Evaluation of serum ghrelin and neuropeptide Y levels in epileptic children under valproate treatment


GÜZEL A., Karasalihoǧlu S., Küçükuǧurluoǧlu Y., Sayar E., KUNDURACILAR H.

Trakya Universitesi Tip Fakultesi Dergisi, cilt.26, sa.1, ss.18-23, 2009 (SCI-Expanded, Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 26 Sayı: 1
  • Basım Tarihi: 2009
  • Dergi Adı: Trakya Universitesi Tip Fakultesi Dergisi
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.18-23
  • Anahtar Kelimeler: Children, Ghrelin, Neuropeptide Y, Obesity, Valproate, Weight gain
  • Trakya Üniversitesi Adresli: Evet

Özet

Objectives: Weight gain and obesity are also among the side effects of long-term valproate treatment, whose etiology remains unclear. The aim of this study is to investigate the relationship between weight gain, serum neuropeptide Y and ghrelin levels in children taking valproate treatment. Patients and Methods: Our study included 25 epileptic children (14 males, 11 females; mean age 7.7±3.8 years; range 4 to 12 years) who were taking only valproate monotherapy at the outpatient clinics. All study participants were analyzed in terms of body mass index, serum neuropeptide Y and ghrelin levels before treatment and after a follow-up period of one year. Results: At the end of follow-up, the mean body mass index measurements increased, whereas the mean serum neuropeptide Y and ghrelin levels decreased; twelve patients (48%) gained obesity. Conclusion: This study demonstrated low serum ghrelin and neuropeptide Y levels in children receiving valproate treatment. New studies with larger sample sizes and longer follow-up periods are needed to evaluate the mechanism of weight gain due to valproate treatment in this population. © Medical Journal of Trakya University. Published by Ekin Medical Publishing. All rights reserved.