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Objectives. To determine if the low iron state described in obese children is associated with the chronic inflammatory state seen in obesity. Study Design. Obese children age from 2 to 19 years seen at a weight management clinic were studied prospectively. Data were collected on age, gender, BMI, BMI  Open image in new window -score, serum iron, ferritin, transferrin saturation, free erythrocyte protoporphyrin, high sensitivity creactive protein (hs-crp), and hemoglobin concentration. Results. 107 subjects were studied. Hs-crp levels correlated positively with BMI  Open image in new window  and BMI  Open image in new window -score  Open image in new window  and negatively with serum iron  Open image in new window . 11.2% of subjects had low serum iron. Median serum iron was significantly lower for subjects with American Heart Association high risk hs-crp values ( Open image in new window 3 mg/L) compared to those with low risk hs-crp ( Open image in new window 1 mg/L), (65 mcg/dL versus 96 mcg/dL,  Open image in new window ). After adjusting for age, gender, and BMI  Open image in new window -score, serum iron was still negatively associated with hs-crp  Open image in new window . Conclusions. We conclude that the chronic inflammation of obesity results in the low iron state previously reported in obese children, similar to what is seen in other inflammatory diseases.

The Abnormal Measures of Iron Homeostasis in Pediatric Obesity Are Associated with the Inflammation of Obesity