ANGPTL-4 is Associated with Obesity and Lipid Profile in Children and Adolescents Barja Fernández, Silvia Aguilera García, Concepción María ANGPTL-4 BMI loss Childhood Lipid profile Obesity Angiopoietin-like protein 4 (ANGPTL-4) regulates lipidic metabolism and affects energy homeostasis. However, its function in children with obesity remains unknown. We investigated plasma ANGPTL-4 levels in children and its relationship with body mass index (BMI) and different lipidic parameters such as free fatty acids (FFA). Plasma ANGPTL-4 levels were analyzed in two different cohorts. In the first cohort (n = 150, age 3–17 years), which included children with normal weight or obesity, we performed a cross-sectional study. In the second cohort, which included only children with obesity (n = 20, age 5–18 years) followed up for two years after an intervention for weight loss, in which we performed a longitudinal study measuring ANGPTL-4 before and after BMI-loss. In the cross-sectional study, circulating ANGPTL-4 levels were lower in children with obesity than in those with normal weight. Moreover, ANGPTL-4 presented a negative correlation with BMI, waist circumference, weight, insulin, homeostasis model assessment of insulin resistance index (HOMA index), triglycerides, and leptin, and a positive correlation with FFA and vitamin-D. In the longitudinal study, the percent change in plasma ANGPTL-4 was correlated with the percent change in FFA, total-cholesterol and high-density lipoprotein cholesterol. This study reveals a significant association of ANGPTL-4 with pediatric obesity and plasma lipid profile. 2020-03-09T12:56:56Z 2020-03-09T12:56:56Z 2019-06-14 info:eu-repo/semantics/article Barja-Fernández, S., Folgueira, C., Castelao, C., Pena-León, V., González-Saenz, P., Vázquez-Cobela, R., ... & Moreno, L. A. (2019). ANGPTL-4 is Associated with Obesity and Lipid Profile in Children and Adolescents. Nutrients, 11(6), 1340. http://hdl.handle.net/10481/60147 10.3390/nu11061340 eng http://creativecommons.org/licenses/by/3.0/es/ info:eu-repo/semantics/openAccess Atribución 3.0 España MDPI