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May 25, 2005The Journal of Clinical Endocrinology & Metabolism

The “Obese Insulin-Sensitive” Adolescent: Importance of Adiponectin and Lipid Partitioning

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Key result

Obese insulin-sensitive adolescents had lower intramyocellular (1.64% vs 2.26%, P=0.017) and visceral lipid deposition (45 vs 77 cm2, P=0.04) and higher adiponectin than insulin-resistant peers.

Why the study?

Is insulin sensitivity in obese adolescents associated with differences in lipid partitioning and adiponectin levels?

Population

28 obese adolescents with normal glucose tolerance, pair matched for age, gender, pubertal stage and body…

Design

Case-control

Authors

RWRam WeissCincinnati Children's Hospital Medical CenterSTSara E. TaksaliYale UniversitySDSylvie DufourCentre National de la Recherche Scientifique

Discussion

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Implication

/visceral), rather than total adiposity, may drive metabolic risk in obese youth.

Study Design

Type

Case-Control (n=28)

Structured PICO

Is insulin sensitivity in obese adolescents associated with differences in lipid partitioning and adiponectin levels?

P
Population
28 obese adolescents with normal glucose tolerance (14 insulin-resistant and 14 insulin-sensitive) pair-matched for age, gender, pubertal stage, and body composition.
C
Comparator
Obese insulin-resistant adolescents
O
Outcome
Intramyocellular lipid content, visceral fat, and adiponectin levelssurrogate

Main Result

Absolute Event Rate: 1.64% vs 2.26%

p-value: p=0.017

In obese adolescents, insulin sensitivity is associated with lower intramyocellular and visceral lipid deposition and higher adiponectin levels despite similar adiposity.

Cite This Study

Weiss et al. (2005) conducted a case-control in Obesity with normal glucose tolerance (n=28). Insulin sensitivity vs. Insulin resistance was evaluated on Intramyocellular lipid content (% of water peak) (p=0.017). Obese insulin-sensitive adolescents had lower intramyocellular (1.64% vs 2.26%, P=0.017) and visceral lipid deposition (45 vs 77 cm2, P=0.04) and higher adiponectin than insulin-resistant peers.

synapsesocial.com/papers/6a9ecdbcba6fb3588c8c4c39https://doi.org/10.1210/jc.2004-2305
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Low Adiponectin Levels in Adolescent Obesity: A Marker of Increased Intramyocellular Lipid Accumulation2003 · 193 citations
  2. 2Adiponectin in Youth2004 · 280 citations
  3. 3Impaired Insulin Sensitivity and Elevated Ectopic Fat in Healthy Obese vs. Nonobese Prepubertal Children2011 · 66 citations
  4. 4Central adiposity and its metabolic correlates in obese adolescent girls1995 · 191 citations
  5. 5Insulin-mediated suppression of fatty acid release predicts whole-body insulin resistance of glucose uptake and skeletal muscle insulin receptor activation2024 · 1 citations