Differences in cardiometabolic risk between insulin-sensitive and insulin-resistant overweight and obese children
Background: It is known that 15-30% overweight/obese adults do not suffer cardiometabolic consequences. There is limited literature examining factors that can be used to assess cardiometabolic health in overweight/obese children. If such factors can be identified, they would aid in differentiating those most in need for aggressive management.
Methods: Baseline data from 7- to 12-year-old, overweight, and obese children enrolled in a weight management program at an urban hospital were analyzed. Homeostatic model assessment for insulin resistance (HOMA-IR) Results: Of the 362 overweight/obese participants, 157 (43.5%) were insulin sensitive and 204 (56.5%) were insulin resistant. Compared to the insulin-sensitive group, the insulin-resistant group was older (8.6±1.6 vs. 9.9±1.7; pResults: Using a HOMA-IR value of ≥2.6, clinical providers can identify prepubertal and early pubertal children most at risk. Focusing limited resources on aggressive weight interventions may lead to improvement in cardiometabolic health.
Khan, U. I.,
McGinn, A. P.,
Isasi, C. R.,
(2015). Differences in cardiometabolic risk between insulin-sensitive and insulin-resistant overweight and obese children. Childhood Obesity, 11(3), 289-296.
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_fam_med/197
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