Obesity

A personalized approach to classify the degree of liver insulin resistance in children with obesity

Diabetes Obes MetabPublished Methodological study

Authors' conclusion

The novel LIR quantification method provides a more precise assessment of insulin resistance in paediatric obesity management compared to traditional methods. By considering individual glucose and insulin dynamics, this approach enhances risk stratification and treatment planning tailored to each patient's OGTT response curve.

Study context

Population
Paediatric patients with obesity undergoing oral glucose tolerance tests (OGTTs)242 OGTTs
Comparison
Novel personalized liver insulin resistance (LIR) quantification vs conventional LIR quantification
Outcome
Associations of LIR with clinical markers of obesity and T2D
Methodological detailsGlucose and insulin measured at six timepoints; liver enzymes, plasma lipids, blood pressure, height and weight obtained concurrently
  • Glucose and insulin measured at six timepoints; liver enzymes, plasma lipids, blood pressure, height and weight obtained concurrently

Main finding

As reported in the abstract

  • Novel approach showed stronger associations between glucose and insulin responses and clinical markers of obesity and T2D vs conventional method
  • Heterogeneous OGTT response dynamics, with substantial variability in peak glucose and insulin

Original publication

A personalized approach to classify the degree of liver insulin resistance in children with obesity. Diabetes Obes Metab. Published 2 July 2025. doi:10.1111/dom.16575

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