[Biological prediction model of insulin resistance in obese adolescents based on LASSO-Logistic regression]
View abstract on PubMed
Summary
This summary is machine-generated.This study identified key lipid indicators to predict insulin resistance in obese adolescents. A nomogram model using triglyceride, LDL cholesterol, and TC/HDL-C effectively screens for insulin resistance risk.
Area Of Science
- Endocrinology and Metabolism
- Pediatric Obesity Research
- Cardiovascular Risk Assessment
Context
- Obesity in adolescents is a growing concern, increasing the risk of metabolic complications like insulin resistance.
- Early identification of insulin resistance is crucial for timely intervention and prevention of long-term health issues.
- Lipid profiles play a significant role in metabolic health and can serve as indicators for insulin resistance.
Purpose
- To identify risk factors for insulin resistance in obese adolescents.
- To develop and validate a predictive nomogram model for insulin resistance risk.
- To enable early screening and intervention for insulin resistance in this vulnerable population.
Summary
- A Lasso-logistic regression model was developed using data from 404 obese adolescents (aged 10-17).
- Key lipid indicators identified include triglyceride, low-density lipoprotein cholesterol, and the total cholesterol/high-density lipoprotein cholesterol ratio.
- The resulting nomogram demonstrated good predictive accuracy (AUC=0.825) and internal validation (C-Index=0.804).
Impact
- Provides a validated tool for early detection of insulin resistance in obese children and adolescents.
- Facilitates targeted interventions to mitigate the risk of type 2 diabetes and cardiovascular disease.
- Contributes to personalized risk assessment strategies in pediatric metabolic health.
Related Concept Videos
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
Mechanistic models are utilized in individual analysis using single-source data, but imperfections arise due to data collection errors, preventing perfect prediction of observed data. The mathematical equation involves known values (Xi), observed concentrations (Ci), measurement errors (εi), model parameters (ϕj), and the related function (ƒi) for i number of values. Different least-squares metrics quantify differences between predicted and observed values. The ordinary least...
Insulin-replacement therapy usually includes both long-acting insulin (basal) and short-acting insulin (to cater to postprandial needs). In a diverse group of type 1 diabetes patients, the average daily insulin dose is typically 0.5-0.7 units/kg body weight. However, obese patients and pubertal adolescents may need more due to insulin resistance.
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...

