Obesity

Adipose Tissue Insulin Resistance Is Not Associated With Changes in the Degree of Obesity in Children and Adolescents

J Clin Endocrinol MetabPublished Secondary analysis of an observational study

Authors' conclusion

In this secondary analysis, in youth with obesity, adipose tissue insulin resistance is not protective from increases of the degree of obesity and skeletal muscle insulin resistance is not associated with increases of the degree of obesity.

Study context

Population
Youth with obesity at a pediatric weight management clinic
Participants
213 participants
Comparison
Adipose tissue insulin sensitivity/resistance and whole-body insulin sensitivity (oral glucose tolerance test (OGTT)-derived surrogates) vs change in degree of obesity
Primary endpoint
Change in BMI z score
Methodological detailssingle-centre pediatric weight management clinic
  • Single-centre pediatric weight management clinic

Primary result

As reported in the abstract

follow-up 1.88 ± 1.27 years

Mean body mass index (BMI) z change

0.05 ± 0.28

range, −1.15 to 1.19

Further findings

Postprandial free fatty acids

Low postprandial free fatty acid concentrations or their suppression during the OGTT not associated with changes in degree of obesity in univariate or multivariate analyses

Whole-body insulin sensitivity

Whole-body insulin sensitivity not associated with changes in degree of obesity in univariate or multivariate analyses

Original publication

Adipose Tissue Insulin Resistance Is Not Associated With Changes in the Degree of Obesity in Children and Adolescents. J Clin Endocrinol Metab. Published 5 December 2022. doi:10.1210/clinem/dgac700

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