PMID- 22563866 OWN - NLM STAT- MEDLINE DCOM- 20130312 LR - 20121005 IS - 1365-2265 (Electronic) IS - 0300-0664 (Linking) VI - 77 IP - 5 DP - 2012 Nov TI - Plasma brain-derived neurotrophic factor in prepubertal obese children: results from a 2-year lifestyle intervention programme. PG - 715-20 LID - 10.1111/j.1365-2265.2012.04431.x [doi] AB - CONTEXT: Brain-derived neurotrophic factor (BDNF) is a neurotrophin potentially involved in the pathophysiology of obesity and metabolic syndrome in adults. In children, it has scarcely been studied. OBJECTIVE: To analyse plasma BDNF and its relationship with metabolic syndrome components before and after 2 years of a lifestyle intervention programme in a prepubertal obese cohort. DESIGN AND SETTING: Case-control study with a 2-year prospective follow-up in a referral paediatric endocrine outpatient centre. PATIENTS AND METHODS: Seventy-three prepubertal obese children, 8.03 +/- 1.08 years old, and 47 age- and gender-matched lean controls were studied. Anthropometric parameters, blood pressure, platelet count (PLT), oral glucose tolerance test, homoeostatic model assessment for insulin resistance (HOMA-IR), lipid profile, BDNF, diet and physical activity were evaluated. Weight loss was considered if z-score body mass index (BMI) decreased at least 0.5 SD. RESULTS: At baseline, BDNF tended to be lower in prepubertal obese children compared with lean controls (P = 0.076). BDNF did not correlate with any metabolic syndrome component. After 2 years, obese patients showed an increase in BDNF. Regression model analysis adjusted by age, sex, puberty, BMI, PLT and HOMA-IR showed that BDNF increased in subjects who lost weight (P = 0.036), practiced sports (P = 0.008) and had an adequate carbohydrate intake (P = 0.032). CONCLUSIONS: Plasma BDNF tends to be lower in obese prepubertal children than in lean controls, is not related to any other metabolic syndrome component and increases after a lifestyle intervention programme. CI - (c) 2012 Blackwell Publishing Ltd. FAU - Corripio, Raquel AU - Corripio R AD - Department of Paediatric Endocrine, Sabadell Hospital, Parc Tauli Corporation, University Autonomous of Barcelona, Sabadell, Spain. FAU - Gonzalez-Clemente, Jose-Miguel AU - Gonzalez-Clemente JM FAU - Jacobo, Perez-Sanchez AU - Jacobo PS FAU - Silvia, Naf AU - Silvia N FAU - Lluis, Gallart AU - Lluis G FAU - Joan, Vendrell AU - Joan V FAU - Assumpta, Caixas AU - Assumpta C LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Clin Endocrinol (Oxf) JT - Clinical endocrinology JID - 0346653 RN - 0 (Brain-Derived Neurotrophic Factor) SB - IM MH - Brain-Derived Neurotrophic Factor/*blood MH - Case-Control Studies MH - Child MH - Female MH - Humans MH - Male MH - Obesity/*blood MH - Prospective Studies MH - Risk Reduction Behavior EDAT- 2012/05/09 06:00 MHDA- 2013/03/13 06:00 CRDT- 2012/05/09 06:00 PHST- 2012/05/09 06:00 [entrez] PHST- 2012/05/09 06:00 [pubmed] PHST- 2013/03/13 06:00 [medline] AID - 10.1111/j.1365-2265.2012.04431.x [doi] PST - ppublish SO - Clin Endocrinol (Oxf). 2012 Nov;77(5):715-20. doi: 10.1111/j.1365-2265.2012.04431.x.