Population-Based Studies on the Epidemiology of Insulin Resistance in Children

Background. In view of the alarming incidence of obesity in children, insight into the epidemiology of the prediabetic state insulin resistance (IR) seems important. Therefore, the aim of this systematic review was to give an overview of all population-based studies reporting on the prevalence and i...

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Main Authors: M. P. van der Aa, S. Fazeli Farsani, C. A. J. Knibbe, A. de Boer, M. M. J. van der Vorst
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2015/362375
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author M. P. van der Aa
S. Fazeli Farsani
C. A. J. Knibbe
A. de Boer
M. M. J. van der Vorst
author_facet M. P. van der Aa
S. Fazeli Farsani
C. A. J. Knibbe
A. de Boer
M. M. J. van der Vorst
author_sort M. P. van der Aa
collection DOAJ
description Background. In view of the alarming incidence of obesity in children, insight into the epidemiology of the prediabetic state insulin resistance (IR) seems important. Therefore, the aim of this systematic review was to give an overview of all population-based studies reporting on the prevalence and incidence rates of IR in childhood. Methods. PubMed, Embase, and Cochrane library were searched in order to find all available population-based studies describing the epidemiology of IR in pediatric populations. Prevalence rates together with methods and cut-off values used to determine IR were extracted and summarized with weight and sex specific prevalence rates of IR if available. Results. Eighteen population-based studies were identified, describing prevalence rates varying between 3.1 and 44%, partly explained by different definitions for IR. Overweight and obese children had higher prevalence rates than normal weight children. In seven out of thirteen studies reporting sex specific results, girls seemed to be more affected than boys. Conclusion. Prevalence rates of IR reported in children vary widely which is partly due to the variety of definitions used. Overweight and obese children had higher prevalence and girls were more insulin resistant than boys. Consensus on the definition for IR in children is needed to allow for comparisons between different studies.
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spelling doaj-art-ded954402e1c4c7b99251dfe9e5d5aad2025-02-03T05:50:46ZengWileyJournal of Diabetes Research2314-67452314-67532015-01-01201510.1155/2015/362375362375Population-Based Studies on the Epidemiology of Insulin Resistance in ChildrenM. P. van der Aa0S. Fazeli Farsani1C. A. J. Knibbe2A. de Boer3M. M. J. van der Vorst4Department of Pediatrics, St. Antonius Hospital, P.O. Box 2500, 3430 EM Nieuwegein, NetherlandsDivision of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences (UIPS), Utrecht University, P.O. Box 80082, 3508 TB Utrecht, NetherlandsDepartment of Clinical Pharmacy, St. Antonius Hospital, P.O. Box 2500, 3430 EM Nieuwegein, NetherlandsDivision of Pharmacoepidemiology and Clinical Pharmacology, Utrecht Institute for Pharmaceutical Sciences (UIPS), Utrecht University, P.O. Box 80082, 3508 TB Utrecht, NetherlandsDepartment of Pediatrics, St. Antonius Hospital, P.O. Box 2500, 3430 EM Nieuwegein, NetherlandsBackground. In view of the alarming incidence of obesity in children, insight into the epidemiology of the prediabetic state insulin resistance (IR) seems important. Therefore, the aim of this systematic review was to give an overview of all population-based studies reporting on the prevalence and incidence rates of IR in childhood. Methods. PubMed, Embase, and Cochrane library were searched in order to find all available population-based studies describing the epidemiology of IR in pediatric populations. Prevalence rates together with methods and cut-off values used to determine IR were extracted and summarized with weight and sex specific prevalence rates of IR if available. Results. Eighteen population-based studies were identified, describing prevalence rates varying between 3.1 and 44%, partly explained by different definitions for IR. Overweight and obese children had higher prevalence rates than normal weight children. In seven out of thirteen studies reporting sex specific results, girls seemed to be more affected than boys. Conclusion. Prevalence rates of IR reported in children vary widely which is partly due to the variety of definitions used. Overweight and obese children had higher prevalence and girls were more insulin resistant than boys. Consensus on the definition for IR in children is needed to allow for comparisons between different studies.http://dx.doi.org/10.1155/2015/362375
spellingShingle M. P. van der Aa
S. Fazeli Farsani
C. A. J. Knibbe
A. de Boer
M. M. J. van der Vorst
Population-Based Studies on the Epidemiology of Insulin Resistance in Children
Journal of Diabetes Research
title Population-Based Studies on the Epidemiology of Insulin Resistance in Children
title_full Population-Based Studies on the Epidemiology of Insulin Resistance in Children
title_fullStr Population-Based Studies on the Epidemiology of Insulin Resistance in Children
title_full_unstemmed Population-Based Studies on the Epidemiology of Insulin Resistance in Children
title_short Population-Based Studies on the Epidemiology of Insulin Resistance in Children
title_sort population based studies on the epidemiology of insulin resistance in children
url http://dx.doi.org/10.1155/2015/362375
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