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Updated: Jul 6, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Adverse metabolic profiles in a cohort of obese Irish children
F M Finucane1, L Teong, S Pittock
1Metabolic Research Unit, Hospital 5, St James's Hospital, Dublin 8, Ireland. francis.finucane@mrc-epid.cam.ac.uk
Insights
Obesity in Irish children is linked to poorer glucose metabolism and insulin sensitivity. This pilot study suggests increased obesity correlates with lower insulin sensitivity and potential non-alcoholic steatohepatosis (NASH).
Area of Science:
- Pediatric Endocrinology
- Metabolic Health
- Hepatology
Background:
- Metabolic profiles of obese Irish children remain underexplored.
- Pilot study investigating obesity, glucose metabolism, insulin sensitivity, and non-alcoholic steatohepatosis (NASH) in Irish youth.
Purpose of the Study:
- To examine the relationship between obesity severity and metabolic parameters in Irish children.
- To assess glucose metabolism, insulin sensitivity, and markers of NASH in obese pediatric subjects.
Main Methods:
- Prospective pilot study involving 18 obese Irish children (mean age 15.5 years).
- Measurements included anthropometrics (height, weight, BMI, waist/hip circumference), blood pressure, fasting glucose, insulin, lipids, and alanine aminotransferase (ALT).
- Oral glucose tolerance test (OGTT) used to derive oral glucose insulin sensitivity (OGIS).
Main Results:
- Significant associations found between obesity degree and insulin sensitivity.
- Significant associations observed between obesity degree and liver steatosis markers (ALT).
- Adjusted for pubertal status, higher standardized BMI correlated with lower insulin sensitivity (beta = -70.1, P = 0.018) and higher ALT (beta = 20.7, P = 0.007).
Conclusions:
- Obesity severity is associated with reduced insulin sensitivity in obese Irish children.
- Findings suggest a potential link between obesity and non-alcoholic steatohepatosis (NASH) in this population.
- Highlights the need for further research into metabolic complications of childhood obesity in Ireland.
Background:
The metabolic characteristics of obese Irish children are not well defined. We prospectively examined the relationship between the degree of obesity and glucose metabolism, insulin sensitivity and suspected non-alcoholic steatohepatosis (NASH) in a pilot study of obese Irish children.
Methods:
We measured height, weight, body mass index (BMI), blood pressure, waist and hip circumference in 18 participants (mean age 15.5 years). Fasting blood glucose, insulin, lipid profile and alanine aminotransferase (ALT) concentrations were also measured. A standard 75 g oral glucose tolerance test was performed and insulin sensitivity was derived from this using a mathematical model--oral glucose insulin sensitivity.
Results:
There were significant associations between the degree of obesity, insulin sensitivity and markers of liver steatosis. For example, when adjusted for pubertal status, there were significant associations between standardized BMI and insulin sensitivity (regression coefficient, beta = -70.1, P = 0.018) and ALT (beta = 20.7, P = 0.007).
Conclusion:
This study suggests that the degree of obesity is associated with lower insulin sensitivity and possible NASH in obese Irish children.
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