Insulin Resistance and Its Association with Metabolic Syndrome in Korean Children

الملخص EN

Background.

This study investigated the association between insulin resistance (IR) and metabolic syndrome (MetS) in children.

Methods.

A cross-sectional study involving 1036 healthy children aged between 7 and 13 years was conducted.

Homeostasis model assessment of insulin resistance (HOMA-IR) was calculated as an index of IR.

Participants were classified according to the HOMA-IR quartiles.

Results.

Incremental, linear trends were found in age (p<0.001), body mass index (BMI) (p<0.001), body fat (p<0.001), waist circumference (p<0.001), resting blood pressures (BP) (p<0.001), triglycerides (TG) (p<0.001), total cholesterol (TC) (p<0.001), high density lipoprotein-cholesterol (HDL-C) (p<0.001), FBG (p<0.001), and insulin (<0.001) according to incremental HOMA-IR categories (from the 1st to 4th quartile).

Compared with children in the 1st HOMA-IR quartile, children in the 4th HOMA-IR quartile had significantly higher odd ratios (ORs) of abnormalities in systolic (p=0.051) and diastolic BP (p=0.005), FBG (p<0.001), TG (p<0.001), TC (p=0.016), and HDL-C (p=0.006) even after adjustments for age, gender, BMI, and body fat percentage.

Children in the 3rd HOMA-IR quartile had significant abnormalities in FBG (p<0.001), TG (p=0.001), and HDL-C (p=0.010) even after adjustments for the covariates.

Conclusion.

The current findings suggest that IR is significantly associated with the clustering of MetS risk factors in children in Korea.