Obesity modulate serum hepcidin and treatment outcome of iron deficiency anemia in children: A case control study

<p>Abstract</p> <p>Background</p> <p>Recently, hepcidin expression in adipose tissue has been described and shown to be increased in patients with severe obesity. We tried to assess the effect of obesity on hepcidin serum levels and treatment outcome of iron deficiency...

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Main Authors: Osman Mohammed, Sanad Mohammed, Gharib Amal
Format: Article
Language:English
Published: BMC 2011-07-01
Series:Italian Journal of Pediatrics
Subjects:
Online Access:http://www.ijponline.net/content/37/1/34
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author Osman Mohammed
Sanad Mohammed
Gharib Amal
author_facet Osman Mohammed
Sanad Mohammed
Gharib Amal
author_sort Osman Mohammed
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Recently, hepcidin expression in adipose tissue has been described and shown to be increased in patients with severe obesity. We tried to assess the effect of obesity on hepcidin serum levels and treatment outcome of iron deficiency anemia in children.</p> <p>Methods</p> <p>This was a case control study included 70 children with iron deficiency anemia "IDA" (35 obese and 35 non-obese) and 30 healthy non-obese children with comparable age and sex(control group). Parameters of iron status (Serum iron, ferritin, transferrin, total iron binding capacity and transferrin saturation) and serum hepcidin levels were assessed initially and after 3 months of oral iron therapy for IDA.</p> <p>Results</p> <p>Compared to the control group, serum hepcidin was significantly lower in non-obese children with IDA(p < 0.01) and significantly higher in obese children with IDA (p < 0.01). Hepcidin increased significantly in non-obese children with IDA after 3 months of iron therapy (P < 0.01). On the other hand, obese children showed non-significant change in hepcidin level after iron therapy (p > 0.05). Although hepcidin showed significant positive correlations with Hb, serum iron and transferrin saturation in non-obese children with IDA, it showed significant negative correlations with Hb, serum iron and transferrin saturation in obese children with IDA (P < 0.05).</p> <p>Conclusions</p> <p>Obesity increased hepcidin levels and was associated with diminished response to oral iron therapy in childhood iron deficiency anemia.</p>
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spelling doaj.art-94b27f1761f54e51bc2cc399da7ee2102022-12-21T19:10:03ZengBMCItalian Journal of Pediatrics1720-84241824-72882011-07-013713410.1186/1824-7288-37-34Obesity modulate serum hepcidin and treatment outcome of iron deficiency anemia in children: A case control studyOsman MohammedSanad MohammedGharib Amal<p>Abstract</p> <p>Background</p> <p>Recently, hepcidin expression in adipose tissue has been described and shown to be increased in patients with severe obesity. We tried to assess the effect of obesity on hepcidin serum levels and treatment outcome of iron deficiency anemia in children.</p> <p>Methods</p> <p>This was a case control study included 70 children with iron deficiency anemia "IDA" (35 obese and 35 non-obese) and 30 healthy non-obese children with comparable age and sex(control group). Parameters of iron status (Serum iron, ferritin, transferrin, total iron binding capacity and transferrin saturation) and serum hepcidin levels were assessed initially and after 3 months of oral iron therapy for IDA.</p> <p>Results</p> <p>Compared to the control group, serum hepcidin was significantly lower in non-obese children with IDA(p < 0.01) and significantly higher in obese children with IDA (p < 0.01). Hepcidin increased significantly in non-obese children with IDA after 3 months of iron therapy (P < 0.01). On the other hand, obese children showed non-significant change in hepcidin level after iron therapy (p > 0.05). Although hepcidin showed significant positive correlations with Hb, serum iron and transferrin saturation in non-obese children with IDA, it showed significant negative correlations with Hb, serum iron and transferrin saturation in obese children with IDA (P < 0.05).</p> <p>Conclusions</p> <p>Obesity increased hepcidin levels and was associated with diminished response to oral iron therapy in childhood iron deficiency anemia.</p>http://www.ijponline.net/content/37/1/34ObesityHepcidinIron deficiencyChildren
spellingShingle Osman Mohammed
Sanad Mohammed
Gharib Amal
Obesity modulate serum hepcidin and treatment outcome of iron deficiency anemia in children: A case control study
Italian Journal of Pediatrics
Obesity
Hepcidin
Iron deficiency
Children
title Obesity modulate serum hepcidin and treatment outcome of iron deficiency anemia in children: A case control study
title_full Obesity modulate serum hepcidin and treatment outcome of iron deficiency anemia in children: A case control study
title_fullStr Obesity modulate serum hepcidin and treatment outcome of iron deficiency anemia in children: A case control study
title_full_unstemmed Obesity modulate serum hepcidin and treatment outcome of iron deficiency anemia in children: A case control study
title_short Obesity modulate serum hepcidin and treatment outcome of iron deficiency anemia in children: A case control study
title_sort obesity modulate serum hepcidin and treatment outcome of iron deficiency anemia in children a case control study
topic Obesity
Hepcidin
Iron deficiency
Children
url http://www.ijponline.net/content/37/1/34
work_keys_str_mv AT osmanmohammed obesitymodulateserumhepcidinandtreatmentoutcomeofirondeficiencyanemiainchildrenacasecontrolstudy
AT sanadmohammed obesitymodulateserumhepcidinandtreatmentoutcomeofirondeficiencyanemiainchildrenacasecontrolstudy
AT gharibamal obesitymodulateserumhepcidinandtreatmentoutcomeofirondeficiencyanemiainchildrenacasecontrolstudy