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.
Abstract

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