Glucose alteration and insulin resistance in asymptomatic obese children and adolescents

Journal Title: Jornal de Pediatria - Year 2018, Vol 94, Issue 3

Abstract

Objective Obesity is associated with the abnormal glucose metabolism preceding type 2 diabetes mellitus. Thus, further investigation on the prediction of this lethal outcome must be sought. The objective was the profile glycemic assessment of asymptomatic obese children and adolescents from Salvador, Brazil. Method A fasting venous blood sample was obtained from 90 consecutive obese individuals aged 8–18 years, of both sexes, for laboratory determinations of glycated hemoglobin, basal insulin, and the Homeostasis Model Assessment Insulin Resistance index. The clinical evaluation included weight, height, waist circumference, assessment of pubertal development, and acanthosis nigricans research. The body mass index/age indicator was used for the severity of overweight assessment. Results Glycemic alterations were evidenced clinically and biochemically, although these individuals had no complaints or symptoms related to blood sugar levels. Quantitative and qualitative variables were respectively expressed measures of central tendency/dispersion and simple/relative frequency, using the SPSS, version 20.0. A p-value <0.05 was considered significant. Conclusion Notably, this study found a high prevalence of glucose and insulin disorders in asymptomatic obese children and adolescents.

Authors and Affiliations

Silvana de Assunção

Keywords

Related Articles

Fidgety movements – tiny in appearance, but huge in impact

Objectives To describe fidgety movements (FMs), i.e., the spontaneous movement pattern that typically occurs at 3–5 months after term age, and discuss its clinical relevance. Sources A comprehensive literature search wa...

Prevalence of musculoskeletal pain in adolescents and association with computer and videogame use

Objective This study investigated the presence of musculoskeletal symptoms in high school adolescents from public schools and its association with electronic device use. Methods The sample consisted of 961 boys and girl...

Therapeutic play to prepare children for invasive procedures: a systematic review

Objective To analyze the available evidence regarding the efficacy of using therapeutic play on behavior and anxiety in children undergoing invasive procedures. Data source The systematic review search was performed in...

Association between nutritional status and outcomes in critically-ill pediatric patients – a systematic review

Objectives To systematically review the evidence about the impact of nutritional status in critically-ill pediatric patients on the following outcomes during hospitalization in pediatric intensive care units: length of h...

Prevalence of metabolic syndrome-like in the follow-up of very low birth weight preterm infants and associated factors

Objective To assess the prevalence of metabolic syndrome-like symptoms in a population of preterm infants with very low birth weight (<1500g) at 2 years of corrected age and identify the occurrence of associated risk fac...

Download PDF file
  • EP ID EP485049
  • DOI 10.1016/j.jped.2017.06.008
  • Views 71
  • Downloads 0

How To Cite

Silvana de Assunção (2018). Glucose alteration and insulin resistance in asymptomatic obese children and adolescents. Jornal de Pediatria, 94(3), 268-272. https://europub.co.uk/articles/-A-485049