Relationship between zinc levels and plasma leptin in hemodialysis patients

Recent evidences suggested a possible relationship between zinc deficiency and leptin levels in pathogenesis of anorexia in chronic kidney disease. The present study addressed the relationship between zinc and leptin in hemodialysis (HD) patients. Methods: Fifty HD patients (54.3 +/- 12.7 years old, 62% men) were studied and compared to 21 healthy volunteers (50.7 +/- 15.7 years old, 43% men). Biochemical data, serum zinc, plasma leptin, IL-6, TNF-alpha and C-Reactive Protein levels were determined. Anthropometric parameters, food intake and appetite score were also assessed. Results: The leptin levels were higher in HD patients (16.1 mu g/mL (0.21-118.25) vs 6.0 mu g/mL (0.50-23.10)) in healthy volunteers (p = 0.04), whereas serum zinc levels were lower (54.5 +/- 16.3 mu g/dL) compared to healthy volunteers (78.4 +/- 9.4 mu g/dL) (p = 0.0001). The plasma leptin was correlated negatively with plasma zinc (r = -0.33; p = 0.007), energy (r = -0.38; p = 0.002) and protein intake (r = -0.34; p = 0.006) and, positively correlated with BMI (r = 0.54; p = 0.0001), % body fat (r = 0.70; p = 0.0001) and conicity index (r = 0.46; p = 0.001). Plasma zinc was associated with hemoglobin (r = 0.30; p = 0.04) and negatively associated with TNF-alpha (r = -0.37; p = 0.002) and C-Reactive Protein (r = -0.37; p = 0.004). There was no correlation among Zn, leptin and appetite score in these patients. Conclusion: This study showed that low plasma zinc levels are negatively associated with high leptin levels in HD patients. (C) 2012 Elsevier GmbH. All rights reserved.