Effect of folic acid and metformin on insulin resistance and inflammatory factors of obese children and adolescents

Dehkordi Hashemi, E. and Sattari, F. and Khoshdel, A. and Kasiri, K. (2016) Effect of folic acid and metformin on insulin resistance and inflammatory factors of obese children and adolescents. Journal of Research in Medical Sciences, 21 (5). pp. 32-37.

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Abstract

Background: Considering the increasing trend of obesity, especially in developing countries such as Iran, and the role of inflammatory factors and insulin resistance (IR) in the occurrence of obesity-related complications as well as the safety of some agents such as folic acid and metformin, this clinical trial was designed to investigate the effect of metformin and folic acid on inflammatory factors and IR among obese children. Materials and Methods: In this randomized, double-blind, controlled clinical trial study, sixty obese children aged 6-12 years were enrolled. Selected obese children were randomly allocated in two interventional (1 mg/daily folic acid or 1000 mg metformin for 8 weeks) groups. Biochemical measurements including homeostasis model assessment of IR (HOMA-IR), homocysteine (Hcy), tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), and interleukin-8 (IL-8) were measured between and within the groups before and after trial. Results: In each group, thirty obese children were studied. The groups were age- and sex-matched. After folic acid and metformin administration, mean of Hcy, HOMA-IR, TNF-α, and IL-8 decreased significantly (P < 0.05). IL-6 decreased significantly after folic acid use (P < 0.05). Conclusion: The findings of this trial indicated that both metformin and folic acid could decrease IR and level of Hcy in obese children and adolescents. The effectiveness of metformin on IR was more significant than folic acid. Regarding the effectiveness of the two studied agents on inflammatory factors, it is suggested that the role of folic acid was superior to metformin. It is suggested that metformin is a proper agent for obese children with IR and folic acid is an appropriate supplement for obese children with increased inflammatory factors. © 2016 Journal of Research in Medical Sciences.

Item Type: Article
Additional Information: cited By 1
Uncontrolled Keywords: Children, Folic acid, Homocysteine, Inflammation, Insulin resistance, Metformin, Obese
Subjects: WD Nutrition Disease and metabolic diseases
WS Pediatrics
Divisions: Faculty of Medicine
Faculty of Medicine > Department of Clinical Sciences > Department of Infectious Diseases
Faculty of Medicine > Department of Clinical Sciences > Department of Internal Medicine
Faculty of Medicine > Department of Clinical Sciences > Department of Pediatrics
Depositing User: zahra bagheri .
Date Deposited: 09 Jul 2017 07:52
Last Modified: 09 Jul 2017 07:52
URI: http://eprints.skums.ac.ir/id/eprint/895

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