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insulin sensitive obese children

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https://www.readbyqxmd.com/read/28090470/acanthosis-nigricans-as-a-clinical-predictor-of-insulin-resistance-in-obese-children
#1
Young Kwon Koh, Jae Hee Lee, Eun Young Kim, Kyung Rye Moon
PURPOSE: This study aimed to evaluate the utility of acanthosis nigricans (AN) severity as an index for predicting insulin resistance in obese children. METHODS: The subjects comprised 74 obese pediatric patients who attended the Department of Pediatrics at Chosun University Hospital between January 2013 and March 2016. Waist circumference; body mass index; blood pressure; fasting glucose and fasting insulin levels; lipid profile; aspartate transaminase, alanine transaminase, glycated hemoglobin, C-peptide, and uric acid levels; and homeostatic model assessment insulin resistance (HOMA-IR) and quantitative insulin check sensitivity index (QUICKI) scores were compared between subjects with AN and those without AN...
December 2016: Pediatric Gastroenterology, Hepatology & Nutrition
https://www.readbyqxmd.com/read/28007534/fkbp5-polymorphism-is-associated-with-insulin-resistance-in-children-and-adolescents-with-obesity
#2
Marta Fichna, Izabela Krzyśko-Pieczka, Magdalena Żurawek, Bogda Skowrońska, Danuta Januszkiewicz-Lewandowska, Piotr Fichna
OBJECTIVE: Since metabolic syndrome shares several clinical features with hypercortisolism, it was hypothesised that genes altering individual glucocorticoid (GC) sensitivity might be implicated in pathogenesis of obesity and its adverse outcomes. FKBP5 gene encodes a chaperon protein in the GC receptor (GR) complex, which modulates steroid action upon target genes. Its functional variant, rs1360780, may enhance FKBP5 gene transcription, affect GR signalling and thereby influence the hypothalamo-pituitary-adrenal axis...
December 19, 2016: Obesity Research & Clinical Practice
https://www.readbyqxmd.com/read/27991966/genotypic-carriers-of-the-obesity-associated-fto-polymorphism-exhibit-different-cardiometabolic-profiles-after-an-intervention
#3
Greice G Moraes, Cézane P Reuter, Jane D P Renner, Elisa I Klinger, Michele B Ferreira, Elza D DE Mello, Andréia DE M Valim, Miria S Burgos
Background: Children and adolescents with at-risk genotypes (AA/AT) of the rs9939609 polymorphism in FTO, a fat mass and obesity-associated gene, may exhibit different cardiometabolic profile responses than subjects with the TT genotype after an interdisciplinary intervention. Methods: The sample consisted of 36 school children from southern Brazil. We used DNA quantitation and real-time polymerase chain reaction (PCR) for polymorphism genotyping. We measured anthropometric parameters (body mass index (BMI), waist circumference, hip circumference, waist-hip ratio, body fat percentage and skinfold sum), biochemical parameters (glucose, lipid profile, ultra-sensitive C-reactive protein, uric acid, alanine aminotransferase, aspartate aminotransferase, insulin and adiponectin) and blood pressure...
October 2016: Anais da Academia Brasileira de Ciências
https://www.readbyqxmd.com/read/27984205/definition-of-insulin-resistance-affects-prevalence-rate-in-pediatric-patients-a-systematic-review-and-call-for-consensus
#4
Marloes P van der Aa, Catherijne A J Knibbe, Anthonius de Boer, Marja M J van der Vorst
BACKGROUND: As a result of the rising prevalence of childhood obesity, there is an increasing interest in the type 2 diabetes mellitus precursor insulin resistance (IR). The aim of this study is to review definitions (methods and cutoff values) to define IR in children and to apply these definitions to a previously described obese pediatric population. METHODS: A systematic literature review on prevalence and/or incidence rates in children was performed. The extracted definitions were applied to an obese pediatric population...
December 16, 2016: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://www.readbyqxmd.com/read/27977406/vitamin-d-supplementation-the-metabolic-syndrome-and-oxidative-stress-in-obese-children
#5
Tal Grunwald, Shruti Fadia, Bruce Bernstein, Matthew Naliborski, Shufang Wu, Francesco De Luca
BACKGROUND: Previous studies suggest that vitamin D may play a role in cardiovascular and metabolic health. Oxidative stress has also been implicated in the development of cardiovascular disease. Evidence suggests that vitamin D deficiency may contribute to the occurrence of oxidative stress. This study aimed to determine whether treatment and correction of vitamin D deficiency in obese children led to changes in their metabolic profile, independent of changes in adiposity. In addition, we aimed to determine whether vitamin D deficiency and oxidative stress are causally related in obese children...
December 15, 2016: Journal of Pediatric Endocrinology & Metabolism: JPEM
https://www.readbyqxmd.com/read/27923100/effects-of-air-pollution-exposure-on-glucose-metabolism-in-los-angeles-minority-children
#6
C M Toledo-Corral, T L Alderete, R Habre, K Berhane, F W Lurmann, M J Weigensberg, M I Goran, F D Gilliland
OBJECTIVES: Growing evidence indicates that ambient (AAP: NO2 , PM2.5 and O3 ) and traffic-related air pollutants (TRAP) contribute to metabolic disease risk in adults; however, few studies have examined these relationships in children. METHODS: Metabolic profiling was performed in 429 overweight and obese African-American and Latino youth living in urban Los Angeles, California. This cross-sectional study estimated individual residential air pollution exposure and used linear regression to examine relationships between air pollution and metabolic outcomes...
December 6, 2016: Pediatric Obesity
https://www.readbyqxmd.com/read/27905649/-hyperinsulinemia-and-insulin-resistance-in-children
#7
Ana Beatriz Rosas-Sumano, Francisco Javier Rodal-Canales, Margarita Barrientos Pérez, Beatriz Eugenia Cárdenas-Morales, Laura Pérez-Campos Mayoral, Eduardo Pérez-Campos
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...
August 2016: Revista Médica de Chile
https://www.readbyqxmd.com/read/27889912/insulin-like-growth-factor-1-and-metabolic-parameters-are-associated-with-non-alcoholic-fatty-liver-disease-in-obese-children-and-adolescents
#8
Shuang Liang, Xiangdeng Cheng, Yanyan Hu, Ruxin Song, Guimei Li
AIM: Few studies have investigated the relationship between paediatric non-alcoholic fatty liver disease (NAFLD) and insulin like growth factor 1 (IGF-1). This study, carried out from July 2013 to September 2015, aimed to fill the gap and added metabolic parameters to the analysis. METHODS: This was a cross-sectional study of 168 obese children and adolescents (84% male), divided into two groups based on the presence (n=90) or absence (n=78) of NAFLD. All participants underwent clinical examinations, anthropometric and laboratory examinations and liver ultrasonography...
November 27, 2016: Acta Paediatrica
https://www.readbyqxmd.com/read/27882052/myoinositol-and-d-chiro-inositol-in-improving-insulin-resistance-in-obese-male-children-preliminary-data
#9
Mario Mancini, Alice Andreassi, Michela Salvioni, Fiore Pelliccione, Gianna Mantellassi, Giuseppe Banderali
Myoinositol and D-chiro inositol, which are inositol isomers, have been shown to possess insulin-mimetic properties and to improve insulin resistance, especially in women with polycystic ovary syndrome. However, it has not been determined if this relationship exists also in children. Based on these previous findings, we hypothesized that inositol could be effective in improving insulin sensitivity in children with insulin resistance. To evaluate this hypothesis, we administered both inositol formulations before carrying out an oral glucose tolerance test (OGTT) in a group of obese insulin-resistant male children with high basal insulin levels and compared the values obtained with an OGTT previously conducted without inositol, in the same group, with unchanged BMI...
2016: International Journal of Endocrinology
https://www.readbyqxmd.com/read/27854028/impaired-fasting-glucose-and-impaired-glucose-tolerance-in-children-and-adolescents-with-overweight-obesity
#10
P Di Bonito, L Pacifico, C Chiesa, G Valerio, E Miraglia Del Giudice, C Maffeis, A Morandi, C Invitti, M R Licenziati, S Loche, G Tornese, F Franco, M Manco, M G Baroni
OBJECTIVE: To investigate in a large sample of overweight/obese (OW/OB) children and adolescents the prevalence of prediabetic phenotypes such as impaired fasting glucose (IFG) and impaired glucose tolerance (IGT), and to assess their association with cardiometabolic risk (CMR) factors including hepatic steatosis (HS). METHODS: Population data were obtained from the CARdiometabolic risk factors in children and adolescents in ITALY study. Between 2003 and 2013, 3088 youths (972 children and 2116 adolescents) received oral glucose tolerance test (OGTT) and were included in the study...
November 16, 2016: Journal of Endocrinological Investigation
https://www.readbyqxmd.com/read/27778642/conjugated-linoleic-acid-and-metformin-on-insulin-sensitivity-in-obese-children-randomized-clinical-trial
#11
Nayely Garibay-Nieto, Gloria Queipo-Garcia, Flor Alvarez-Huerta, Mayra Bustos-Esquivel, Erendira Villanueva-Ortega, Fernando Ramirez, Mireya Leon, Estibalitz Laresgoiti-Servitje, Ravindranath Duggirala, Teresa Macias, Sergio Cuevas, Abel Jalife, Miguel Fonseca-Sanchez, Fabiola Serratos, Juan Carlos Lopez-Alvarenga
CONTEXT: Insulin resistance precedes metabolic syndrome abnormalities and may promote cardiovascular disease and type 2 diabetes in children with obesity. Results of lifestyle modification programs have been discouraging, and the use of adjuvant strategies has been necessary. OBJECTIVE: This study aimed to evaluate the effects of metformin and conjugated linoleic acid (CLA) on insulin sensitivity, measured via euglycemic-hyperinsulinemic clamp technique and insulin pathway expression molecules in muscle biopsies of children with obesity...
October 25, 2016: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/27749021/is-impaired-glucose-metabolism-the-missing-piece-in-the-obesity-asthma-puzzle
#12
Tarig Ali-Dinar, Jason E Lang
Obesity is a major risk factor for several conditions including atherosclerotic disease, metabolic syndrome, and upper airway dysfunction. However, the purported link between obesity and asthma has remained more difficult to define, in part due to limitations in past epidemiologic studies and the inherent challenge in accurately defining asthma in children. It is possible that obesity leads to asthma only in the presence of a mediating variable such as an obesity-related conditions such as esophageal reflux or insulin resistance...
October 17, 2016: Pediatric Pulmonology
https://www.readbyqxmd.com/read/27728771/obesity-oxidative-stress-and-their-effect-on-serum-heme-oxygenase-1-concentrations-and-insulin-in-children-aged-3-to-5-years-in-a-pediatric-hospital-of-the-ministry-of-health-cdmx
#13
Enrique Carmona-Montesinos, Raul Velazquez-Perez, Edna Pichardo Aguirre, Selva Rivas-Arancibia
BACKGROUND: Obesity during early stages of life may condition states of oxidative stress. Heme oxygenase-1 (HO-1) is an enzyme involved in oxidative metabolism; it has antioxidant and anti-inflammatory functions and is related in sensitivity to insulin. However, a high concentration of this enzyme has been described to cause alterations such as insulin resistance. The objective of this work was to study the relationship between obesity, oxidative stress, HO-1, and insulin in children aged 3 to 5 years...
October 11, 2016: Childhood Obesity
https://www.readbyqxmd.com/read/27627133/inflammatory-endocrine-and-metabolic-correlates-of-fatigue-in-obese-children
#14
Pascal Barat, Marie-Claire Meiffred, Julie Brossaud, Dietmar Fuchs, Jean-Benoit Corcuff, Helene Thibault, Lucile Capuron
Alterations in endocrine functions and low-grade systemic inflammation represent fundamental characteristics of obesity. These biological systems have been repeatedly linked to fatigue symptoms. The aim of the study was to assess the relationship between fatigue dimensions and metabolic/inflammatory markers in a sample of non-diabetic obese children. The possibility that inflammation-induced alterations in tryptophan metabolism relates to specific dimensions of fatigue was also investigated in a subsample of patients...
December 2016: Psychoneuroendocrinology
https://www.readbyqxmd.com/read/27610345/effects-of-resistance-training-on-cardiovascular-health-in-non-obese-active-adolescents
#15
Clare Chung-Wah Yu, Alison Mary McManus, Hung-Kwan So, Ping Chook, Chun-Ting Au, Albert Martin Li, Jack Tat-Chi Kam, Raymond Chi-Hung So, Christopher Wai-Kei Lam, Iris Hiu-Shuen Chan, Rita Yn-Tz Sung
AIM: To determine the benefits of a 10-wk resistance training programme on cardiovascular health in non-obese and active adolescents. METHODS: This is a pragmatic randomised controlled intervention. The study was carried out in a Hong Kong Government secondary school. Thirty-eight lean and active boys and girls were randomised to either the resistance training group or the control group. Students in the resistance training group received in-school 10-wk supervised resistance training twice per week, with each session lasting 70 min...
August 8, 2016: World Journal of Clinical Pediatrics
https://www.readbyqxmd.com/read/27598976/leptin-as-a-predictor-of-metabolic-syndrome-in-prepubertal-children
#16
Isabel Madeira, Maria Alice Bordallo, Nádia Cristina Rodrigues, Cecilia Carvalho, Fernanda Gazolla, Paulo Collett-Solberg, Clarice Medeiros, Ana Paula Bordallo, Marcos Borges, Claudia Monteiro, Rebeca Ribeiro
Objective: Leptin has been suggested as a potential biomarker of cardiovascular risk. This paper aims to ascertain, based on a sample of prepubertal children, which serum leptin value best suited to identify metabolic syndrome (MS). Subjects and methods: This observational, cross-sectional study recruited children from the outpatient pediatrics clinic, with the purpose of validating serum leptin level cutoffs to identify MS. All obese and overweight children who met eligibility criteria were included in the study, as was a sample of normal-weight children...
September 5, 2016: Archives of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/27588439/associations-between-type-2-diabetes-related-genetic-scores-and-metabolic-traits-in-obese-and-normal-weight-youths
#17
Anita Morandi, Amélie Bonnefond, Stéphane Lobbens, Loïc Yengo, Emanuele Miraglia Del Giudice, Anna Grandone, Claire Lévy-Marchal, Jacques Weill, Claudio Maffeis, Philippe Froguel
CONTEXT: Young onset obesity is strongly associated with the early development of type 2 diabetes (T2D). Genetic risk scores (GRSs) related to T2D might help predicting the early impairment of glucose homeostasis in obese youths. OBJECTIVE: Investigating the contributions of four GRSs (associated with: T2D [GRS-T2D], beta-cell function [GRS-β], insulin resistance [GRS-IR] and BMI [GRS-BMI]) to the variation of traits derived from oral glucose tolerance test (OGTT) in obese and normal-weight children and young adults...
September 2, 2016: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/27587073/high-sensitivity-c-reactive-protein-and-leptin-levels-related-to-body-mass-index-changes-throughout-childhood
#18
Pilar Navarro, Olaya de Dios, Teresa Gavela-Pérez, Asha Jois, Carmen Garcés, Leandro Soriano-Guillén
OBJECTIVES: To analyze the association between high-sensitivity C-reactive protein (hs-CRP) levels and cardiovascular risk factors in healthy school children, and to evaluate whether changes in body mass index (BMI) category throughout childhood affect hs-CRP levels. STUDY DESIGN: We measured serum hs-CRP levels, lipid profile, insulin levels, and leptin levels in 683 prepubertal children and 748 adolescents. A total of 272 children participated in the study in both cohorts, prepubertal (baseline; age 6-8 years) and adolescents (follow-up; age 12-16 years)...
August 29, 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/27566421/progress-in-pediatrics-in-2015-choices-in-allergy-endocrinology-gastroenterology-genetics-haematology-infectious-diseases-neonatology-nephrology-neurology-nutrition-oncology-and-pulmonology
#19
EDITORIAL
Carlo Caffarelli, Francesca Santamaria, Dora Di Mauro, Carla Mastrorilli, Virginia Mirra, Sergio Bernasconi
This review focuses key advances in different pediatric fields that were published in Italian Journal of Pediatrics and in international journals in 2015. Weaning studies continue to show promise for preventing food allergy. New diagnostic tools are available for identifying the allergic origin of allergic-like symptoms. Advances have been reported in obesity, short stature and autoimmune endocrine disorders. New molecules are offered to reduce weight gain and insulin-resistance in obese children. Regional investigations may provide suggestions for preventing short stature...
August 27, 2016: Italian Journal of Pediatrics
https://www.readbyqxmd.com/read/27541280/nonalcoholic-fatty-liver-is-not-associated-with-the-relationship-between-insulin-secretion-and-insulin-sensitivity-in-obese-children-matched-case-control-study
#20
Giorgio Bedogni, Andrea Mari, Alessandra De Col, Nicoletta Marazzi, Claudio Tiribelli, Melania Manco, Alessandro Sartorio
BACKGROUND: No study so far has evaluated the relationship between insulin secretion (ISEC) and insulin sensitivity (ISEN) in pediatric nonalcoholic fatty liver disease (NAFLD). We evaluated the relationship between ISEC and ISEN in young obese patients with and without NAFLD. METHODS: We matched 401 NAFLD(+) and 595 NAFLD(-) children by sex (same), age (≤1 year), pubertal status (same), and body mass index (BMI; ≤0.05 standard deviation scores) using coarsened exact matching...
August 19, 2016: Childhood Obesity
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