietzak M, Clemente MG, Tripathi A, Cucca F, Lampis R, Kryszak D, Cartenì M, Generoso M, Iafusco D, Prisco F, Laghi F, Riegler G, Carratu R, Counts D, Fasano A. (2006): Zonulin up regulation is associated with increased gut permeability in subjects with type 1 diabetes and their relatives. Diabetes. 2006; 55(5):1443-9. https://doi.org/10.2337/db05-1593. PMID: 16644703. Sapone A, de Magistris L, Pietzak M, Clemente MG, Tripathi A, Cucca F, Lampis R, Kryszak D, Cartenì M, Generoso M, Iafusco D, Prisco F, Laghi F, Riegler G, Carratu R, Counts D, Fasano A. (2006): Zonulin up regulation is associated with increased gut permeability in subjects with type 1 diabetes and their relatives. Diabetes. 2006; 55(5):1443-9. https://​doi.​org/​10.​2337/​db05-1593. PMID: 16644703.
39.
go back to reference Polak K, Czyzyk A, Simoncini T, Meczekalski B. New markers of insulin resistance in polycystic ovary syndrome. Endocrinol Invest. 2017;40:1–8.CrossRef Polak K, Czyzyk A, Simoncini T, Meczekalski B. New markers of insulin resistance in polycystic ovary syndrome. Endocrinol Invest. 2017;40:1–8.CrossRef
40.
go back to reference Calgin MK, Cetinkol Y. Decreased levels of serum Zonulin and copeptin in chronic Hepatitis-B patients. Pak J Med Sci. 2019;35(3):842–6.CrossRef Calgin MK, Cetinkol Y. Decreased levels of serum Zonulin and copeptin in chronic Hepatitis-B patients. Pak J Med Sci. 2019;35(3):842–6.CrossRef
Metadata
Title
Zonulin and copeptin relation to some metabolic markers in school-aged obese children
Authors
Sahar Abd El-Raufe El-Masry
Rehab A. Mahmoud
Nayera E Hassan
Manal M. Aly
Hanaa Reyad Abdallah
Sherin Hamdy
Safinaz Megahed
Dina Y. Elalfy
Publication date
01-12-2024
Publisher
BioMed Central
Keywords
Obesity
Obesity
Published in
BMC Pediatrics / Issue 1/2024
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/s12887-024-04617-1

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