Obesity

Efficacy of myo‐inositol and zinc on insulin resistance in a paediatric population with obesity

Diabetes Obes MetabPublished Randomised controlled trial

Authors' conclusion

Three months of supplementation with myo-inositol and zinc were beneficial on lipid profile and in managing obesity complications at least in subjects with severe phenotype. Thus, myo-inositol and zinc could be used as non-pharmacological agents. This work suggests a long-term study with a larger sample size to enrich the findings.

Study context

Population
Patients aged 10–18 years, Tanner stage ≥3, with obesity and insulin resistance, North Italy; all on isocaloric Mediterranean-style diet50 completed
Participants
56 patients
Comparison
Myo-inositol + zinc gluconate + galactooligosaccharides (GOS) vs placebo with GOS only
Primary endpoint
Insulin resistance index (HOMA-IR)
Follow-up
3 months
Methodological detailsdouble-blind, placebo-controlled
  • Double-blind
  • Placebo-controlled

Primary result

As reported in the abstract

HOMA-IR
  • TRT did not improve insulin resistance compared to placebo (PLC)

Further findings

OutcomeP value
HDL cholesterol · 3 monthsImproved with TRTP = 0.05
Fasting insulin, stratified post hoc analysis by obesity gradeLower with TRT; greater effect in severe obesity · post hoc analysisP = 0.0137
HOMA-IR, stratified post hoc analysis by obesity gradeLower with TRT; greater effect in severe obesity · post hoc analysisP = 0.0273

Safety

No adverse events were detected

Original publication

Efficacy of myo‐inositol and zinc on insulin resistance in a paediatric population with obesity. Diabetes Obes Metab. Published 9 January 2025. doi:10.1111/dom.16185

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