Hiperinsulinemia y resistencia insulínica en niños de dos escuelas públicas de Oaxaca, México
Background: Obesity during childhood is a risk factor for developing cardiovascular diseases during adulthood. Aim: To measure insulin and glucose levels and parameters of insulin resistance in obese, overweight and normal weight Mexican children. Material and Methods: Comparative study of 21 obese...
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Sociedad Médica de Santiago
2016
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oai:scielo:S0034-988720160008000102016-12-21Hiperinsulinemia y resistencia insulínica en niños de dos escuelas públicas de Oaxaca, MéxicoRosas-Sumano,Ana BeatrizRodal-Canales,Francisco JavierBarrientos Pérez,MargaritaCárdenas-Morales,Beatriz EugeniaPérez-Campos Mayoral,LauraPérez-Campos,Eduardo Hyperinsulinism Insulin Resistance Obesity Background: Obesity during childhood is a risk factor for developing cardiovascular diseases during adulthood. Aim: To measure insulin and glucose levels and parameters of insulin resistance in obese, overweight and normal weight Mexican children. Material and Methods: Comparative study of 21 obese children with a body mass index (BMI) over percentile 95, aged 10 ± 1 years (10 males), 14 children aged 10 ± 2 (7 males) with a BMI between percentiles 85 and 94 and 16 children aged 9 ± 2 years (3 males) with a body mass index between percentiles 10 and 84. Body weight, blood pressure and waist circumference were measured and a blood sample was obtained to measure fasting glucose and insulin levels. Homeostasis model of insulin resistance (HOMA) and quantitative insulin sensitivity check index (QUICKI) were calculated. Results: Among obese, overweight and normal weight children, insulin levels were 14.9 (95% CI 10.90-18.99), 7.20 (CI 5.12-9.28) and 4.73 (CI 95% 1.92-7.53) uU/ml, respectively. The figures for HOMA were 3.16 (95% CI 2.20-4.12), 1.49 (95% CI 1.03-1.94) and 0.97 (95% CI 0.35-1.60), respectively. The figures for QUICKI were 0.331 (95% CI 0.319-0.343), 0.371 (95% CI 0.349-0.393) and 0.419 (95% CI 0.391-0.446), respectively. Compared to their normal weight counterparts, the risk of obese children and those with a waist circumference over percentile 90 of having a HOMA over 3.16 was 17 and 10 times higher, respectively. BMI correlated better than waist circumference with insulin levels. Conclusions: Obese children have higher levels of insulin resistance than their normal weight counterparts.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.144 n.8 20162016-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000800010es10.4067/S0034-98872016000800010 |
institution |
Scielo Chile |
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Scielo Chile |
language |
Spanish / Castilian |
topic |
Hyperinsulinism Insulin Resistance Obesity |
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Hyperinsulinism Insulin Resistance Obesity Rosas-Sumano,Ana Beatriz Rodal-Canales,Francisco Javier Barrientos Pérez,Margarita Cárdenas-Morales,Beatriz Eugenia Pérez-Campos Mayoral,Laura Pérez-Campos,Eduardo Hiperinsulinemia y resistencia insulínica en niños de dos escuelas públicas de Oaxaca, México |
description |
Background: Obesity during childhood is a risk factor for developing cardiovascular diseases during adulthood. Aim: To measure insulin and glucose levels and parameters of insulin resistance in obese, overweight and normal weight Mexican children. Material and Methods: Comparative study of 21 obese children with a body mass index (BMI) over percentile 95, aged 10 ± 1 years (10 males), 14 children aged 10 ± 2 (7 males) with a BMI between percentiles 85 and 94 and 16 children aged 9 ± 2 years (3 males) with a body mass index between percentiles 10 and 84. Body weight, blood pressure and waist circumference were measured and a blood sample was obtained to measure fasting glucose and insulin levels. Homeostasis model of insulin resistance (HOMA) and quantitative insulin sensitivity check index (QUICKI) were calculated. Results: Among obese, overweight and normal weight children, insulin levels were 14.9 (95% CI 10.90-18.99), 7.20 (CI 5.12-9.28) and 4.73 (CI 95% 1.92-7.53) uU/ml, respectively. The figures for HOMA were 3.16 (95% CI 2.20-4.12), 1.49 (95% CI 1.03-1.94) and 0.97 (95% CI 0.35-1.60), respectively. The figures for QUICKI were 0.331 (95% CI 0.319-0.343), 0.371 (95% CI 0.349-0.393) and 0.419 (95% CI 0.391-0.446), respectively. Compared to their normal weight counterparts, the risk of obese children and those with a waist circumference over percentile 90 of having a HOMA over 3.16 was 17 and 10 times higher, respectively. BMI correlated better than waist circumference with insulin levels. Conclusions: Obese children have higher levels of insulin resistance than their normal weight counterparts. |
author |
Rosas-Sumano,Ana Beatriz Rodal-Canales,Francisco Javier Barrientos Pérez,Margarita Cárdenas-Morales,Beatriz Eugenia Pérez-Campos Mayoral,Laura Pérez-Campos,Eduardo |
author_facet |
Rosas-Sumano,Ana Beatriz Rodal-Canales,Francisco Javier Barrientos Pérez,Margarita Cárdenas-Morales,Beatriz Eugenia Pérez-Campos Mayoral,Laura Pérez-Campos,Eduardo |
author_sort |
Rosas-Sumano,Ana Beatriz |
title |
Hiperinsulinemia y resistencia insulínica en niños de dos escuelas públicas de Oaxaca, México |
title_short |
Hiperinsulinemia y resistencia insulínica en niños de dos escuelas públicas de Oaxaca, México |
title_full |
Hiperinsulinemia y resistencia insulínica en niños de dos escuelas públicas de Oaxaca, México |
title_fullStr |
Hiperinsulinemia y resistencia insulínica en niños de dos escuelas públicas de Oaxaca, México |
title_full_unstemmed |
Hiperinsulinemia y resistencia insulínica en niños de dos escuelas públicas de Oaxaca, México |
title_sort |
hiperinsulinemia y resistencia insulínica en niños de dos escuelas públicas de oaxaca, méxico |
publisher |
Sociedad Médica de Santiago |
publishDate |
2016 |
url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872016000800010 |
work_keys_str_mv |
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