Insulin Resistance of Normal Weight Central Obese Adolescents in Korea Stratified by Waist to Height Ratio: Results from the Korea National Health and Nutrition Examination Surveys 2008–2010

Background. To evaluate insulin resistance of normal weight central obese 13–18-year-old male and female adolescents stratified by waist to height ratio (WHR). Methods. Data were obtained from the Korea Na...

Full description

Saved in:
Bibliographic Details
Main Authors: Won Kyoung Cho, Hyojin Kim, Hyun Young Lee, Kyung Do Han, Yeon Jin Jeon, In Ah Jung, Shin Hee Kim, Kyoung Soon Cho, So Hyun Park, Min Ho Jung, Byung-Kyu Suh
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2015/158758
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832554811296317440
author Won Kyoung Cho
Hyojin Kim
Hyun Young Lee
Kyung Do Han
Yeon Jin Jeon
In Ah Jung
Shin Hee Kim
Kyoung Soon Cho
So Hyun Park
Min Ho Jung
Byung-Kyu Suh
author_facet Won Kyoung Cho
Hyojin Kim
Hyun Young Lee
Kyung Do Han
Yeon Jin Jeon
In Ah Jung
Shin Hee Kim
Kyoung Soon Cho
So Hyun Park
Min Ho Jung
Byung-Kyu Suh
author_sort Won Kyoung Cho
collection DOAJ
description Background. To evaluate insulin resistance of normal weight central obese 13–18-year-old male and female adolescents stratified by waist to height ratio (WHR). Methods. Data were obtained from the Korea National Health and Nutrition Examination Survey (K-NHANES) conducted during 2008–2010. Central obesity was defined as that in the upper quartile of age and sex specific WHR. Subjects were classified into no central obesity normal weight (NW), central obesity normal weight (CONW), no central obesity overweight (OW), and central obesity overweight (COOW). Results. The prevalence of CONW was 9.6% (83/832) in female and 7.0% (61/909) in male. CONW showed higher levels of insulin (P<0.006), HOMA-IR (P<0.006), and ALT (P<0.001) than NW in female. CONW had higher levels of insulin (P<0.0001), HOMA-IR (P<0.0001), and WBC count (P<0.021) and lower level of HDL (P<0.0001) than NW in male. WHR and BMI had similar significant correlations with MS components. CONW showed 2.5 times (95% confidence interval, 1.21–5.00) more likelihood to have high insulin resistance than NW in male. Conclusions. Screening for central obesity using WHR in clinical setting is recommended.
format Article
id doaj-art-a9c5dc95ce644c80be60e80805f45bc8
institution Kabale University
issn 1687-8337
1687-8345
language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series International Journal of Endocrinology
spelling doaj-art-a9c5dc95ce644c80be60e80805f45bc82025-02-03T05:50:29ZengWileyInternational Journal of Endocrinology1687-83371687-83452015-01-01201510.1155/2015/158758158758Insulin Resistance of Normal Weight Central Obese Adolescents in Korea Stratified by Waist to Height Ratio: Results from the Korea National Health and Nutrition Examination Surveys 2008–2010Won Kyoung Cho0Hyojin Kim1Hyun Young Lee2Kyung Do Han3Yeon Jin Jeon4In Ah Jung5Shin Hee Kim6Kyoung Soon Cho7So Hyun Park8Min Ho Jung9Byung-Kyu Suh10Department of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul 137-701, Republic of KoreaDepartment of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul 137-701, Republic of KoreaDepartment of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul 137-701, Republic of KoreaDepartment of Biostatistics, College of Medicine, The Catholic University of Korea, Seoul 137-701, Republic of KoreaDepartment of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul 137-701, Republic of KoreaDepartment of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul 137-701, Republic of KoreaDepartment of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul 137-701, Republic of KoreaDepartment of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul 137-701, Republic of KoreaDepartment of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul 137-701, Republic of KoreaDepartment of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul 137-701, Republic of KoreaDepartment of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul 137-701, Republic of KoreaBackground. To evaluate insulin resistance of normal weight central obese 13–18-year-old male and female adolescents stratified by waist to height ratio (WHR). Methods. Data were obtained from the Korea National Health and Nutrition Examination Survey (K-NHANES) conducted during 2008–2010. Central obesity was defined as that in the upper quartile of age and sex specific WHR. Subjects were classified into no central obesity normal weight (NW), central obesity normal weight (CONW), no central obesity overweight (OW), and central obesity overweight (COOW). Results. The prevalence of CONW was 9.6% (83/832) in female and 7.0% (61/909) in male. CONW showed higher levels of insulin (P<0.006), HOMA-IR (P<0.006), and ALT (P<0.001) than NW in female. CONW had higher levels of insulin (P<0.0001), HOMA-IR (P<0.0001), and WBC count (P<0.021) and lower level of HDL (P<0.0001) than NW in male. WHR and BMI had similar significant correlations with MS components. CONW showed 2.5 times (95% confidence interval, 1.21–5.00) more likelihood to have high insulin resistance than NW in male. Conclusions. Screening for central obesity using WHR in clinical setting is recommended.http://dx.doi.org/10.1155/2015/158758
spellingShingle Won Kyoung Cho
Hyojin Kim
Hyun Young Lee
Kyung Do Han
Yeon Jin Jeon
In Ah Jung
Shin Hee Kim
Kyoung Soon Cho
So Hyun Park
Min Ho Jung
Byung-Kyu Suh
Insulin Resistance of Normal Weight Central Obese Adolescents in Korea Stratified by Waist to Height Ratio: Results from the Korea National Health and Nutrition Examination Surveys 2008–2010
International Journal of Endocrinology
title Insulin Resistance of Normal Weight Central Obese Adolescents in Korea Stratified by Waist to Height Ratio: Results from the Korea National Health and Nutrition Examination Surveys 2008–2010
title_full Insulin Resistance of Normal Weight Central Obese Adolescents in Korea Stratified by Waist to Height Ratio: Results from the Korea National Health and Nutrition Examination Surveys 2008–2010
title_fullStr Insulin Resistance of Normal Weight Central Obese Adolescents in Korea Stratified by Waist to Height Ratio: Results from the Korea National Health and Nutrition Examination Surveys 2008–2010
title_full_unstemmed Insulin Resistance of Normal Weight Central Obese Adolescents in Korea Stratified by Waist to Height Ratio: Results from the Korea National Health and Nutrition Examination Surveys 2008–2010
title_short Insulin Resistance of Normal Weight Central Obese Adolescents in Korea Stratified by Waist to Height Ratio: Results from the Korea National Health and Nutrition Examination Surveys 2008–2010
title_sort insulin resistance of normal weight central obese adolescents in korea stratified by waist to height ratio results from the korea national health and nutrition examination surveys 2008 2010
url http://dx.doi.org/10.1155/2015/158758
work_keys_str_mv AT wonkyoungcho insulinresistanceofnormalweightcentralobeseadolescentsinkoreastratifiedbywaisttoheightratioresultsfromthekoreanationalhealthandnutritionexaminationsurveys20082010
AT hyojinkim insulinresistanceofnormalweightcentralobeseadolescentsinkoreastratifiedbywaisttoheightratioresultsfromthekoreanationalhealthandnutritionexaminationsurveys20082010
AT hyunyounglee insulinresistanceofnormalweightcentralobeseadolescentsinkoreastratifiedbywaisttoheightratioresultsfromthekoreanationalhealthandnutritionexaminationsurveys20082010
AT kyungdohan insulinresistanceofnormalweightcentralobeseadolescentsinkoreastratifiedbywaisttoheightratioresultsfromthekoreanationalhealthandnutritionexaminationsurveys20082010
AT yeonjinjeon insulinresistanceofnormalweightcentralobeseadolescentsinkoreastratifiedbywaisttoheightratioresultsfromthekoreanationalhealthandnutritionexaminationsurveys20082010
AT inahjung insulinresistanceofnormalweightcentralobeseadolescentsinkoreastratifiedbywaisttoheightratioresultsfromthekoreanationalhealthandnutritionexaminationsurveys20082010
AT shinheekim insulinresistanceofnormalweightcentralobeseadolescentsinkoreastratifiedbywaisttoheightratioresultsfromthekoreanationalhealthandnutritionexaminationsurveys20082010
AT kyoungsooncho insulinresistanceofnormalweightcentralobeseadolescentsinkoreastratifiedbywaisttoheightratioresultsfromthekoreanationalhealthandnutritionexaminationsurveys20082010
AT sohyunpark insulinresistanceofnormalweightcentralobeseadolescentsinkoreastratifiedbywaisttoheightratioresultsfromthekoreanationalhealthandnutritionexaminationsurveys20082010
AT minhojung insulinresistanceofnormalweightcentralobeseadolescentsinkoreastratifiedbywaisttoheightratioresultsfromthekoreanationalhealthandnutritionexaminationsurveys20082010
AT byungkyusuh insulinresistanceofnormalweightcentralobeseadolescentsinkoreastratifiedbywaisttoheightratioresultsfromthekoreanationalhealthandnutritionexaminationsurveys20082010