Table 1.
Lean | Overweight and obese | P | |||||
---|---|---|---|---|---|---|---|
n | Mean ± SEM | Range | n | Mean ± SEM | Range | ||
Anthropometric parameters | |||||||
Male/female (% male) | 59 | 27/32 (45.8) | 74 | 35/39 (47.3) | 0.860 | ||
Age, years | 59 | 10.4 ± 0.6 | 1.1 to 18.3 | 74 | 13.3 ± 0.3 | 4.8 to 18.4 | <0.001 |
Pubertal stage, PH | 50 | 2 ± 0 | 1 to 6 | 64 | 3 ± 0 | 1 to 6 | 0.003 |
BMI SDS | 59 | 0.07 ± 0.11 | −1.80 to 1.24 | 74 | 2.31 ± 0.07 | 1.32 to 4.34 | <0.001 |
Height SDS | 51 | −0.04 ± 0.17 | −3.18 to 2.31 | 61 | 0.35 ± 0.14 | −3.16 to 2.37 | 0.076 |
AT composition | |||||||
Adipocyte diameter, µm | 32 | 114 ± 2 | 81 to 139 | 44 | 127 ± 2 | 98 to 175 | <0.001 |
Total adipocyte number × 109a | 21 | 24.7 ± 3.2 | 9.1 to 69.8 | 31 | 52.0 ± 4.8 | 22.7 to 114.4 | <0.001 |
Isolated adipocytes per g AT × 106a | 32 | 2.3 ± 0.1 | 1.2 to 4.4 | 45 | 1.9 ± 0.8 | 1.0 to 3.1 | 0.003 |
Isolated SVF cells per g AT × 105a | 27 | 1.0 ± 0.1 | 0.0 to 2.4 | 31 | 1.2 ± 0.1 | 0.1 to 4.1 | 0.841 |
AT inflammation | |||||||
Macrophages per 100 adipocytesa | 49 | 9 ± 1 | 0 to 29 | 59 | 16 ± 2 | 0 to 115 | 0.013 |
CLS per 100 adipocytesa | 49 | 0 ± 0 | 0 to 2 | 59 | 1 ± 0 | 0 to 8 | <0.001 |
hs-CRP mg/La | 47 | 0.7 ± 0.1 | 0.3 to 3.2 | 65 | 2.1 ± 0.3 | 0.3 to 18.7 | <0.001 |
TNF-α pg/mL | 44 | 1.96 ± 0.19 | 0.68 to 1.78 | 61 | 2.03 ± 0.14 | 0.66 to 5.77 | 0.698 |
AT functional parameters | |||||||
Doubling time of native cells from the SVF, ha | 22 | 142.8 ± 26.6 | 14.5 to 524.3 | 29 | 178.7 ± 34.1 | 17.8 to 735.9 | 0.617 |
Growth rate of proliferating native SVF cellsa | 21 | 0.016 ± 0.002 | 0.003 to 0.037 | 24 | 0.013 ± 0.001 | 0.004 to 0.030 | 0.363 |
Generation time of proliferating native SVF cells, ha | 21 | 72.3 ± 12.7 | 18.9 to 205.0 | 24 | 65.7 ± 8.1 | 23.3 to 180.7 | 0.894 |
Differentiation of cells from the SVF, % | 21 | 28.6 ± 3.6 | 4.0 to 58.2 | 27 | 26.1 ± 3.3 | 0.2 to 73.2 | 0.608 |
Basal lipolysis in adipocytes | 15 | 0.49 ± 0.05 | 0.20 to 0.83 | 14 | 0.36 ± 0.05 | 0.18 to 0.74 | 0.071 |
Isoproterenol-stimulated lipolysis in adipocytesa | 15 | 2.07 ± 0.22 | 0.48 to 3.77 | 15 | 1.98 ± 0.34 | 0.37 to 5.08 | 0.569 |
Adipokines and HOMA IR | |||||||
Adiponectin, mg/La | 45 | 9.0 ± 1.0 | 1.6 to 43.8 | 64 | 5.7 ± 0.3 | 1.7 to 15.1 | <0.001 |
Leptin, ng/mLa | 42 | 7.5 ± 1.2 | 0.4 to 28.2 | 65 | 29.9 ± 2.7 | 1.3 to 89.1 | <0.001 |
HOMA IRa | 48 | 1.5 ± 0.2 | 0.0 to 5.6 | 63 | 3.6 ± 0.3 | 0.3 to 12.7 | <0.001 |
MSCA1 and CD36 expression in AT | |||||||
MSCA1 mRNA in SVF cellsa | 59 | 0.162 ± 0.015 | 0.031 to 0.648 | 74 | 0.176 ± 0.015 | 0.041 to 0.593 | 0.509 |
MSCA1 mRNA in adipocytesa | 59 | 0.114 ± 0.013 | 0.002 to 0.375 | 74 | 0.139 ± 0.009 | 0.022 to 0.363 | 0.104 |
CD36 mRNA in SVF cellsa | 55 | 0.165 ± 0.010 | 0.053 to 0.292 | 74 | 0.124 ± 0.006 | 0.053 to 0.299 | <0.001 |
CD36 mRNA in adipocytesa | 59 | 0.233 ± 0.014 | 0.063 to 0.691 | 74 | 0.233 ± 0.012 | 0.058 to 0.600 | 0.975 |
Data are presented as mean with standard error of the mean and range. n indicates the number of subjects. Significant P-values (P < 0.05) are indicated in bold. Statistical significance for sex distribution was examined by χ² test. Statistical significance for differences between lean children and children with overweight and obesity was determined by the Student’s t test. Basal lipolysis is given as glycerol release in (ng/mL)/1000 adipocytes.
Abbreviations: AT, adipose tissue; BMI, body mass index; CD36, cluster of differentiation 36; HOMA IR, homeostatic model assessment-insulin resistance; hs-CRP, high-sensitivity C-reactive protein; mRNA, messenger RNA; MSCA1, mesenchymal stem cell antigen 1; SDS standard deviation score; SEM, standard error of the mean; SVF, stromal vascular fraction; TNF-α, tumor necrosis factor α;
a Statistical analyses were performed with log-transformed parameters.