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...
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Format: | Article |
Language: | English |
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Wiley
2015-01-01
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Series: | International Journal of Endocrinology |
Online Access: | http://dx.doi.org/10.1155/2015/158758 |
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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 |
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