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The Impact of Physical Exercise on Obesity in a Cohort of Southern Italian Obese Children: Improvement in Cardiovascular Risk and Immune System Biomarkers

Author

Listed:
  • Cristina Mennitti

    (Department of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, 80131 Naples, Italy
    These authors contributed equally to this work.)

  • Annaluisa Ranieri

    (Ceinge Biotecnologie Avanzate S. C. a R. L., 80131 Naples, Italy
    These authors contributed equally to this work.)

  • Ersilia Nigro

    (Ceinge Biotecnologie Avanzate S. C. a R. L., 80131 Naples, Italy
    Department of Environmental, Biological and Pharmaceutical Sciences and Technologies (DISTABIF), University of Campania Luigi Vanvitelli, Via Vivaldi 43, 81100 Caserta, Italy)

  • Lorella Tripodi

    (Department of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, 80131 Naples, Italy
    Ceinge Biotecnologie Avanzate S. C. a R. L., 80131 Naples, Italy)

  • Mariarita Brancaccio

    (Department of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, 80131 Naples, Italy)

  • Jacopo Ulisse

    (Department of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, 80131 Naples, Italy)

  • Luca Gentile

    (Integrated Department of Laboratory and Transfusion Medicine, University of Naples Federico II, 80131 Naples, Italy)

  • Fabio Fimiani

    (Unit of Inherited and Rare Cardiovascular Diseases, A.O.R.N. Dei Colli “V. Monaldi”, Via Leonardo Bianchi, 80131 Naples, Italy)

  • Arturo Cesaro

    (Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, 80138 Napoli, Italy
    Division of Clinical Cardiology, A.O.R.N. “Sant’Anna e San Sebastiano”, 81100 Caserta, Italy)

  • Giovanni D’Alicandro

    (Department of Neuroscience and Rehabilitation, Center of Sports Medicine and Disability, AORN, Santobono-Pausillipon, 80122 Naples, Italy)

  • Giuseppe Limongelli

    (Department of Cardio-Thoracic and Respiratory Sciences, University of Campania “Luigi Vanvitelli”, 80138 Napoli, Italy)

  • Aurora Daniele

    (Department of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, 80131 Naples, Italy
    Ceinge Biotecnologie Avanzate S. C. a R. L., 80131 Naples, Italy)

  • Raffaela Pero

    (Department of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, 80131 Naples, Italy
    Task Force on Microbiome Studies, University of Naples Federico II, 80100 Naples, Italy)

  • Giulia Frisso

    (Department of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, 80131 Naples, Italy
    Ceinge Biotecnologie Avanzate S. C. a R. L., 80131 Naples, Italy)

  • Paolo Calabrò

    (Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, 80138 Napoli, Italy
    Division of Clinical Cardiology, A.O.R.N. “Sant’Anna e San Sebastiano”, 81100 Caserta, Italy)

  • Lucio Pastore

    (Department of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, 80131 Naples, Italy
    Ceinge Biotecnologie Avanzate S. C. a R. L., 80131 Naples, Italy)

  • Maria Rosaria Licenziati

    (Obesity and Endocrine Disease Unit, Department of Neuroscience, Santobono-Pausilipon Children’s Hospital, 80129 Naples, Italy)

  • Olga Scudiero

    (Department of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, 80131 Naples, Italy
    Ceinge Biotecnologie Avanzate S. C. a R. L., 80131 Naples, Italy
    Task Force on Microbiome Studies, University of Naples Federico II, 80100 Naples, Italy)

  • Barbara Lombardo

    (Department of Molecular Medicine and Medical Biotechnology, University of Naples Federico II, 80131 Naples, Italy
    Ceinge Biotecnologie Avanzate S. C. a R. L., 80131 Naples, Italy)

Abstract

Background: Childhood obesity (CO) is a serious medical condition affecting approximately 120 million children and adolescents worldwide. It is characterized by a persistent inflammatory state with inflammatory markers overexpressed, which in turn leads to a higher cardiovascular risk. It is well known that physical exercise reduces the inflammatory state in obese children. In the present study, we evaluated various biochemical parameters in obese children performing physical exercise compared to a group of obese sedentary children. Hence, the objective is to identify a panel of biomarkers to prevent numerous obesity-related complications. Methods: We examined two populations: 44 sedentary obese children (OSe), recruited on 5 November 2018 from Santobono–Pausilipon Children’s Hospital, Naples (Italy) of age = 11 ± 3.3 and 30 obese children who practice sport (OSp) of age = 10 ± 2.5. We observed a significant variation in some biochemical parameters such as white blood cells, C-reactive protein (CRP), glycemia and insulinemia. Moreover, we determined the levels of interleukins, chemokines and defensins by ELISA assay. Results: Our results showed a reduction in serum level of glycemia ( p -value < 0.001), neutrophils ( p -value < 0.05) and CRP ( p -value < 0.05), whereas no relevant variations have been reported in insulin levels. Moreover, we found a decrease in serum levels of PDGF-β ( p -value < 0.05), IL-9 ( p -value < 0.01), IL-6 ( p -value < 0.0001), IL-8 ( p -value < 0.0001), IP-10 ( p -value < 0.01), Eotaxin ( p -value < 0.0001) and GM-CSF ( p -value < 0.01) in OSp population in comparison to OSe. At the same time, we did not observe any significant variation in serum levels of IL-1ra and IL-17 between the two populations. On the other hand, we found an increase in HNP-1 ( p -value < 0.0001) and HBD1 ( p -value < 0.01) in OSp if compared to OSe. Conclusions: This study shed light on the role of physical exercise on CO, demonstrating in our population that an early evaluation of some biochemical parameters could be an assumption to prescribe physical exercise in order to monitor and prevent childhood obesity and related disorders.

Suggested Citation

  • Cristina Mennitti & Annaluisa Ranieri & Ersilia Nigro & Lorella Tripodi & Mariarita Brancaccio & Jacopo Ulisse & Luca Gentile & Fabio Fimiani & Arturo Cesaro & Giovanni D’Alicandro & Giuseppe Limongel, 2022. "The Impact of Physical Exercise on Obesity in a Cohort of Southern Italian Obese Children: Improvement in Cardiovascular Risk and Immune System Biomarkers," IJERPH, MDPI, vol. 20(1), pages 1-14, December.
  • Handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:602-:d:1019419
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    References listed on IDEAS

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    1. Valeria Calcaterra & Matteo Vandoni & Virginia Rossi & Clarissa Berardo & Roberta Grazi & Erika Cordaro & Valeria Tranfaglia & Vittoria Carnevale Pellino & Cristina Cereda & Gianvincenzo Zuccotti, 2022. "Use of Physical Activity and Exercise to Reduce Inflammation in Children and Adolescents with Obesity," IJERPH, MDPI, vol. 19(11), pages 1-20, June.
    2. Mariarita Brancaccio & Cristina Mennitti & Arturo Cesaro & Fabio Fimiani & Elisabetta Moscarella & Martina Caiazza & Felice Gragnano & Annaluisa Ranieri & Giovanni D’Alicandro & Nadia Tinto & Cristina, 2020. "Dietary Thiols: A Potential Supporting Strategy against Oxidative Stress in Heart Failure and Muscular Damage during Sports Activity," IJERPH, MDPI, vol. 17(24), pages 1-22, December.
    3. Paola Gonzalo-Encabo & Gonzalo Maldonado & David Valadés & Carmen Ferragut & Alberto Pérez-López, 2021. "The Role of Exercise Training on Low-Grade Systemic Inflammation in Adults with Overweight and Obesity: A Systematic Review," IJERPH, MDPI, vol. 18(24), pages 1-17, December.
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