The Importance of Erythrocyte Parameters in Obese Children

Increasing prevalence of childhood obesity has
increased the interest in early and late indicators of gaining weight.
Cell blood counts may be indicators of pro-inflammatory states. The
aim was to evaluate associations of hematological parameters,
including hematocrit (HTC), hemoglobin, blood cell counts and their
indices with the degree of obesity in pediatric population. A total of
249; -139 morbidly obese (MO), 82 healthy normal weight (NW) and
28 overweight (OW) children were included into the scope of the
study. WHO BMI-for age percentiles were used to form age- and sexmatched
groups. Informed consent forms and the Ethics Committee
approval were obtained. Anthropometric measurements were
performed. Hematological parameters were determined. Statistical
analyses were performed using SPSS. The degree for statistical
significance was p≤0.05. Significant differences (p=0.000) between
waist-to-hip ratios and head-to- neck ratios (hnrs) of MO and NW
children were detected. A significant difference between hnrs of OW
and MO children (p=0.000) was observed. Red cell distribution width
(RDW) was higher in OW children than NW group (p=0.030). Such
finding couldn’t be detected between MO and NW groups. Increased
RDW was prominent in OW children. The decrease in mean
corpuscular hemoglobin concentration (MCHC) values in MO
children was sharper than the values in OW children (p=0.006 vs
p=0.042) compared to those in NW group. Statistically higher HTC
levels were observed between MO-NW (p=0.014), but none between
OW-NW. Though the cause-effect relationship between obesity and
erythrocyte indices still needs further investigation, alterations in
RDW, HTC, MCHC during obesity may be of significance in the
early life.

• Orkide Donma
• M. Metin Donma
• Burcin Nalbantoglu
• Birol Topcu
• Feti Tulubas
• Murat Aydin
• Tuba Gokkus
• Ahmet Gurel

• Anthropometry
• children
• erythrocytes
• obesity.

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