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Hubungan kadar leptin terhadap parameter trombosit pada pasien dengan obesitas

Abstract

Background: Obesity is excessive and abnormal fat accumulation thus harmful to health. Increase in body mass index (BMI) in obesity, also accompanied by increase hormon which synthesized and released by adipose tissue informs the brain for controlling hunger and food intake that is Leptin. Leptin plays a role in chronic inflammatory process of obesity. Leptin receptor was detected in human platelets and high concentration of leptin reported to promote platelet aggregation. The platelet parameters examination is a cheap, easy, and routinly done in daily basis, which consist of platelet counts, mean platelet volume (MPV), platelet distribution width (PDW), platelet large cell ratio (PLCR), plateletcrit (PCT), which indicates platelet proliferation. The aim of research was to look the relationship of leptin with thrombocyte parameter in obesity people.

Methods: Cross sectional study of 45 obese adults, based on RISKESDAS criteria  with  BMI>27, on Mei-September 2018 was done. Venous blood collected in EDTA and plain tube. The EDTA sample was used for complete hematological examination to obtain platelet parameters by Hematology analayzer with impendace method. Serum from plain tube used for leptin examination was measured by ELISA. Data were analyzed by Pearson and Spearman correlation test. P-value < 0,05 was consideres as significant.

Results: There is no correlation between leptin and platelet count (r=0,051, p=0,740), MPV (r=0,021, p=0,891), PDW (r=-0,093, p=0,541),  P-LCR (r=0,082,  p=0,593), and PCT  (r=0,079, p=0,605). 

Conclusion: There is no correlation between leptin and platelet parameters in obesity. Further studies need to be done with adding another characteristic such as inflammation markers, metabolic syndrome parameters and platelet activation

References

  1. Global Nutrition report 2017 available from: globalnutritionreport.org/wp-content/uploads/2017/11/Report_2017-2.pdf
  2. Matthias Helble, Kris Francisco, The imminent obesity crisis in Asia and the pacific: first cost estimates, Asian Development Bank Institute, June 2017, available from: https://www.adb.org/imminent-obesity-crisis-asia-and-pacific-first-cost-estimates
  3. Riset Kesehatan dasar (RISKESDAS 2013), Badan penelitian dan pengembangan kesehatan kementrian kesehatan RI tahun 2013, available from: : www.depkes.go.id/resources/download/general/Hasil%20Riskesdas%202013.pd
  4. Hasil Pemantauan Status Gizi (PSG) dan penjelasanya tahun 2016. Available from: www.kesmas.kemkes.go.id/assets/upload/dir.../Buku-Saku-Hasil-PSG-2016_842.pdf
  5. World Health Organization Western Pacific Region. The Asia-Pacific perspective: redefining obesity and its treatment [Internet] Geneva: World Health Organization; 2000. Available from:http://www.wpro.who.int/nutrition/documents/Redefining_obesity/
  6. Kanaya M, Vaisse C. Obesity, In David G. Gardner, editors. Greenspan’s basic & clinical Endocrinology Ninth edition. Mc Graw Hill Company, 2011; p. 699-709.
  7. Ramachandran A, Snehalatha C. Rising burden of obesity in Asia. Journal of obesity. Hindawai publishing Corporation. 2010
  8. Facey A, Dilworth L ,Irving R. A review of the leptin hormone and the association with obesity and diabetes. Journal of diabetes and metabolisme. 2017; 8(3). DOI: 10.4172/2156-6156.1000727
  9. Koca TT. Does obesity cause chronic inflammation ? The association between complete blood parameters with body mass index and fasting glucose. Pak J Med Sci. 2017 ; 33(1):65-69.
  10. Castro A.M, Macedo-de la Concha, Pantoja-Melendez. Low grade inflammation and its relation to obesity and chronic degenerative disease. Rev Med Hosp Gen Mex. 2017;80(2): 101-105.
  11. Bonet DS, Justo D, Rogowski O, Saar N, Abu-abeid-S, et al. Platelet counts and platelet activation markers in obese subjects. Hindawi publishing coorporation. 2008. DOI: 10.1155/2008/834153.
  12. Konstaninidies S. Scafer K, Koschnick S, Loskutoff DJ. Leptin dependent platelet agregation and arterial thrombosis suggest a mechanism for atherotrombotic disease in obesity. Journal of clinocal investigation. 2001;108(10): 1533-1540.
  13. Assiri AM. Jamil AS, Mahfouz AA, Mahmoud ZS, Ghallab M. Diagnostic importance of platelet parameters in patienet with acute coronary syndrome admitted to a tertiary care hospital in southwest region , Saudi Arabia. J Saudi Heary assoc. 2012; 24(1): 17-21.
  14. Budak YU, Polat M, Huysa K. The use of Platelet indices, Platetcrit, Mean Platelet Volume and Platelet Distribution Width in emergency non-traumatic abdominal surgery: a systematic review. Biochemia Medica 2016;26(2):178–93.
  15. Yudkin JS, Kumari M, Humphries SE, Mohammed-Ali V. Inflammation, obesity, stress and coronary heart disease: is interleukin-6 the link ? Atherosclerosis.2000;148(2):209-214.
  16. Baatout S. Interleukin-6 and megakaryocytopoiesis: an update. Annals of Hematology.1996;73(4): 157-162.
  17. Rafique N, Afzal MN. Relationship of serum leptin levels with body mass index and gender. Rawal Medical Journal. 2009. Available at: https://www.researchgate.net/publication/242713995
  18. Tungtrongchitr R, Pongpaew P, Phonrat B, Tribunyatkul S, Viroonudomphol D. Leptin concentration in relation to body mass index and hematological measurement in Thai obese and overweight subjects. Southeast Asian J Trop Med Public Health. 2000;31(4):787-794.
  19. Haschimi K, Pierroz DD, Hileman SM, Bjorbaek C, Flier JS. Two defects
  20. contribute to hypothalamic leptin resistance in mice with diet-induced obesity. J Clin Invest 2000; 10:1827-32.
  21. Munzberg H, Flier JS, Bjorbaek C. Region-specific leptin resistance
  22. within the hypothalamus of diet-induced obese mice. Endocrinology 2004;145: 4880-9
  23. Gainsford T, Willson TA, Metcalf D, Handman E, McFarlene C, Ng A, et a. Leptin can induce proliferation, differentiation, and functional activation of hemopoietic cell. Proc Natl Acad Sci USA. 1996;93:14564-14568.
  24. Nakata M, Yada T, Soejima N, Maruyama I. Leptin promotes aggregation of human platelets via the long form for its receptor. Diabetes. 1999;48.
  25. Ozata M, Avcu F, Durmus O, Yilmaz I, Ozdemir IC, Yalcin A. Leptin Does Not Play a Major Role in Platelet Aggregation in Obesity and Leptin Deficiency. Obesity Res. 2001;9(10):627–630.
  26. Foschini D, Dos Santos RVT, Prado WL, De Piano A, Lofrano MC. Platelet and leptin in obese adolescent.Journal de Pediatria. 2008;84(6):516-521.
  27. Furuncuoglu Y, Tulgar S, Dogan AN, Cakar S. Tulgar YK, Cakiroglu B. How obesity affects the neutrophil/lymphocyte and platelet/lymphocyte ratio, systemic immune-inflammatory index and platelet indices : a retrospective study. Europian Review for Medical and Pharmacological Sciences. 2016;20: 1300-1306.
  28. Hou J, Liu C, Yao P, Chen W, He M, Wang Y, et al. Association adiposity indices with Platelet Distribution Width and Mean Platelet Volume in Chinese Adults. PLOS ONE. 2015. DOI: 10.1371/journal.pone.0129677
  29. Guilherme A, Virvasius JV, Puri V. Adipocyte dysfunction linking obesity to insulin resistance and type 2 diabetes. Nat Rev Mol Sell Biol. 2008;9:367-377.
  30. Lebedeva EV, Yushkov BG, Chereshnev VA. Megakaryocytopoiesis under hypoxic condition. Bull Exp Bio Med. 2003; 136: 554-556
  31. Qadri S, Holman S, Dehovitz J, Crystal H, Minkof H, Lazar JM, et al. Mean platelet volume is decreased in HIV infected woman. HIV Med.2013;14: 549-555.
  32. Santimone I, Di Castelnuovo, De Curtis A, Spinell M, Cugino D, Gianfagna F, et al. White blood cell count, sex age are major determinant of heterogenity of platelet indices in an adult general population: result from the MOLI-SANI project. Haematologica.2011;96:1180-1188
  33. Riyahi N, Tohit ERM, Thambiah SC, Ibrahim Z. Platelet related cytokines among normal body mass index, overweight, and obese Malaysian. Asia Pac J Clin Nutr. 2018:27(1):182-188.
  34. Tavil Y, Sen N, Yacizi H, Turfan M, Hizal F, Cengel A, et al. Coronary heart disease is associated with mean platelet volume in prehypertensive patients. Platelet. 2009;20(1):58-63.
  35. Yazici M, Kaya A, Kaya Y, Albayrak S, Sinemre H, Ozhan H. Lifestyle modification decrease the mean platelet volume in prehypertensive patients. Platelets. 2009;20(1):58-63.
  36. Tavil Y, Sen N, Yacizi H, Turfan M, Hizal F, Abaci A, Cengel A. Mean platelet volume in patient with metabolic syndrome and its relationship with coronary artery disease. Trombosis research. 2007;120(2):245-250.
  37. Meisinger C, Doring A, Thorand B, Heier M, Lowel H. Body fat distribution and risk of type 2 diabetes in the general population: are there differences between men and women ? The MONICA/KORA Augsburg cohort study. Am J Clin Nutr.2006; 84(3): 483-489.
  38. Toplak H, Wascher TC. Influence of weight reduction on platelet volume: different effects of hypocaloric diet and a very low calori diet. Europian Journal of Clinical Investigation. 1994; 24: 778-780.

How to Cite

Fajaryani, D., Hendrianingtyas, M., & Retnoningrum, D. (2019). Hubungan kadar leptin terhadap parameter trombosit pada pasien dengan obesitas. Intisari Sains Medis, 10(1). https://doi.org/10.15562/ism.v10i1.355

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Dwi Fajaryani
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Meita Hendrianingtyas
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Dwi Retnoningrum
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