Adiposity, inflammation and fat-soluble vitamins in adolescents

J Pediatr (Rio J). 2019 Sep-Oct;95(5):575-583. doi: 10.1016/j.jped.2018.05.008. Epub 2018 Jun 29.

Abstract

Objective: Evaluate the association between inflammatory process, adiposity, and vitamins A, D, and E in adolescents, according to gender.

Methods: Cross-sectional study with adolescents aged 12-19 years old of both genders attending public schools in Recife. A questionnaire was used to collect data on socioeconomic level, lifestyle, and food intake of adolescents. Then, an anthropometric evaluation and a blood sampling were performed to analyze serum concentrations of α-1-acid glycoprotein, retinol, β-carotene, α-tocopherol, and 25-hydroxy-vitamin D.

Results: The levels of α-1-acid glycoprotein were higher for abdominal obesity in both genders. Male adolescents with insufficient serum α-tocopherol levels had low levels of α-1-acid glycoprotein (p=0.03) and an increased risk of 25-hydroxy-vitamin D and β-carotene deficiency in relation to total and abdominal fat; female adolescents had an increased risk of insufficient β-carotene with abdominal obesity (PR: 1.33; 95% CI: 1.2-1.5).

Conclusion: Abdominal adiposity implies a higher risk of inflammation and causes different changes to the levels of fat-soluble vitamins according to gender.

Keywords: Adolescentes; Adolescents; Inflamação; Inflammation; Obesidade; Obesity; Vitaminas; Vitamins.

MeSH terms

  • Adiposity / physiology*
  • Adolescent
  • Anthropometry
  • Carotenoids / blood
  • Child
  • Cross-Sectional Studies
  • Female
  • Humans
  • Inflammation / etiology
  • Inflammation / metabolism*
  • Inflammation / physiopathology
  • Nutritional Status
  • Obesity / complications
  • Obesity / metabolism*
  • Obesity / physiopathology
  • Orosomucoid / analysis
  • Reference Values
  • Risk Factors
  • Sex Factors
  • Statistics, Nonparametric
  • Vitamin A / blood
  • Vitamin D / analogs & derivatives
  • Vitamin D / blood
  • Vitamins / metabolism*
  • beta Carotene / blood

Substances

  • Orosomucoid
  • Vitamins
  • beta Carotene
  • Vitamin A
  • Vitamin D
  • Carotenoids
  • alpha-carotene
  • 25-hydroxyvitamin D