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September 20, 2006The Journal of Clinical Endocrinology & MetabolismOpen Access

High Molecular Weight, Rather than Total, Adiponectin Levels Better Reflect Metabolic Abnormalities Associated with Childhood Obesity

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Key result

Childhood obesity is linked to ~73% lower high molecular-weight adiponectin inversely correlated with visceral fat.

  • n=87

Why the study?

Japanese children are prone to obesity-induced metabolic derangement linked to serum adipocytokine profiles, but the specific relation of high molecular-weight adiponectin to metabolic abnormalities was unclear.

Does high molecular-weight adiponectin better reflect metabolic abnormalities than total adiponectin in obese children?

Comparison

High molecular-weight adiponectin vs total adiponectin levels

Design

Case-control study at a university hospital pediatric clinic

Authors

SAShunsuke ArakiUniversity of Occupational and Environmental Health JapanKDKazushige DobashiUniversity of YamanashiKKKazuyasu KuboUniversity of Occupational and Environmental Health Japan

Discussion

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Member takes

Overview

H-Adn may mark metabolic derangement more specifically than T-Adn in obese Japanese children; leaves open whether it improves pediatric risk stratification.

Study Design

Type

Case-Control (n=87)

Multicenter

No

Structured PICO

Does high molecular-weight adiponectin better reflect metabolic abnormalities than total adiponectin in obese children?

P
Population
87 Japanese children aged 5 to 15 years (59 obese and 28 age-matched nonobese controls) evaluated for serum adiponectin multimeric complexes.
E
Exposure
Measurement of high molecular-weight adiponectin (H-Adn)
C
Comparator
Measurement of total adiponectin (T-Adn)
O
Outcome
Relationship of adiponectin to metabolic abnormalities (insulin resistance, visceral fat area)surrogate

Main Result

Absolute Event Rate: 1.3% vs 4.8%

High molecular-weight adiponectin is a better biomarker than total adiponectin for reflecting metabolic abnormalities and visceral fat accumulation in childhood obesity.

Cite This Study

Araki et al. (2006) conducted a case-control in Childhood Obesity (n=87). Obesity vs. Nonobese children was evaluated on High molecular-weight adiponectin (H-Adn) levels. Obese children had significantly lower high molecular-weight adiponectin levels than nonobese controls (1.3 vs. 4.8 microg/ml), which inversely correlated with visceral fat area.

synapsesocial.com/papers/6aae3d964e0194ffe6cd5da2https://doi.org/10.1210/jc.2006-1051
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Association between Multiple Cardiovascular Risk Factors and Atherosclerosis in Children and Young Adults1998 · 4,016 citations
  2. 2Decrease in Serum Adiponectin Level Due to Obesity and Visceral Fat Accumulation in Children2003 · 202 citations
  3. 3Measurement of the High–Molecular Weight Form of Adiponectin in Plasma Is Useful for the Prediction of Insulin Resistance and Metabolic Syndrome2006 · 577 citations
  4. 4Impaired Multimerization of Human Adiponectin Mutants Associated with Diabetes2003 · 985 citations
  5. 5Usefulness of Serum Adiponectin Level as a Diagnostic Marker of Metabolic Syndrome in Obese Japanese Children2005 · 81 citations