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Abdominal obesity and low physical activity are associated with insulin resistance in overweight adolescents: a cross-sectional study
Authors
A Bremer
A Friend
+74 more
A Moran
AL Rosenbloom
American College of Sports Medicine
AR Argüeso
B Gutin
BE Ainsworth
BM Popkin
C Giannini
C Levy-Marchal
C Maffeis
CB Anderson
CJ Nolan
Claudia-María Velásquez-Rodríguez
Colombia. Ministerio de la Protección Social
Colombian Family Welfare Institute
D Stupar
D Yeste
E Acosta García
E Kassi
E Rodríguez-Rodríguez
E Saito
FA Patiño Villada
Food and Nutrition Board Institute of Medicine
G Agudelo
G Valerio
GL Ambrosini
GL Myers
GM Ochoa Agudelo
GR Hajer
I Abete
Profamilia, Instituto Nacional De Salud, Escuela de Nutrición y Dietética Universidad de Antioquia, Organización Panamericana de la Salud Instituto Colombiano de Bienestar Familiar
J Yin
JA Olivares Reyes
JM Lee
JR Fernández
Juliana Bermúdez-Cardona
K Kotlyarevska
L Nasreddine
Leidy Gómez-Ocampo
LM Manjarrés
LM Manjarrés
LS Alvarez
M Bolet Astoviza
M De Onis
M Dowda
M Lafontan
M Prentki
M Simarro Rueda
MA Sesé
Marcela Velásquez-Villa
MD De Boer
ML Garmendia
MV Fedewa
N Mirza
National Heart, Lung, and Blood Institute, National Institutes of Health. Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on National Cholesterol Education Program
National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents
NS Rizzo
O Androutsos
Instituto Nacional De Salud, Bienestar Familiar, Ministerio de la Proteccion Social, Prosperidad para todos Profamilia
R Meshkani
R Weiss
RM Uscátegui Peñuela
RR Pate
S Cook
S Suh
S Zanuso
SH Chu
SR Colberg
SR Daniels
T Celik
T Koike
TG Lohman
WA Marshall
WA Marshall
Publication date
1 January 2014
Publisher
'Springer Science and Business Media LLC'
Doi
Cite
Abstract
ABSTRACT: Background: Previous studies have assessed the metabolic changes and lifestyles associated with overweight adolescents. However, these associations are unclear amongst overweight adolescents who have already developed insulin resistance. This study assessed the associations between insulin resistance and anthropometric, metabolic, inflammatory, food consumption, and physical activity variables amongst overweight adolescents. Methods: This cross-sectional study divided adolescents (n = 120) between 10 and 18 years old into 3 groups: an overweight group with insulin resistance (O + IR), an overweight group without insulin resistance (O-IR), and a normal-weight control group (NW). Adolescents were matched across groups based on age, sex, pubertal maturation, and socioeconomic strata. Anthropometric, biochemical, physical activity, and food consumption variables were assessed. Insulin resistance was assessed using homeostatic model assessment (HOMA Calculator Version 2.2.2 from ©Diabetes Trials Unit, University of Oxford), and overweight status was assessed using body mass index according to World Health Organization (2007) references. A chi-square test was used to compare categorical variables. ANOVAs or Kruskal-Wallis tests were used for continuous variables. Multiple linear regression models were used to calculate the probability of the occurrence of insulin resistance based on the independent variables. Results: The risk of insulin resistance amongst overweight adolescents increases significantly when they reach a waist circumference > p95 (OR = 1.9, CIs = 1.3-2.7, p = 0.013) and watch 3 or more hours/day of television (OR = 1.7, CIs = 0.98-2.8, p = 0.033). Overweight status and insulin resistance were associated with higher levels of inflammation (hsCRP ≥1 mg/L) and cardiovascular risk according to arterial indices. With each cm increase in waist circumference, the HOMA index increased by 0.082; with each metabolic equivalent (MET) unit increase in physical activity, the HOMA index decreased by 0.026. Conclusions: Sedentary behaviour and a waist circumference > p90 amongst overweight adolescents were associated with insulin resistance, lipid profile alterations, and higher inflammatory states. A screening that includes body mass index, in waist circumference, and physical activity evaluations of adolescents might enable the early detection of these alterations
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Crossref
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info:doi/10.1186%2F1471-2431-1...
Last time updated on 01/04/2019