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Epidemiology/Health Services/Psychosocial Research

Prevalence and Concomitants of Glucose Intolerance in European Obese Children and Adolescents

  1. Cecilia Invitti, MD1,
  2. Gabriele Guzzaloni, MD2,
  3. Luisa Gilardini, MD1,
  4. Francesco Morabito, MD2 and
  5. Giancarlo Viberti, MD, FRCP13
  1. 1Department of Metabolic Diseases and Diabetes, Istituto Auxologico Italiano, Milan, Italy
  2. 2Department of Auxology, Istituto Auxologico Italiano, Piancavallo, Italy
  3. 3Department of Diabetes and Endocrinology, GKT School of Medicine, Guy’s Hospital, King’s College London, London, U.K
    Diabetes Care 2003 Jan; 26(1): 118-124. https://doi.org/10.2337/diacare.26.1.118
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    • Figure 1—
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      Figure 1—

      BP at different ages in boys (A and B) and girls (C and D) in 710 obese children. The solid line represents the age- and sex-related 95th percentile of BP (18).

    • Figure 2—
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      Figure 2—

      Pattern of HOMAIR (A), systolic BP (B), triglycerides (C), and HDL cholesterol (D) during the different pubertal stages in 710 obese children. Results are expressed as the means ± SE adjusted for SDS-BMI and age.

    Tables

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    • Table 1—

      Demographic, clinical, and biochemical features of a cohort of 710 obese children and adolescents

      VariableBoysGirlsWhole group
      n345365710
      Age (years)14 (6–18)14 (7–18)14 (6–18)
      Height (cm)161.0 ± 12.0*156.1 ± 10.6158.8 ± 11.5
      Weight (kg)93.5 ± 25.7*85.6 ± 20.388.9 ± 23.6
      SDS-BMI4.1 ± 0.7*3.6 ± 0.63.8 ± 0.7
      BMI (kg/m2)35.2 ± 6.134.8 ± 5.835.0 ± 6.0
      Waist (cm)104.1 ± 5.3†95.5 ± 7.698.3 ± 7.9
      Duration of obesity (year)7.1 ± 3.66.7 ± 3.66.8 ± 3.5
      Obesity in family (%)586361
      Diabetes in family (%)535554
      Birth weight (g)3423 ± 511.63411 ± 571.33417 ± 542.3
      LDL cholesterol (mmol/l)2.7 ± 0.82.6 ± 0.72.6 ± 0.8
      HDL cholesterol (mmol/l)1.2 ± 0.31.2 ± 0.31.2 ± 0.3
      Triglycerides (mmol/l)1.2 ± 0.31.2 ± 0.31.2 ± 0.3
      Uric acid (μmol/l)382.6 ± 116*347 ± 102364.2 ± 110.6
      Fibrinogen (mg/dl)377.7 ± 73.4†392.3 ± 77.9385.5 ± 76.1
      CRP (mg/dl)0.5 ± 0.70.5 ± 0.50.5 ± 0.6
      Systolic BP (mmHg)128 ± 14*124 ± 14126 ± 14
      Diastolic BP (mmHg)77 ± 977 ± 1076 ± 10
      • Data are expressed as mean (range), mean ± SD, and %.

      • *

        ↵* P < 0.0001,

      • †

        ↵† P < 0.01 vs. girls.

    • Table 2—

      Percentage of obese children and adolescents with values of lipids and inflammatory markers above (or below for HDL cholesterol) the age-adjusted normal ranges

      BoysGirlsWhole group
      Triglycerides142117.5
      HDL cholesterol122217
      LDL cholesterol211618.5
      CRP121111.5
      Fibrinogen35*4439.5
      Uric acid28†4436
      • Data are %. Normal ranges for lipids and uric acid are derived from The Clinical Guide to Laboratory Test. Tietz NW, Ed. W.B. Saunders, 1990.

      • *

        ↵* P < 0.05,

      • †

        ↵† P < 0.0001 vs. girls.

    • Table 3—

      Relationship between obesity, postload glucose, and insulin resistance with cardiovascular risk factors in 710 obese children and adolescents

      VariableRegression coefficientP value
      SDS-BMI
       CRP0.2070.000
       Fibrinogen0.1790.000
       HDL cholesterol−0.1900.000
       Triglycerides0.1260.001
       Systolic BP0.1670.000
       Diastolic BP0.1200.002
       HOMAIR0.1140.003
       ΔI30/ΔG300.0910.010
       Birth weight0.0980.027
       Uric acid0.2600.000
      HOMAIR
       Triglycerides0.2210.000
       HDL cholesterol−0.1200.001
       Systolic BP0.1090.005
       Diastolic BP0.1570.000
       2-h BG0.1410.001
       ΔI30/ΔG300.1780.000
       SDS-BMI0.1140.003
       Uric acid0.0890.029
      2-h BG
       ΔI30/ΔG30−0.1590.000
       HOMAIR0.1410.001
       Diastolic BP0.0970.003
       Triglycerides0.0810.050
      • ΔI30/ΔG30, insulinogenic index.

    • Table 4—

      Variables independently associated, in an age- and sex-adjusted stepwise multiple linear regression analysis, with the dependent variables 2-h blood glucose and SDS-BMI in 710 obese children and adolescents

      Dependent variableIndependent variableβ coefficientP value
      2-h BGΔI30/ΔG30−0.1860.000
      HOMAIR0.1580.000
      Diastolic BP0.0940.018
      SDS-BMIFibrinogen0.1410.003
      CRP0.1430.000
      Uric acid0.1680.000
      HDL cholesterol−0.1710.000
      Systolic BP0.1180.009
      ΔI30/ΔG300.1350.002
      Birth weight0.1020.002
      • ΔI30/ΔG30, insulinogenic index.

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    Prevalence and Concomitants of Glucose Intolerance in European Obese Children and Adolescents
    Cecilia Invitti, Gabriele Guzzaloni, Luisa Gilardini, Francesco Morabito, Giancarlo Viberti
    Diabetes Care Jan 2003, 26 (1) 118-124; DOI: 10.2337/diacare.26.1.118

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    Prevalence and Concomitants of Glucose Intolerance in European Obese Children and Adolescents
    Cecilia Invitti, Gabriele Guzzaloni, Luisa Gilardini, Francesco Morabito, Giancarlo Viberti
    Diabetes Care Jan 2003, 26 (1) 118-124; DOI: 10.2337/diacare.26.1.118
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