Evaluation of Serum Visfatin in Children and Adolescent with Type1 Diabetes Mellitus | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 51, Volume 86, Issue 1, January 2022, Page 324-328 PDF (902.73 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2022.212025 | ||||
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| Authors | ||||
Nahed Mahmoud Khater; Hadeel Mohammed Abd ELrahman; Randa Hussieny Mohammed; Mahmoud Ali Elashery 
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| Abstract | ||||
| Background: Type 1 diabetes mellitus (T1DM) is a chronic illness characterized by the body’s inability to produce insulin due to the autoimmune destruction of the beta cells in the pancreas. Visfatin is a ubiquitous intracellular enzyme, known as nicotine amide phosphoribosyl transferase (NAMPT) and pre-B-cell colony-enhancing factor (PBEF-1). Objective: The aim of this study was to evaluate serum visfatin level in children and adolescent with type 1 diabetes mellitus (T1DM). Patients and methods: The present study was a case-control study observation that was conducted in Pediatric Endocrinology Unit, Pediatric Ward, Zagazig University Hospitals. The study included 46 children; 23 with T1DM and 23 healthy age- and sex- matched children. Results: In this study, we found that serum visfatin level in diabetic group is statistically highly significant lower than healthy group. The mean serum level of visfatin in healthy group was 19.53 ± 10.5 ng/ml, while in T1DM patients was 2.85 ± 2.09 ng/ml. The best cutoff of serum visfatin level in excluding T1DM was ≥ 3.6 ng/ml with area under curve 0.968 with sensitivity 91.3%, specificity 82.6%, positive predictive value 84%, negative predictive value 90.5%, positive likelihood ratio 5.25, negative likelihood ratio 0.11 and accuracy 87% (p < 0.001). The result showed that serum visfatin could be helpful in prediction of T1DM among children and adolescents with an accuracy 87%. Conclusion: Serum visfatin level is lower in T1DM patients compared to healthy control. Visfatin play a role in early prediction and understanding the mechanism of its action in T1DM could lead to new therapeutic targets. | ||||
| Keywords | ||||
| Visfatin; Pediatric; Type1 Diabetes mellitus; Assessment | ||||
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