Association between resistin, adiponectin and leptin and cardiovascular risk factors in Japanese school children
Abstract Background It is not clear whether resistin, adiponectin and leptin are as closely associated with cardiovascular disease risk in childhood as in adulthood. Methods A survey was performed on elementary school 4 th graders aged 9 to 10 years in Ina-machi, Saitama, Japan to investigate whether resistin, adiponectin and leptin in these children might be associated with cardiovascular risk factors (atherosclerosis index: AI, waist-to-height ratio: W/H ratio, body mass index: BMI), and how the presence of obesity might affect their association. Results A total of 204 boys and 176 girls participated in the survey. Leptin and the leptin-to-adiponectin ratio (L/A ratio) were significantly correlated with the cardiovascular risk factors except AI, and adiponectin was shown to be negatively correlated with all the cardiovascular risk factors examined in the entire study population. While the serum resistin concentration was not found to be significantly different among the boys and girls with or without obesity, the resistin-to-adiponectin ratio (R/A ratio) was found to be significantly different between the obese and non-obese boys but not between the obese and non-obese girls. Among the obese boys, there was a significant correlation between resistin and AI and between the R/A ratio and the cardiovascular risk factors, neither of which was noted among the entire boy population or the non-obese boys. Whereas the R/A ratio was significantly correlated with all the cardiovascular risk factors only in the obese boys. (AI: 0.426, p<0.05, Waist Circumference: 0.545, p<0.01, W/Hr: 0.562, p<0.01, BMI: 0.401, p<0.05) Conclusions Our study findings suggest that school children with high leptin and/or low adiponectin levels are placed at higher cardiovascular risk, regardless of gender. It was also suggested that among boys with obesity as a cardiovascular risk factor, cardiovascular risk was higher in those with high leptin and/or low adiponectin levels, regardless of gender. Furthermore, the findings suggest that resistin is elevated and adiponectin is decreased in obese boys who are placed at higher cardiovascular risk.