Serum Leptin Levels in Epileptic Patients Treated with Topiramate and Valproic Acid

OBJECTIVE: Leptin is considered to be a signal factor that regulates body weight and energy expenditure, and there is a strong correlation between serum leptin concentrations, body mass index, and body fat mass in humans. Our aim in this study was to evaluate the role of leptin in valproic acid (VPA...

Full description

Bibliographic Details
Main Authors: İrem Fatma Uludağ, Ufuk Şener, Yaşar Zorlu, Mehmet Hicri Köseoğlu, Tuğba Kantaroğlu Aydın
Format: Article
Language:English
Published: Galenos Yayinevi 2011-03-01
Series:Türk Nöroloji Dergisi
Subjects:
Online Access:http://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-43660&look4=
_version_ 1797917218112012288
author İrem Fatma Uludağ
Ufuk Şener
Yaşar Zorlu
Mehmet Hicri Köseoğlu
Tuğba Kantaroğlu Aydın
author_facet İrem Fatma Uludağ
Ufuk Şener
Yaşar Zorlu
Mehmet Hicri Köseoğlu
Tuğba Kantaroğlu Aydın
author_sort İrem Fatma Uludağ
collection DOAJ
description OBJECTIVE: Leptin is considered to be a signal factor that regulates body weight and energy expenditure, and there is a strong correlation between serum leptin concentrations, body mass index, and body fat mass in humans. Our aim in this study was to evaluate the role of leptin in valproic acid (VPA) and topiramate (TPM) related weight changes in epileptic patients. METHODS: Body mass index is calculated and serum leptin and insulin levels are measured in 56 patients with epilepsy (40 patients taking VPA and 16 patients taking VPA and TPM) and in 40 healty control subjects. RESULTS: Obesity was seen in 21 patients (52.5%) in VPA treated group, in 15 patients (37.5%) in the control group and in only one male (6.3%) in VPA and TPM treated group. Body mass index was lower in the group treated with VPA and TPM (p<0.001). Serum leptin concentrations were correlated with the body mass index (r=0.49, p<0.001) and were significantly higher in obese subjects (p<0.001) and in women (p<0.001). Serum leptin levels were significantly lower in patients treated with VPA and TPM (p<0.05). CONCLUSION: High levels of serum leptin in patients taking VPA and significantly low levels of serum leptin in patients taking VPA and TPM in our study are in agreement with the hypotheses that weight changes induced with VPA and TPM are related with the alterations in serum leptin levels.
first_indexed 2024-04-10T13:10:10Z
format Article
id doaj.art-2cd9be288dac4fd9bc26ed77da645611
institution Directory Open Access Journal
issn 1301-062X
language English
last_indexed 2024-04-10T13:10:10Z
publishDate 2011-03-01
publisher Galenos Yayinevi
record_format Article
series Türk Nöroloji Dergisi
spelling doaj.art-2cd9be288dac4fd9bc26ed77da6456112023-02-15T16:12:40ZengGalenos YayineviTürk Nöroloji Dergisi1301-062X2011-03-011711731Serum Leptin Levels in Epileptic Patients Treated with Topiramate and Valproic Acidİrem Fatma Uludağ0Ufuk Şener1Yaşar Zorlu2Mehmet Hicri Köseoğlu3Tuğba Kantaroğlu Aydın4Izmir Tepecik Educational And Research Hospital, Neurology Clinic, TurkeyIzmir Tepecik Educational And Research Hospital, Neurology Clinic, TurkeyIzmir Tepecik Educational And Research Hospital, Neurology Clinic, TurkeyIzmir Ataturk Educational And Research Hospital, 2nd Biochemistry And Clinic Biochemistry Laboratory, TurkeyIzmir Ataturk Educational And Research Hospital, 2nd Biochemistry And Clinic Biochemistry Laboratory, TurkeyOBJECTIVE: Leptin is considered to be a signal factor that regulates body weight and energy expenditure, and there is a strong correlation between serum leptin concentrations, body mass index, and body fat mass in humans. Our aim in this study was to evaluate the role of leptin in valproic acid (VPA) and topiramate (TPM) related weight changes in epileptic patients. METHODS: Body mass index is calculated and serum leptin and insulin levels are measured in 56 patients with epilepsy (40 patients taking VPA and 16 patients taking VPA and TPM) and in 40 healty control subjects. RESULTS: Obesity was seen in 21 patients (52.5%) in VPA treated group, in 15 patients (37.5%) in the control group and in only one male (6.3%) in VPA and TPM treated group. Body mass index was lower in the group treated with VPA and TPM (p<0.001). Serum leptin concentrations were correlated with the body mass index (r=0.49, p<0.001) and were significantly higher in obese subjects (p<0.001) and in women (p<0.001). Serum leptin levels were significantly lower in patients treated with VPA and TPM (p<0.05). CONCLUSION: High levels of serum leptin in patients taking VPA and significantly low levels of serum leptin in patients taking VPA and TPM in our study are in agreement with the hypotheses that weight changes induced with VPA and TPM are related with the alterations in serum leptin levels.http://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-43660&look4=Leptinvalproic acidtopiramateobesityepilepsy
spellingShingle İrem Fatma Uludağ
Ufuk Şener
Yaşar Zorlu
Mehmet Hicri Köseoğlu
Tuğba Kantaroğlu Aydın
Serum Leptin Levels in Epileptic Patients Treated with Topiramate and Valproic Acid
Türk Nöroloji Dergisi
Leptin
valproic acid
topiramate
obesity
epilepsy
title Serum Leptin Levels in Epileptic Patients Treated with Topiramate and Valproic Acid
title_full Serum Leptin Levels in Epileptic Patients Treated with Topiramate and Valproic Acid
title_fullStr Serum Leptin Levels in Epileptic Patients Treated with Topiramate and Valproic Acid
title_full_unstemmed Serum Leptin Levels in Epileptic Patients Treated with Topiramate and Valproic Acid
title_short Serum Leptin Levels in Epileptic Patients Treated with Topiramate and Valproic Acid
title_sort serum leptin levels in epileptic patients treated with topiramate and valproic acid
topic Leptin
valproic acid
topiramate
obesity
epilepsy
url http://www.tjn.org.tr/jvi.aspx?pdir=tjn&plng=eng&un=TJN-43660&look4=
work_keys_str_mv AT iremfatmauludag serumleptinlevelsinepilepticpatientstreatedwithtopiramateandvalproicacid
AT ufuksener serumleptinlevelsinepilepticpatientstreatedwithtopiramateandvalproicacid
AT yasarzorlu serumleptinlevelsinepilepticpatientstreatedwithtopiramateandvalproicacid
AT mehmethicrikoseoglu serumleptinlevelsinepilepticpatientstreatedwithtopiramateandvalproicacid
AT tugbakantarogluaydın serumleptinlevelsinepilepticpatientstreatedwithtopiramateandvalproicacid