Masuccio FG, Lattanzio FM, Matera S, Giannini C, Chiarelli F, Mohn A. Insulin sensitivity in prepubertal Caucasian normal weight children.
J Pediatr Endocrinol Metab 2009;
22:695-702. [PMID:
19845120 DOI:
10.1515/jpem.2009.22.8.695]
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Abstract
BACKGROUND
Determining whether or not a child is insulin resistant is becoming a matter of fundamental interest even in childhood, as the incidence of metabolic complications of insulin resistance is rising. Thus reference values are needed.
AIM
To set percentiles for HOMA-IR and WBISI in Caucasian normal weight prepubertal children.
POPULATION
238 normal weight prepubertal Caucasian children (126 males/112 females).
METHODS
After physical examination including anthropometric measurements all children underwent an oral glucose tolerance test from which HOMA-IR and WBISI were calculated.
RESULTS
HOMA-IR values above the 95th percentile (2.03) and WBISI values below the 5th percentile (5.67) represent the cut-off values for the determination of insulin resistance.
CONCLUSION
These reference values are useful to easily detect insulin resistance within the prepubertal Caucasian population representing a helpful tool for clinicians to target such children in order to improve insulin sensitivity.
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