Background
Methods
Study design and participants
Clinical data
SARS-CoV-2 RT-PCR test
SARS-CoV-2 antibody assay
Measurement of plasma adipocytokines levels
Multiplex assays
Statistical analysis
Results
Basic characteristics
Parameter | Acute COVID-19 | Convalescent COVID-19 | Controls | P value |
---|---|---|---|---|
n = 12 | n = 19 | n = 20 | ||
Median (range) | ||||
Age | 7 (2 months–16 yrs) | 8 (7 months–17 yrs) | 8 (1.2–15.6 yrs) | 0.7452 |
Male | 5 (42%) | 11 (58%) | 14 (70%) | |
Female | 7 (58%) | 8 (42%) | 6 (30%) | |
Weight (Kg) | 22 (4.2–60) | 21.5 (9.5–69) | 23 (8–65) | 0.6894 |
Height (cm) | 123 (58–165) | 123 (73–174) | 127 (73–181) | 0.7163 |
BMI (kg/m2) | 18.7 (12.4–23.6) | 18 (13.1–26.9) | 19 (13.2–27.2) | 0.8683 |
Random Blood Glucose (RBG) mg/dL | 119 (98–128) | 110 (95–122) | 102 (96–120) | 0.6438 |
Parameter | Acute COVID-19 | Convalescent COVID-19 | P value |
---|---|---|---|
n = 12 | n = 19 | ||
COVID-19 Symptoms | |||
Fever | 1 (8%) | 7 (37%) | 0.0001 |
Sore Throat | 1 (8%) | 1 (5%) | 0.0001 |
Respiratory Symptoms | 0 | 2 (10%) | NA |
Loss of smell and taste | 2 (17%) | 1 (5%) | 0.0001 |
Gastro intestinal symptoms | 0 | 1 (5%) | NA |
Abdominal pain | 0 | 0 | NA |
Nausea | 0 | 0 | NA |
Rash | 0 | 0 | NA |
Hypertension / Shock | 0 | 0 | NA |
Fatigue | 1 (8%) | 0 | NA |
Myalgia | 0 | 0 | NA |
Pneumonia | 0 | 0 | NA |
Mucocutaneous inflammation | 0 | 0 | NA |
Underlying conditions | 0 | 0 | NA |
Acute COVID-19 children associated with altered levels of adipocytokines
Acute COVID-19 children associated with elevated levels of pancreatic hormones
Acute COVID-19 children associated with altered levels of Incretins
Acute COVID-19 children associated with altered levels of cytokines
Plasma diabetic-related parameters and cytokines can strongly discriminate acute COVID-19 from convalescent COVID-19 and control children
Correlation of plasma diabetic-related parameters and cytokines
Multivariate regression analysis of cytokine, glycemic parameters interaction
Factors | CRUDE OR (95% CI) | P Value | Adjusted OR (95% CI) | P Value |
---|---|---|---|---|
Agea | 1.23 (0.61–3.33) | 0.542 | ||
Gendera | ||||
Female | 1.00 | |||
Male | 0.79 (0.47–1.65) | 0.475 | ||
RBG (mg/dl) | 1.019 (1.003–1.034) | 0.015 | 1.013 (1.001–1.024) | 0.029 |
BMI Kg/m2 | 0.01 (0.01–0.02) | < 0.001 | 0.01 (0.01–0.02) | < 0.001 |
Insulin (pg/ml) | 0.243 (0.153–0.513) | < 0.001 | 0.227 (0.183–0.573) | < 0.001 |
Leptin (pg/ml) | 2.176 (1.391–4.586) | < 0.001 | 2.108 (1.259–4.464) | 0.001 |
Adiponectin (pg/ml) | 1.527 (1.496–2.492) | < 0.001 | 1.308 (1.489–2.454) | < 0.001 |
Adipsin (pg/ml) | 2.345 (1.368–4.032) | < 0.001 | 2.237 (1.366–4.011) | < 0.001 |
C-peptide (pg/ml) | 1.116 (1.002–1.023) | 0.004 | 1.129 (1.011–1.045) | 0.004 |
Glucagon (pg/ml) | 0.899 (0.987–1.000) | 0.305 | 0.899 (0.985–1.000) | 0.194 |
Ghrelin (pg/ml) | 1.001 (1.000–1.003) | 0.018 | 1.003 (1.000–1.012) | 0.039 |
GLP-1 (pg/ml) | 1.000 (0.969–1.011) | 0.394 | 0.999 (0.968–1.011) | 0.737 |
GIP (pg/ml) | 1.000 (0.967–1.001) | 0.022 | 1.000 (0.969–1.001) | 0.024 |
IFNγ (pg/ml) | 1.001(1.000–1.004) | 0.002 | 1.001 (1.000–1.004) | ≤ 0.001 |
IL-2 (pg/ml) | 0.993 (0.986–0.992) | 0.001 | 0.974 (0.963–0.992) | 0.008 |
TNF-α (pg/ml) | 0.992 (0.996–0.981) | 0.003 | 0.984 (0.979–0.981) | 0.052 |
IL-17A (pg/ml) | 0.994 (0.986–0.994) | 0.004 | 0.995 (0.982–1.001) | 0.309 |
IL-1α (pg/ml) | 0.997 (0.958–0.989) | 0.011 | 0.981 (0.961–0.959) | 0.025 |
IL-1β (pg/ml) | 1.005 (0.976–1.015) | 0.044 | 1.010 (0.998–1.021) | 0.307 |
IFN-α (pg/ml) | 0.994 (0.993–0.996) | 0.009 | 0.983 (0.975–0.992) | 0.021 |
IFN-β (pg/ml) | 1.011 (1.002–1.023) | 0.008 | 1.021 (1.011–1.045) | 0.031 |
IL-6 (pg/ml) | 0.984 (0.979–0.989) | 0.009 | 0.995 (0.963–0.989) | 0.028 |
IL-12 (pg/ml) | 0.996 (0.913–1.010) | 0.119 | 0.883 (0.764–0.958) | 0.089 |
G-CSF (pg/ml) | 0.996 (0.993–1.003) | 0.305 | 0.996 (0.993–1.003) | 0.190 |
IL-10 (pg/ml) | 1.040 (1.006–1.063) | 0.026 | 1.061 (0.998–1.060) | 0.185 |