PMID- 25559237 OWN - NLM STAT- MEDLINE DCOM- 20160729 LR - 20181202 IS - 2047-6310 (Electronic) IS - 2047-6302 (Linking) VI - 10 IP - 6 DP - 2015 Dec TI - Reduced retinal nerve fibre layer thickness in children with severe obesity. PG - 448-53 LID - 10.1111/ijpo.12005 [doi] AB - BACKGROUND: Some optic nerve diseases are silent and insidious. Recently, reduced thickness of retinal nerve fibre layer (RNFL) has been associated with increasing body mass index in adults. OBJECTIVES: To investigate the association of childhood obesity with RNFL measured by optical coherence tomography imaging. METHODS: Ninety-seven children aged 5-14 years classified according to standard deviation score of body mass index (SDS-BMI) were included. Parameters of metabolic risk, adipocytokines (leptin, adiponectin) and interleukin-6 were analyzed. All subjects underwent a comprehensive ophthalmologic examination with direct ophthalmoscopy. Evaluation of RNFL with optical coherence tomography of the head of the nerve was performed. RESULTS: RNFL thickness on the average and inferior, superior and nasal quadrants were decreased in severely obese children (SDS-BMI > 4) with respect to the other groups. However, no statistically significant association was found between the different groups of children and RNFL thickness in the temporal quadrant. There was a significant inverse correlation of RNFL thickness with adiposity indices (P = 0.016), leptin (P = 0.029) and interleukin-6 (P = 0.030) in overweight and obese children. CONCLUSIONS: These findings suggest that adiposity and obesity-related inflammatory factors may be associated with the loss of retinal ganglion cells in children. CI - (c) 2014 World Obesity. FAU - Pacheco-Cervera, J AU - Pacheco-Cervera J AD - Department of Ophthalmology, Doctor Peset University Hospital, Valencia, Spain. FAU - Codoner-Franch, P AU - Codoner-Franch P AD - Department of Pediatrics, Doctor Peset University Hospital, Valencia, Spain. AD - Department of Pediatrics, Obstetrics and Gynecology, University of Valencia, Valencia, Spain. FAU - Simo-Jorda, R AU - Simo-Jorda R AD - Department of Pediatrics, Doctor Peset University Hospital, Valencia, Spain. FAU - Pons-Vazquez, S AU - Pons-Vazquez S AD - Department of Ophthalmology, Doctor Peset University Hospital, Valencia, Spain. FAU - Galbis-Estrada, C AU - Galbis-Estrada C AD - Ophthalmic Research Unit Santiago Grisolia, Faculty of Medicine, University of Valencia, Valencia, Spain. FAU - Pinazo-Duran, M D AU - Pinazo-Duran MD AD - Department of Ophthalmology, Doctor Peset University Hospital, Valencia, Spain. AD - Ophthalmic Research Unit Santiago Grisolia, Faculty of Medicine, University of Valencia, Valencia, Spain. AD - Surgery-Ophthalmology Department, Faculty of Medicine, University of Valencia, Valencia, Spain. LA - eng PT - Journal Article PT - Observational Study PT - Research Support, Non-U.S. Gov't DEP - 20150105 PL - England TA - Pediatr Obes JT - Pediatric obesity JID - 101572033 RN - 0 (ADIPOQ protein, human) RN - 0 (Adiponectin) RN - 0 (Biomarkers) RN - 0 (Interleukin-6) RN - 0 (Leptin) SB - IM MH - Adiponectin/blood MH - Adolescent MH - Biomarkers/blood MH - Body Mass Index MH - Child MH - Cross-Sectional Studies MH - Female MH - Humans MH - Interleukin-6/blood MH - Leptin/blood MH - Male MH - Nerve Fibers/*pathology MH - Obesity, Morbid/blood/complications/*pathology MH - Pediatric Obesity/blood/complications/*pathology MH - Prospective Studies MH - Retinal Ganglion Cells/*pathology MH - *Tomography, Optical Coherence OTO - NOTNLM OT - Leptin OT - optical coherence tomography OT - paediatric obesity OT - retinal nerve fibre layer EDAT- 2015/01/07 06:00 MHDA- 2016/07/30 06:00 CRDT- 2015/01/07 06:00 PHST- 2014/09/13 00:00 [received] PHST- 2014/11/24 00:00 [accepted] PHST- 2015/01/07 06:00 [entrez] PHST- 2015/01/07 06:00 [pubmed] PHST- 2016/07/30 06:00 [medline] AID - 10.1111/ijpo.12005 [doi] PST - ppublish SO - Pediatr Obes. 2015 Dec;10(6):448-53. doi: 10.1111/ijpo.12005. Epub 2015 Jan 5.