PMID- 15254878 OWN - NLM STAT- MEDLINE DCOM- 20040831 LR - 20220409 IS - 0026-0495 (Print) IS - 0026-0495 (Linking) VI - 53 IP - 7 DP - 2004 Jul TI - Serum tumor necrosis factor-alpha levels and components of the metabolic syndrome in obese adolescents. PG - 863-7 AB - Tumor necrosis factor-alpha (TNF-alpha) seems to be increased in obese subjects, suggesting its role as a proinflammatory cytokine to insulin resistance and metabolic abnormalities in obesity. The aim of this study was to evaluate the relationship between serum TNF-alpha, soluble TNF-alpha receptor 1 (sTNF-R1), TNF-alpha receptor 2 (sTNF-R2), and metabolic syndrome (MS) components and anthropometric indices in obese and non-obese adolescents. A cross-sectional study was performed on obese and non-obese adolescents. We studied 71 adolescents (age, 15 to 16 years old); 39 were obese (obese group; 14 males and 25 females) and 32 were non-obese adolescents (non-obese lean group; 12 males and 20 females). The body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), systolic blood pressure (SBP), and diastolic blood pressure (DBP) were determined in each subject. The serum TNF-alpha, sTNF-R1, sTNF-R2, fasting plasma glucose (FPG), and lipid profile were also measured. The mean serum TNF-alpha, sTNF-R1, and sTNF-R2 were significantly higher in the obese than the non-obese group (TNF-alpha, 18.15 v 5.88 pg/mL, P < .001; sTNF-R1, 2.01 v 1.40 ng/mL, P < .001; sTNF-R2, 6.06 v 3.70 pg/mL, P < .001). The serum TNF-alpha concentrations were positively correlated with the BMI (TNF-alpha, r = 0.346, P < .05; sTNF-R1, r = 0.624, P < .001; sTNF-R2, r = 0.482, P < .001, respectively) and WC (TNF-alpha, r = 0.525, P < .05; sTNF-R1, r = 0.700, P < .001; sTNF-R2, r = 0.669, P < .001, respectively). The serum TNF-alpha was positively correlated with triglyceride (TG) and DBP, and negatively with high-density lipoprotein-cholesterol (HDLC). The sTNF-R1 and sTNF-R2 were correlated with TG and DBP, and TG, respectively. Obese compared with non-obese adolescents exhibited higher concentrations of TNF-alpha and its soluble receptors, and the higher TNF-alpha concentrations were associated with several components of MS in obese adolescents. FAU - Moon, Yoo-Sun AU - Moon YS AD - Department of family Medicine, Hallym University College of Medicine, Chunchon, Korea. FAU - Kim, Do-Hoon AU - Kim DH FAU - Song, Dong-Keun AU - Song DK LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Metabolism JT - Metabolism: clinical and experimental JID - 0375267 RN - 0 (Blood Glucose) RN - 0 (Lipids) RN - 0 (Receptors, Tumor Necrosis Factor) RN - 0 (Triglycerides) RN - 0 (Tumor Necrosis Factor-alpha) RN - 97C5T2UQ7J (Cholesterol) SB - IM MH - Adolescent MH - Anthropometry MH - Blood Glucose/metabolism MH - Blood Pressure/physiology MH - Body Mass Index MH - Body Weight/physiology MH - Cholesterol/blood MH - Female MH - Humans MH - Lipids/blood MH - Male MH - Metabolic Syndrome/*metabolism/physiopathology MH - Obesity/*metabolism MH - Receptors, Tumor Necrosis Factor/metabolism MH - Triglycerides/blood MH - Tumor Necrosis Factor-alpha/*metabolism EDAT- 2004/07/16 05:00 MHDA- 2004/09/01 05:00 CRDT- 2004/07/16 05:00 PHST- 2004/07/16 05:00 [pubmed] PHST- 2004/09/01 05:00 [medline] PHST- 2004/07/16 05:00 [entrez] AID - S0026049504001258 [pii] AID - 10.1016/j.metabol.2004.02.007 [doi] PST - ppublish SO - Metabolism. 2004 Jul;53(7):863-7. doi: 10.1016/j.metabol.2004.02.007.