Diabetes Metab J.  2019 Apr;43(2):183-191. 10.4093/dmj.2018.0034.

Association between Changes in Anthropometric Indices and in Fasting Insulin Levels among Healthy Korean Adolescents: The JS High School Study

• Park JH
• Mun S
• Choi DP
• Lee JY
• Kim HC

• KMID: 2442771
• DOI: http://doi.org/10.4093/dmj.2018.0034

Abstract

BACKGROUND
This study investigated the association between changes in anthropometric indices and fasting insulin levels among healthy adolescents and whether the association differed by baseline obesity status.
METHODS
This analysis was based on data collected for the JS High School study; 884 healthy adolescents aged 15 to 16 years followed up for 24 to 30 months were included. Changes in anthropometric indices and fasting insulin levels were computed as the difference between baseline and follow-up values. Multivariate linear regression models were used to determine the association between changes in anthropometric indices and fasting insulin levels. Based on body mass index (BMI)-for-age and waist circumference (WC)-for-age percentiles, participants were classified as normal weight (<85th percentile), overweight (85th percentile to <95th percentile), or obese (≥95th percentile).
RESULTS
Changes in BMI, WC, waist-hip ratio, and waist-height ratio were significantly associated with changes in fasting insulin levels in both sexes (P<0.05). In analyses stratified by baseline obesity status, the association between change in BMI and change in fasting insulin was significantly stronger in overweight (males: standardized β=1.136; females: standardized β=1.262) and obese (males: standardized β=1.817; females: standardized β=2.290) participants than in those with normal weight (males: standardized β=0.957; females: standardized β=0.976) at baseline. Results were similar for changes in WC.
CONCLUSION
Changes in anthropometric indices were positively associated with fasting insulin level increases. Moreover, those who were overweight or obese at baseline had a higher absolute increase in fasting insulin levels per one standard deviation unit increase in anthropometric indices than adolescents with normal weight.

Keyword

Adolescent; Insulin; Obesity

MeSH Terms

Adolescent*
Body Mass Index
Fasting*
Female
Follow-Up Studies
Humans
Insulin*
Linear Models
Obesity
Overweight
Waist Circumference
Waist-Height Ratio
Waist-Hip Ratio
Insulin

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