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The predictive value of the individual components of the metabolic syndrome for insulin resistance in obese children.

Abstract：

BACKGROUND/AIMS:The usefulness of the concept of the metabolic syndrome (MS) in its current form has recently been questioned, and its association with insulin resistance is unknown. We assessed whether a multivariate model based on all components of MS expressed on a continuous scale would be a better predictor of a common marker of insulin resistance than the current dichotomous MS definitions. METHODS:Data from 78 obese Dutch teenagers (age 13.0 ± 2.1 years) were used for model development, and the model was validated in 40 obese Hindustani children (age 12.6 ± 2.0 years). MS components and homeostasis model assessment-insulin resistance (HOMA-IR) were expressed as standard deviation scores (SDSs), based on gender- and age-specific reference values. RESULTS:Using the three dichotomous models, the prevalence of MS was found to be 36, 65 and 18%, with low mutual agreement. None of these dichotomous models was a significant predictor for increased HOMA-IR SDS. The multivariate model incorporating MS components expressed as SDSs explained 58% of the variance of increased HOMA-IR SDS. In the validation group, the predicted and observed HOMA-IR SDS (2.4 ± 1.2 vs. 2.6 ± 2.2) did not differ significantly. CONCLUSION:A multivariate prediction model based on MS components expressed as SDSs has a good predictive value for increased HOMA-IR SDS.

journal_name

Horm Res Paediatr

journal_title

Hormone research in paediatrics

authors

Vos RC,Houdijk EC,van der Kamp HJ,Pijl H,Wit JM

doi

10.1159/000327371

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

156-64

issue

3

eissn

1663-2818

issn

1663-2826

pii

000327371

journal_volume

76

pub_type

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