Evaluation of meibomian glands in childhood malnutrition

Abstract Childhood malnutrition is a condition that affects a large population and can have significant implications for eye health. Our study aims to assess the impact of childhood malnutrition to the ocular surface by evaluating meibomian gland morphology and function. This study included 92 patie...

Full description

Saved in:
Bibliographic Details
Main Authors: Fuat Yavrum, Begüm Yavrum, Elmas Yüksel-Şükün, Nedime Sahinoglu-Keskek
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-025-09216-3
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849769373024124928
author Fuat Yavrum
Begüm Yavrum
Elmas Yüksel-Şükün
Nedime Sahinoglu-Keskek
author_facet Fuat Yavrum
Begüm Yavrum
Elmas Yüksel-Şükün
Nedime Sahinoglu-Keskek
author_sort Fuat Yavrum
collection DOAJ
description Abstract Childhood malnutrition is a condition that affects a large population and can have significant implications for eye health. Our study aims to assess the impact of childhood malnutrition to the ocular surface by evaluating meibomian gland morphology and function. This study included 92 patients aged 6–18 years, with 52 diagnosed with malnutrition and 40 serving as healthy controls. Patients’ nutritional status was determined based on body mass index (BMI) according to WHO criteria. Meibomian gland morphology and function were assessed using non-invasive imaging techniques and clinical evaluations along with the bloodwork results, including serum ferritin, hemoglobin, serum 25-hydroxyvitamin D, and vitamin B12 levels. Children with malnutrition exhibited significantly lower mean BMI, hemoglobin, serum 25-hydroxyvitamin D, serum ferritin levels and significantly worse meibomian gland loss (MGL) compared to healthy controls (p < 0.001 for all). However, differences in mean non-invasive tear break-up time (NI-BUT) and vitamin B12 levels were not statistically significant. Subgroup analysis based on malnutrition severity revealed no significant differences in MGL or NI-BUT levels. Negative correlations were observed between BMI and MGL, as well as between MGL and serum ferritin and 25-hydroxyvitamin D levels (p < 0.001 for all). This study provides novel insights into the ocular consequences of malnutrition in children, highlighting significant alterations in meibomian gland morphology and function associated with nutritional deficiencies. These findings may inform targeted interventions to reduce ocular morbidity and improve the overall health outcomes of malnourished children.
format Article
id doaj-art-95f585d238aa4b7ebd64992ed7fbd546
institution DOAJ
issn 2045-2322
language English
publishDate 2025-07-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj-art-95f585d238aa4b7ebd64992ed7fbd5462025-08-20T03:03:25ZengNature PortfolioScientific Reports2045-23222025-07-011511710.1038/s41598-025-09216-3Evaluation of meibomian glands in childhood malnutritionFuat Yavrum0Begüm Yavrum1Elmas Yüksel-Şükün2Nedime Sahinoglu-Keskek3FEBO, Ophthalmology Department, Alanya Alaaddin Keykubat University Faculty of MedicinePediatrics Department, Alanya Alaaddin Keykubat University Faculty of MedicineOphthalmology Department, Faculty of Medicine, Alanya Alaaddin Keykubat UniversityOphthalmology Department, Alanya Alaaddin Keykubat University Faculty of MedicineAbstract Childhood malnutrition is a condition that affects a large population and can have significant implications for eye health. Our study aims to assess the impact of childhood malnutrition to the ocular surface by evaluating meibomian gland morphology and function. This study included 92 patients aged 6–18 years, with 52 diagnosed with malnutrition and 40 serving as healthy controls. Patients’ nutritional status was determined based on body mass index (BMI) according to WHO criteria. Meibomian gland morphology and function were assessed using non-invasive imaging techniques and clinical evaluations along with the bloodwork results, including serum ferritin, hemoglobin, serum 25-hydroxyvitamin D, and vitamin B12 levels. Children with malnutrition exhibited significantly lower mean BMI, hemoglobin, serum 25-hydroxyvitamin D, serum ferritin levels and significantly worse meibomian gland loss (MGL) compared to healthy controls (p < 0.001 for all). However, differences in mean non-invasive tear break-up time (NI-BUT) and vitamin B12 levels were not statistically significant. Subgroup analysis based on malnutrition severity revealed no significant differences in MGL or NI-BUT levels. Negative correlations were observed between BMI and MGL, as well as between MGL and serum ferritin and 25-hydroxyvitamin D levels (p < 0.001 for all). This study provides novel insights into the ocular consequences of malnutrition in children, highlighting significant alterations in meibomian gland morphology and function associated with nutritional deficiencies. These findings may inform targeted interventions to reduce ocular morbidity and improve the overall health outcomes of malnourished children.https://doi.org/10.1038/s41598-025-09216-3Child malnutritionOphthalmologyMeibomian glands
spellingShingle Fuat Yavrum
Begüm Yavrum
Elmas Yüksel-Şükün
Nedime Sahinoglu-Keskek
Evaluation of meibomian glands in childhood malnutrition
Scientific Reports
Child malnutrition
Ophthalmology
Meibomian glands
title Evaluation of meibomian glands in childhood malnutrition
title_full Evaluation of meibomian glands in childhood malnutrition
title_fullStr Evaluation of meibomian glands in childhood malnutrition
title_full_unstemmed Evaluation of meibomian glands in childhood malnutrition
title_short Evaluation of meibomian glands in childhood malnutrition
title_sort evaluation of meibomian glands in childhood malnutrition
topic Child malnutrition
Ophthalmology
Meibomian glands
url https://doi.org/10.1038/s41598-025-09216-3
work_keys_str_mv AT fuatyavrum evaluationofmeibomianglandsinchildhoodmalnutrition
AT begumyavrum evaluationofmeibomianglandsinchildhoodmalnutrition
AT elmasyukselsukun evaluationofmeibomianglandsinchildhoodmalnutrition
AT nedimesahinoglukeskek evaluationofmeibomianglandsinchildhoodmalnutrition