Effect of Vitamin C Supplementation on Inflammation Marker in Obese Children: A Quasi-experimental Study
DOI:
https://doi.org/10.3923/pjn.2017.187.192Keywords:
High sensitivity-C reactive protein, inflammatory markers, obesity, school-aged children, vitamin CAbstract
Background and Objective: The prevalence of obesity among school-aged children has increased. Obesity is commonly associated with an increased risk of cardiovascular disease as it increases secretion of inflammatory markers. Vitamin C has been shown to reduce inflammation. The current study examined the effect of vitamin C supplementation on high sensitivity-C reactive protein (hsCRP) and soluble intercellular adhesion molecules-1 (sICAM-1) levels in school-aged, Indonesian children. Materials and Methods: Twenty eight obese children aged 6-12 years old participated in our quasi-experimental study conducted in 2013. Subjects were classified into two groups: Intervention (300 mg day–1 vitamin C for 6 weeks) and control (50 mg day–1 vitamin C for 6 weeks). The hsCRP and sICAM-1 levels were measured in both groups before and after each individual supplementation. Results: The Mean±Standard Deviation baseline hsCRP level at baseline in the intervention and control groups was 1.77±1.24 and 3.84±4.00 mg L–1, respectively (p>0.05). After 6 weeks, the mean hsCRP level in the intervention and control groups was 3.00±4.73 and 2.94±4.00 mg L–1, respectively (p>0.05). There were no significant differences in hsCRP level within each group before and after treatment. Conclusion: The HsCRP levels in obese children included in the present study were higher than accepted normal values (<1.04 mg L–1). Supplementation with vitamin C (300 mg day–1 total) for 6 weeks did not effectively reduce hsCRP levels among obese school-aged children. Further study is needed to determine a safe and effective dosage regimen of vitamin C for obese children at greater risk for cardiovascular complications.
References
Syahrul, S., R. Kimura, A. Tsuda, T. Susanto, R. Saito and F. Ahmad, 2016. Prevalence of underweight and overweight among school-aged children and it's association with children's sociodemographic and lifestyle in Indonesia. Int. J. Nursing Sci., 3: 169-177.
Ministry of Health of Indonesia, 2013. National baseline health research, riskesdas. Badan Litbang Kesehatan, Jakarta.
Halfon, N., K. Larson and W. Slusser, 2013. Associations between obesity and comorbid mental health, developmental, and physical health conditions in a nationally representative sample of us children aged 10 to 17. Acad. Pediatr., 13: 6-13.
Pulgaron, E.R., 2013. Childhood obesity: A review of increased risk for physical and psychological comorbidities. Clin. Ther., 35: A18-A32.
Stewart, L., 2015. Childhood obesity. Medicine, 43: 108-111.
Hopkins, N.D., G. Stratton, T.M. Tinken, N. McWhannell and N.D. Ridgers et al., 2009. Relationships between measures of fitness, physical activity, body composition and vascular function in children. Atherosclerosis, 204: 244-249.
Arslan, N., B. Erdur and A. Aydin, 2010. Hormones and cytokines in childhood obesity. Indian Pediatr., 47: 829-839.
Stolzman, S. and M.H. Bement, 2012. Inflammatory markers in pediatric obesity: Health and physical activity implications. Infant Child Adolescent Nutr., 4: 297-302.
Rodriguez-Hernandez, H., L.E. Simental-Mendia, G. Rodriguez-Ramirez and M.A. Reyes-Romero, 2013. Obesity and inflammation: Epidemiology, risk factors and markers of inflammation. Int. J. Endocrinol., Vol. 2013.
Pai, J.K., T. Pischon, J. Ma, J.E. Manson and S.E. Hankinson et al., 2004. Inflammatory markers and the risk of coronary heart disease in men and women. N. Engl. J. Med., 351: 2599-2610.
Weiss, R., J. Dziura, T.S. Burgert, M.V. Tamborlane and S.E. Taksali et al., 2004. Obesity and the metabolic syndrome in children and adolescents. N. Engl. J. Med., 350: 2362-2374.
Al-Dalaeen, A.M. and H.A. Al-Domi, 2016. Evaluation of oxidant-antioxidant status in obese children and adolescents. Pak. J. Nutr., 15: 942-947.
Lawrence, G.S., 2004. Implikasi klinis disfungsi endotel dan radikal bebas. J. Med. Nus., 25: 94-102.
Raitakari, O.T., M.R. Adams, R.J. McCredie, K.A. Griffiths, R. Stocker and D.S. Celermajer, 2000. Oral vitamin C and endothelial function in smokers: Short-term improvement, but no sustained beneficial effect. J. Am. Coll. Cardiol., 35: 1616-1621.
Plantinga, Y., L. Ghiadoni, A. Magagna, C. Giannarelli, F. Franzoni, S. Taddei and A. Salvetti, 2007. Supplementation with vitamins C and E improves arterial stiffness and endothelial function in essential hypertensive patients. Am. J. Hypertens., 20: 392-397.
De Onis, M., C. Garza, A.W. Onyango, M.F. Rolland-Cachera and Le Comite de Nutrition de la Societe Francaise de Pediatrie, 2009. WHO growth standards for infants and young children. Arch. Pediatr., 16: 47-53.
WHO., 2008. WHO Child Growth Standards: Training Course on Child Growth Assessment. Vol. 7, WHO, Geneva.
Murer, S.B., I. Aeberli, C.P. Braegger, M. Gittermann and M. Hersberger et al., 2014. Antioxidant supplements reduced oxidative stress and stabilized liver function tests but did not reduce inflammation in a randomized controlled trial in obese children and adolescents. J. Nutr., 144: 193-201.
Aeberli, I., L. Molinari, G. Spinas, R. Lehmann, D. l'Allemand and M.B. Zimmermann, 2006. Dietary intakes of fat and antioxidant vitamins are predictors of subclinical inflammation in overweight Swiss children. Am. J. Clin. Nutr., 84: 748-755.
Bayat, M., E. Erdem, O. Bank, M. Baser and S. Tasci, 2009. Blood pressure, height, weight and body mass index of primary school students in a low socio-economic district in Turkey. Int. Nurs. Rev., 56: 375-380.
Moselakgomo, V.K., A.L. Toriola, B.S. Shaw, G.D. Ter and O. Akinyemi, 2012. Body mass index, overweight and blood pressure among adolescent school children in Limpopo. Rev. Paul. Pediatr., 30: 562-569.
Guran, O., F. Akalin, C. Ayabakan, F.Y. Dereli and G. Haklar, 2007. High-sensitivity C-reactive protein in children at risk for coronary artery disease. Acta Paediatr., 96: 1214-1219.
Danesh, J., P. Whincup, M. Walker, L. Lennon and A. Thomson et al., 2000. Low grade inflammation and coronary heart disease: Prospective study and updated meta-analyses. BMJ, Vol. 321.
Haverkate, F., S.G. Thompson, S.D. Pyke, J.R. Gallimore and M.B. Pepys Group, 1997. Production of C-reactive protein and risk of coronary events in stable and unstable angina. Lancet, 349: 462-466.
Andrys, C., O. Pozler, J. Krejsek, V. Derner, M. Drahosova and O. Kopecky, 2000. Serum soluble adhesion molecules (sICAM-1, sVCAM-1 and sE-selectin) in healthy school aged children and adults. Acta Med. (Hradec Kralove), 43: 103-106.
Hernofialdi, E.A. Rini and R. Machmud, 2013. The effect of vitamin c supplementation on intercellular adhesion molecule-1 (ICAM-1) concentration on male adolescent obesity in Padang. Int. J. Pediatr. Endocrinol., Vol. 2013.
Block, G., C.D. Jensen, T.B. Dalvi, E.P. Norkus and M. Hudes et al., 2009. Vitamin C treatment reduces elevated C-reactive protein. Free Radic. Biol. Med., 46: 70-77.
Ellulu, M.S., A. Rahmat, I. Patimah, H. Khaza'ai and Y. Abed, 2015. Effect of vitamin C on inflammation and metabolic markers in hypertensive and/or diabetic obese adults: A randomized controlled trial. Drug Design Dev. Therapy, 9: 3405-3412.
Chen, X., L. Shen, X. Gu, X. Dai, L. Zhang, Y. Xu and P. Zhou, 2014. High-dose supplementation with vitamin C-induced pediatric urolithiasis: The first case report in a child and literature review. Urology, 84: 922-924.
Ferraro, P.M., G.C. Curhan, G. Gambaro and E.N. Taylor, 2016. Total, dietary and supplemental vitamin C intake and risk of incident kidney stones. Am. J. Kidney Dis., 67: 400-407.
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