Glucose alteration and insulin resistance in asymptomatic obese children and adolescents
Journal Title: Jornal de Pediatria - Year 2018, Vol 94, Issue 3
Abstract
Objective Obesity is associated with the abnormal glucose metabolism preceding type 2 diabetes mellitus. Thus, further investigation on the prediction of this lethal outcome must be sought. The objective was the profile glycemic assessment of asymptomatic obese children and adolescents from Salvador, Brazil. Method A fasting venous blood sample was obtained from 90 consecutive obese individuals aged 8–18 years, of both sexes, for laboratory determinations of glycated hemoglobin, basal insulin, and the Homeostasis Model Assessment Insulin Resistance index. The clinical evaluation included weight, height, waist circumference, assessment of pubertal development, and acanthosis nigricans research. The body mass index/age indicator was used for the severity of overweight assessment. Results Glycemic alterations were evidenced clinically and biochemically, although these individuals had no complaints or symptoms related to blood sugar levels. Quantitative and qualitative variables were respectively expressed measures of central tendency/dispersion and simple/relative frequency, using the SPSS, version 20.0. A p-value <0.05 was considered significant. Conclusion Notably, this study found a high prevalence of glucose and insulin disorders in asymptomatic obese children and adolescents.
Authors and Affiliations
Silvana de Assunção
Health self-perception and its association with physical activity and nutritional status in adolescents
Objective To evaluate the association between total physical activities, physical activity in free time and nutritional status with self-perceived health in adolescents of both genders. Methods This is a quantitative st...
The social–ecological context of media use and school success
Academic achievement is a crucial determinant of life course health. Academic achievement in adolescence not only predicts job and financial success in adulthood, but recent evidence suggests that it may be associated wi...
Probiotics: an update
Objective Triggered by the growing knowledge on the link between the intestinal microbiome and human health, the interest in probiotics is ever increasing. The authors aimed to review the recent literature on probiotics,...
Tobacco smoke: it is time for pediatricians to feel directly concerned
It has been stated that the epidemic consequences of smoking-associated diseases rank among the greatest public health catastrophes in the past century.1 Many cancers as well as chronic diseases have tobacco as their spe...
Comparison of two dose regimens of ibuprofen for the closure of patent ductus arteriosus in preterm newborns
Objective To compare the efficacy of intravenous ibuprofen at high (20-10-10mg/kg/dose) and low doses (10-5-5mg/kg/dose) the closure of patent ductus arteriosus in preterm newborns. Methods A cohort study with historica...