scholarly journals Ambulatory Blood Pressure Parameters in Office Normotensive Obese and Non-Obese Children: Relationship with Insulin Resistance and Atherosclerotic Markers

2013 ◽  
Vol 23 (2) ◽  
pp. 154-159 ◽  
Author(s):  
Nese Tekın ◽  
Betul Ersoy ◽  
Senol Coskun ◽  
Gokhan Tekın ◽  
Muzaffer Polat
Keyword(s):  
Insulin Resistance ◽  
Blood Pressure ◽  
Ambulatory Blood Pressure ◽  
Obese Children

Ambulatory blood pressure monitoring in obese children: role of insulin resistance

2006 ◽  
Vol 24 (12) ◽  
pp. 2431-2436 ◽  
Author(s):  
Maria L Marcovecchio ◽  
Luca Patricelli ◽  
Michele Zito ◽  
Rita Capanna ◽  
Mariapaola Ciampani ◽  
...  
Keyword(s):  
Insulin Resistance ◽  
Blood Pressure ◽  
Ambulatory Blood Pressure Monitoring ◽  
Ambulatory Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Obese Children ◽  
Pressure Monitoring

Elevated Ambulatory Blood Pressure in a Multi-Ethnic Population of Obese Children and Adolescents

2010 ◽  
Vol 156 (6) ◽  
pp. 930-935 ◽  
Author(s):  
Alexandra Aguilar ◽  
Vlady Ostrow ◽  
Francesco De Luca ◽  
Elizabeth Suarez
Keyword(s):  
Blood Pressure ◽  
Children And Adolescents ◽  
Ambulatory Blood Pressure ◽  
Obese Children ◽  
Ethnic Population

scholarly journals Leptin Levels, Basal Metabolic Rates, and Insulin Resistance in Obese Pubertal Children

2020 ◽  
Vol 13 (01) ◽  
pp. 017-023
Author(s):  
Elisabete Vieira Conterato ◽  
Tania Diniz Machado ◽  
Carlos Alberto Nogueira-de-Almeida ◽  
Elza Daniel Mello
Keyword(s):  
Insulin Resistance ◽  
Blood Pressure ◽  
Body Composition ◽  
Metabolic Rate ◽  
Lipid Profile ◽  
Fat Mass ◽  
Basal Metabolic Rate ◽  
Density Lipoprotein ◽  
Lipoprotein Cholesterol ◽  
Obese Children

Abstract Introduction Obesity in children and adolescents is considered a serious public health problem. The consequences of overweight can last for life. It is extremely important to have formulas to calculate the basal metabolic rate (BMR) that are truly reliable in relation to the individual caloric expenditure. Objectives To investigate the association of serum levels of leptin, lipid profile, and insulin resistance (insuline resistance by Homeostatic Model Assessment [HOMA] index) with the body mass index (BMI) z-score of pubertal obese children. In addition, to compare the basal metabolic rate (BMR) evaluation carried out using bioimpedance (BIA) with the Food and Agricultural Organization/World Health Organization (FAO/WHO) equation. Methods Cross-sectional study including 37 pubertal obese children (aged 7 to 12 years old) seen for the first time in the outpatient care unit specialized in child obesity between June 2013 and April 2014. The participants were assessed regarding anthropometric data, body composition (fat mass) by BIA 310 bioimpedance analyzer (Biodynamic Body Composition Analyser, model 310 - Biodynamics Corporation, Seattle, EUA), and blood pressure. Blood samples were collected to measure glucose, insulin, lipid profile, triglycerides, and leptin. The stage of sexual maturity was determined by self-assessment according to the Tanner scale. Results Higher leptin levels were found in the severe obesity group (p = 0.007) and, as expected, higher BMI (p < 0.001), and fat mass (p = 0.029). The groups did not differ in relation to insulin, insulin resistance (HOMA-IR), triglycerides (TG), total cholesterol (TC), low-density lipoprotein cholesterol (LDL-c), high-density lipoprotein cholesterol (HDL-c), and blood pressure. The BMR measured by bioimpedance was lower as compared to the measure by the FAO/WHO equation (p < 0.001). Conclusions These results suggest that severely obese children may present leptin resistance in this early stage of life, (since this hormone is higher in these children). It is suggested that health professionals prioritize the calculation of BMR by bioimpedance, since the FAO/WHO equation seems to overestimate the caloric values.

Ambulatory blood pressure monitoring parameters in obese children and adolescents with masked hypertension

2019 ◽  
Vol 24 (6) ◽  
pp. 277-283 ◽  
Author(s):  
Gökçe Yegül-Gülnar ◽  
Belde Kasap-Demir ◽  
Caner Alparslan ◽  
Gönül Çatli ◽  
Fatma Mutlubaş ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Children And Adolescents ◽  
Ambulatory Blood Pressure Monitoring ◽  
Ambulatory Blood Pressure ◽  
Blood Pressure Monitoring ◽  
Masked Hypertension ◽  
Obese Children ◽  
Pressure Monitoring

scholarly journals Fetuin-A and Its Relation to Metabolic Syndrome and Fatty Liver Disease in Obese Children Before and After Weight Loss

2008 ◽  
Vol 93 (11) ◽  
pp. 4479-4485 ◽  
Author(s):  
Thomas Reinehr ◽  
Christian L. Roth
Keyword(s):  
Insulin Resistance ◽  
Blood Pressure ◽  
Metabolic Syndrome ◽  
Weight Loss ◽  
Fatty Liver Disease ◽  
Weight Status ◽  
Resistance Index ◽  
Obese Children ◽  
Fetuin A ◽  
Insulin Resistance Index

Context: There are very limited data available concerning the relationships between fetuin-A, weight status, nonalcoholic fatty liver disease (NAFLD), and features of the metabolic syndrome (MetS) in obese humans, and especially in children. Objective: Our objective was to study the longitudinal relationships between fetuin-A, NAFLD, and MetS in obese children. Design: This was a 1-yr longitudinal follow-up study. Setting: This study was performed in primary care. Patients: A total of 36 obese and 14 lean children was included in the study. Intervention: An outpatient 1-yr intervention program based on exercise, behavior, and nutrition therapy was performed. Main Outcome Measures: Changes of weight status (sd score-body mass index), waist circumference, fetuin-A, blood pressure, lipids, transaminases, insulin resistance index homeostasis model assessment (HOMA), and prevalence of NAFLD (defined by liver ultrasound) were calculated. Results: The 12 obese children with NAFLD had significantly higher fetuin-A levels (0.35 ± 0.07 g/liter) than the 24 obese children without NAFLD (0.29 ± 0.06 g/liter) and the 14 normal weight children (0.29 ± 0.05 g/liter). Fetuin-A levels were independent of age, pubertal stage, and gender. Fetuin-A correlated significantly to systolic (r = 0.50) and diastolic blood pressure (r = 0.41), insulin resistance index HOMA (r = 0.28), and high-density lipoprotein-cholesterol (r = −0.31). Changes of fetuin-A correlated significantly to changes of insulin resistance index HOMA (r = 0.34), systolic (r = 0.31) and diastolic blood pressure (r = 0.37), and waist circumferences (r = 0.36). Substantial weight loss in 21 children led to a significant decrease of fetuin-A and the prevalence of NAFLD in contrast to the 15 children without substantial weight loss. Conclusions: Fetuin-A levels were higher in children with NAFLD, and were related to insulin resistance and to features of the MetS in both cross-sectional and longitudinal analyses. Therefore, fetuin-A might be a new promising link between obesity and its comorbidities.

Sign in / Sign up

Export Citation Format

Share Document