Obesity

Obstructive sleep apnea is associated with impaired insulin clearance and hepatic insulin sensitivity in paediatric obesity

Diabetes Obes MetabPublished Cross-sectional study

An erratum to this article was published (Diabetes Obes Metab, Nov 2026 ↗)

Authors' conclusion

Moderate-severe OSA in children with obesity is associated with impaired insulin clearance and hepatic insulin sensitivity. These factors may contribute to hyperinsulinism in paediatric OSA.

Study context

Population
Children with obesity and suspected obstructive sleep apnea (OSA), assessed by nocturnal polygraphy and 3-hour OGTT
Participants
70 children
Exposure
Moderate-severe OSA vs mild OSA
  • Moderate-severe OSAn = 34
  • Mild OSAn = 36reference
Outcome
Determinants of hyperinsulinemia: insulin clearance, secretion and sensitivity

Main finding

As reported in the abstract

Determinants of hyperinsulinemia
  • Moderate-severe OSA vs Mild OSA: P = 0.008
  • Moderate-severe OSA vs Mild OSA: P = 0.03
  • Moderate-severe OSA vs Mild OSA: P = 0.07
  • Moderate-severe OSA vs Mild OSA: P = 0.34
  • Moderate-severe OSA vs Mild OSA: P = 0.53
  • Moderate-severe OSA vs Mild OSA: P = 0.56

Observational data: associations, not effects.

Further findings

Correlations of OSA severity

Fasting insulin clearance (negative correlation)
r = −0.29, p = 0.01
OGTT insulin clearance (negative correlation)
r = −0.32, p = 0.007
Hepatic insulin resistance index (HIRI) (positive correlation)
r = 0.29, p = 0.02

Original publication

Obstructive sleep apnea is associated with impaired insulin clearance and hepatic insulin sensitivity in paediatric obesity. Diabetes Obes Metab. Published 14 May 2025. doi:10.1111/dom.16464

Composed by AI from the published abstract and checked against it. How Briefs are made →

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