Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Original Article
  • Published:

Resistin concentrations before and after weight loss in obese children

Abstract

Objective:

The influences of gender, puberty, and obesity on resistin levels and the longitudinal relationships between insulin resistance, weight loss, and resistin have not yet been studied in childhood.

Methods:

Age, pubertal stage, gender, weight status (standard deviation score-body mass index (SDS-BMI)), resistin levels, and insulin resistance index calculated by homeostasis model assessment (HOMA) were evaluated in 63 obese children and compared to 36 lean children of same age, gender, and pubertal stage. Furthermore, we analyzed the changes of weight status (SDS-BMI, percentage body fat based on skinfold measurements), waist-to-hip ratio, resistin, and HOMA over a 1-year period in 38 obese children.

Results:

The resistin levels did not significantly (P=0.079) differ between obese (median resistin 8.7 ng/ml) and lean children (median resistin 9.7 ng/ml). Resistin concentrations were independent of age and pubertal stage, but girls demonstrated significantly higher resistin levels than boys (P=0.021). There were no significant correlations between changes of resistin and changes of SDS-BMI (r=0.14, P=0.198), changes of percentage body fat (r=−0.01, P=0.466), changes of waist-to-hip ratio (r=0.17, P=0.141), and changes of insulin resistance index (r=0.01, P=0.472) over the 1-year period. The weight loss of 0.5 SDS-BMI in 16 children was associated with a significant decrease in HOMA (P=0.030), while there was no significant change in resistin levels (P=0.878).

Conclusions:

Girls demonstrated higher resistin concentrations than boys. Our data do not support a relationship between resistin, insulin resistance index, and weight status in childhood.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Kahn BB, Flier JS . Obesity and insulin resistance. J Clin Invest 2000; 106: 473–481.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Steppan CM, Bailey ST, Bhat S, Brown EJ, Banerjee RR, Wright CM et al. The hormone resistin links obesity to diabetes. Nature 2001; 409: 307–312.

    Article  CAS  PubMed  Google Scholar 

  3. Hotamisligil GS . The irresistible biology of resistin. J Clin Invest 2003; 111: 173–174.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  4. Beltowski J . Adiponectin and resistin--new hormones of white adipose tissue. Med Sci Monit 2003; 2: RA55–RA61.

    Google Scholar 

  5. Banerjee RR, Lazar MA . Resistin: molecular history and prognosis. J Mol Med 2003; 81: 218–226.

    Article  CAS  PubMed  Google Scholar 

  6. Yannakoulia M, Yiannakouris N, Bluher S, Matalas AL, Klimis-Zacas D, Mantzoros CS . Body fat mass and macronutrient intake in relation to circulating soluble leptin receptor, free leptin index, adiponectin, and resistin concentrations in healthy humans. J Clin Endocrinol Metab 2003; 88: 1730–1736.

    Article  CAS  PubMed  Google Scholar 

  7. Panidis D, Koliakos G, Kourtis A, Farmakiotis D, Mouslech T, Rousso D . Serum resistin levels in women with polycystic ovary syndrome. Fertil Steril 2004; 81: 361–366.

    Article  CAS  PubMed  Google Scholar 

  8. Degawa-Yamauchi M, Bovenkerk JE, Juliar BE, Watson W, Kerr K, Jones R et al. Serum resistin (FIZZ3) protein is increased in obese humans. J Clin Endocrinol Metab 2003; 88: 5452–5455.

    Article  CAS  PubMed  Google Scholar 

  9. Fasshauer M, Paschke R . Regulation of adipocytokines and insulin resistance. Diabetologia 2003; 46: 1594–1603.

    Article  CAS  PubMed  Google Scholar 

  10. Bajaj M, Suraamornkul S, Hardies LJ, Pratipanawatr T, DeFronzo RA . Plasma resistin concentration, hepatic fat content, and hepatic and peripheral insulin resistance in pioglitazone-treated type II diabetic patients. Int J Obes Relat Metab Disord 2004; 28: 783–789.

    Article  CAS  PubMed  Google Scholar 

  11. Silha JV, Krsek M, Skrha JV, Sucharda P, Nyomba BL, Murphy LJ . Plasma resistin, adiponectin and leptin levels in lean and obese subjects: correlations with insulin resistance. Eur J Endocrinol 2003; 149: 331–335.

    Article  CAS  PubMed  Google Scholar 

  12. Rajala MW, Obici S, Scherer PE, Rossetti L . Adipose-derived resistin and gut-derived resistin-like molecule-beta selectively impair insulin action on glucose production. J Clin Invest 2003; 111: 225–230.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Lee JH, Chan JL, Yiannakouris N, Kontogianni M, Estrada E, Seip R et al. Circulating resistin levels are not associated with obesity or insulin resistance in humans and are not regulated by fasting or leptin administration: cross-sectional and interventional studies in normal, insulin-resistant, and diabetic subjects. J Clin Endocrinol Metab 2003; 88: 4848–4856.

    Article  CAS  PubMed  Google Scholar 

  14. Fehrmann HC, Heyn J . Plasma resistin levels in patients with type 1 and type 2 diabetes mellitus and in healthy controls. Horm Metab Res 2002; 34: 671–673.

    Article  Google Scholar 

  15. Heilbronn LK, Rood J, Janderova L, Albu JB, Kelley DE, Ravussin E et al. Relationship between serum resistin concentrations and insulin resistance in nonobese, obese, and obese diabetic subjects. J Clin Endocrinol Metab 2004; 89: 1844–1848.

    Article  CAS  PubMed  Google Scholar 

  16. Monzillo LU, Hamdy O, Horton ES, Ledbury S, Mullooly C, Jarema C et al. Effect of lifestyle modification on adipokine levels in obese subjects with insulin resistance. Obes Res 2003; 11: 1048–1054.

    Article  CAS  PubMed  Google Scholar 

  17. Kielstein JT, Becker B, Graf S, Brabant G, Haller H, Fliser D . Increased resistin blood levels are not associated with insulin resistance in patients with renal disease. Am J Kidney Dis 2003; 42: 62–66.

    Article  CAS  PubMed  Google Scholar 

  18. Azuma K, Katsukawa F, Oguchi S, Murata M, Yamazaki H, Shimada A et al. Correlation between serum resistin level and adiposity in obese individuals. Obes Res 2003; 11: 997–1001.

    Article  CAS  PubMed  Google Scholar 

  19. Valsamakis G, McTernan PG, Chetty R, Al Daghri N, Field A, Hanif W et al. Modest weight loss and reduction in waist circumference after medical treatment are associated with favorable changes in serum adipocytokines. Metabolism 2004; 53: 430–434.

    Article  CAS  PubMed  Google Scholar 

  20. Vendrell J, Broch M, Vilarrasa N, Molina A, Gomez JM, Gutierrez C et al. Resistin, adiponectin, ghrelin, leptin, and proinflammatory cytokines: relationships in obesity. Obes Res 2004; 12: 962–971.

    Article  CAS  PubMed  Google Scholar 

  21. Kromeyer-Hauschild K, Wabitsch M, Geller F, Ziegler A, Geiß HC, Hesse V et al. Percentiles of body mass index in children and adolescents evaluated from different regional German studies. Monatsschr Kinderheilkd 2001; 149: 807–818.

    Article  Google Scholar 

  22. Cole TJ . The LMS method for constructing normalized growth standards. Eur J Clin Nutr 1990; 44: 45–60.

    CAS  PubMed  Google Scholar 

  23. Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC . Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 1995; 28: 412–419.

    Article  Google Scholar 

  24. Slaughter MH, Lohman TG, Boileau RA, Horswill CA, Stillman RJ, Van Loan MD et al. Skinfold equations for estimation of body fatness in children and youth. Hum Biol 1988; 60: 709–723.

    CAS  PubMed  Google Scholar 

  25. Reinehr T, Kersting M, Alexy U, Andler W . Long-term follow-up of overweight children: after training, after a single consultation session and without treatment. J Pediatr Gastroenterol Nutr 2003; 37: 72–74.

    Article  PubMed  Google Scholar 

  26. Reinehr T, Brylak K, Alexy U, Kersting M, Andler W . Predictors to success in outpatient training in obese children and adolescents. Int J Obes Relat Metab Disord 2003; 27: 1087–1092.

    Article  CAS  PubMed  Google Scholar 

  27. McTernan PG, McTernan CL, Chetty R, Jenner K, Fisher FM, Lauer MN et al. Increased resistin gene and protein expression in human abdominal tissue. J Clin Endocrinol Metab 2002; 87: 2407–2413.

    Article  CAS  PubMed  Google Scholar 

  28. Nogueiras R, Gualillo O, Caminos JE, Casanueva FF, Dieguez C . Regulation of resistin by gonadal, thyroid hormone, and nutritional status. Obes Res 2003; 11: 408–414.

    Article  CAS  PubMed  Google Scholar 

  29. Reinehr T, Andler W . Changes in the atherogenic risk- factor profile according to degree of reduction of overweight. Arch Dis Child 2004; 89: 419–422.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. Reinehr T, Roth C, Menke T, Andler W . Adiponectin before and after weight loss in obese children. J Clin Endocrinol Metab 2004; 89: 3790–3794.

    Article  CAS  PubMed  Google Scholar 

  31. Reinehr T, Kiess W, Kapellen T, Andler W . Insulin Sensitivity Among Obese Children and Adolescents, According to Degree of Weight Loss. Pediatrics 2004; 114: 1569–1573.

    Article  PubMed  Google Scholar 

  32. Reinehr T, Roth CL, Alexy U, Kersting M, Kiess W, Andler W . Ghrelin levels before and after reduction of overweight due to a low fat high carbohydrate diet in obese children and adolescents. Int J Obes 2005; 29: 362–368.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We are grateful to R Maslak, Bonn, for her kind support in the laboratory.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to T Reinehr.

Additional information

Conflict of interestNone.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Reinehr, T., Roth, C., Menke, T. et al. Resistin concentrations before and after weight loss in obese children. Int J Obes 30, 297–301 (2006). https://doi.org/10.1038/sj.ijo.0803116

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ijo.0803116

Keywords

This article is cited by

Search

Quick links