Sex differences in associations of adiposity measures and insulin resistance in US Hispanic/Latino youth: The Hispanic community children's health study/study of latino youth (SOL youth)

Qibin Qi, Simin Hua, Krista M. Perreira, Jianwen Cai, Linda Van Horn, Neil Schneiderman, Bharat Thyagarajan, Alan M Delamater, Robert C. Kaplan, Carmen R. Isasi

Research output: Contribution to journalArticle

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Abstract

Context: US Hispanic/Latino youth are disproportionally affected by the obesity and diabetes. Objective: We examined associations of adiposity measures with insulin resistance (IR) and hyperglycemia and the influences of sex and pubertal development on these associations. Design, Setting, and Participants: We performed a cross-sectional analysis of 1223 8- to 16-year-old Hispanic/Latino youth from a community-based study in the United States (SOL Youth). Main Outcome Measures: We measured IR (≥75th percentile of sex-specific Homeostatic Model Assessment of Insulin Resistance) and hyperglycemia (fasting glucose ≥100 mg/dL or hemoglobin a1c ≥5.7%). Results: In boys, body mass index (BMI) showed the strongest association with IR [prevalence ratio (PR), 2.10; 95%confidence interval (CI), 1.87 to 2.36 per standard deviation],whichwas not statistically different compared with body fat percentage (%BF) (PR, 2.03; 95% CI, 1.81 to 2.29) and waist circumference( WC) (PR, 1.89; 95%CI, 1.67 to 2.13) butwas significantly stronger comparedwith fatmass index (FMI) (PR, 1.79; 95%CI, 1.63 to 1.96),waist-to-hip ratio (WHR) (PR, 1.32; 95%CI, 1.21 to 1.44), and waist-to-height ratio (WHtR) (PR, 1.76; 95%CI, 1.54 to 2.01) (P for difference <0.05). In girls,%BF (PR, 2.73; 95%CI, 2.34 to 3.20) showed a significantly stronger association with IR comparedwith BMI (PR, 1.48; 95%CI, 1.29 to 1.70), FMI (PR, 1.71; 95%CI, 1.49 to 1.95),WC (PR, 1.96; 95%CI, 1.70 to 2.27),WHR (PR, 1.95; 95% CI, 1.70 to 2.23), and WHtR (PR, 1.79; 95% CI, 1.53 to 2.09) (P for difference, <0.003). Associations between adiposity measures and IR were generally stronger among children in puberty versus those who had completed puberty, with significant interactions forWC andWHtR in boys and for BMI in girls (P for interaction, <0.01). Adiposity measures were modestly associated with hyperglycemia (PR, 1.14 to 1.25), with no interactions with sex or pubertal status. Conclusions: Sex and puberty may influence associations between adiposity measures and IR in US Hispanic/Latino youth. Multiple adiposity measures are needed to better assess IR risk between boys and girls according to pubertal status.

Original languageEnglish (US)
Pages (from-to)185-194
Number of pages10
JournalJournal of Clinical Endocrinology and Metabolism
Volume102
Issue number1
DOIs
StatePublished - Jan 1 2017

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Adiposity
Hispanic Americans
Sex Characteristics
Insulin Resistance
Health
Insulin
Confidence Intervals
Puberty
Hyperglycemia
Body Mass Index
Waist-Hip Ratio
Waist Circumference
Child Health
Medical problems
Hemoglobins
Sexual Development
Fats
Glucose
Adipose Tissue
Fasting

ASJC Scopus subject areas

  • Endocrinology, Diabetes and Metabolism
  • Biochemistry
  • Endocrinology
  • Clinical Biochemistry
  • Biochemistry, medical

Cite this

Sex differences in associations of adiposity measures and insulin resistance in US Hispanic/Latino youth : The Hispanic community children's health study/study of latino youth (SOL youth). / Qi, Qibin; Hua, Simin; Perreira, Krista M.; Cai, Jianwen; Van Horn, Linda; Schneiderman, Neil; Thyagarajan, Bharat; Delamater, Alan M; Kaplan, Robert C.; Isasi, Carmen R.

In: Journal of Clinical Endocrinology and Metabolism, Vol. 102, No. 1, 01.01.2017, p. 185-194.

Research output: Contribution to journalArticle

Qi, Qibin ; Hua, Simin ; Perreira, Krista M. ; Cai, Jianwen ; Van Horn, Linda ; Schneiderman, Neil ; Thyagarajan, Bharat ; Delamater, Alan M ; Kaplan, Robert C. ; Isasi, Carmen R. / Sex differences in associations of adiposity measures and insulin resistance in US Hispanic/Latino youth : The Hispanic community children's health study/study of latino youth (SOL youth). In: Journal of Clinical Endocrinology and Metabolism. 2017 ; Vol. 102, No. 1. pp. 185-194.
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abstract = "Context: US Hispanic/Latino youth are disproportionally affected by the obesity and diabetes. Objective: We examined associations of adiposity measures with insulin resistance (IR) and hyperglycemia and the influences of sex and pubertal development on these associations. Design, Setting, and Participants: We performed a cross-sectional analysis of 1223 8- to 16-year-old Hispanic/Latino youth from a community-based study in the United States (SOL Youth). Main Outcome Measures: We measured IR (≥75th percentile of sex-specific Homeostatic Model Assessment of Insulin Resistance) and hyperglycemia (fasting glucose ≥100 mg/dL or hemoglobin a1c ≥5.7{\%}). Results: In boys, body mass index (BMI) showed the strongest association with IR [prevalence ratio (PR), 2.10; 95{\%}confidence interval (CI), 1.87 to 2.36 per standard deviation],whichwas not statistically different compared with body fat percentage ({\%}BF) (PR, 2.03; 95{\%} CI, 1.81 to 2.29) and waist circumference( WC) (PR, 1.89; 95{\%}CI, 1.67 to 2.13) butwas significantly stronger comparedwith fatmass index (FMI) (PR, 1.79; 95{\%}CI, 1.63 to 1.96),waist-to-hip ratio (WHR) (PR, 1.32; 95{\%}CI, 1.21 to 1.44), and waist-to-height ratio (WHtR) (PR, 1.76; 95{\%}CI, 1.54 to 2.01) (P for difference <0.05). In girls,{\%}BF (PR, 2.73; 95{\%}CI, 2.34 to 3.20) showed a significantly stronger association with IR comparedwith BMI (PR, 1.48; 95{\%}CI, 1.29 to 1.70), FMI (PR, 1.71; 95{\%}CI, 1.49 to 1.95),WC (PR, 1.96; 95{\%}CI, 1.70 to 2.27),WHR (PR, 1.95; 95{\%} CI, 1.70 to 2.23), and WHtR (PR, 1.79; 95{\%} CI, 1.53 to 2.09) (P for difference, <0.003). Associations between adiposity measures and IR were generally stronger among children in puberty versus those who had completed puberty, with significant interactions forWC andWHtR in boys and for BMI in girls (P for interaction, <0.01). Adiposity measures were modestly associated with hyperglycemia (PR, 1.14 to 1.25), with no interactions with sex or pubertal status. Conclusions: Sex and puberty may influence associations between adiposity measures and IR in US Hispanic/Latino youth. Multiple adiposity measures are needed to better assess IR risk between boys and girls according to pubertal status.",
author = "Qibin Qi and Simin Hua and Perreira, {Krista M.} and Jianwen Cai and {Van Horn}, Linda and Neil Schneiderman and Bharat Thyagarajan and Delamater, {Alan M} and Kaplan, {Robert C.} and Isasi, {Carmen R.}",
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TY - JOUR

T1 - Sex differences in associations of adiposity measures and insulin resistance in US Hispanic/Latino youth

T2 - The Hispanic community children's health study/study of latino youth (SOL youth)

AU - Qi, Qibin

AU - Hua, Simin

AU - Perreira, Krista M.

AU - Cai, Jianwen

AU - Van Horn, Linda

AU - Schneiderman, Neil

AU - Thyagarajan, Bharat

AU - Delamater, Alan M

AU - Kaplan, Robert C.

AU - Isasi, Carmen R.

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Context: US Hispanic/Latino youth are disproportionally affected by the obesity and diabetes. Objective: We examined associations of adiposity measures with insulin resistance (IR) and hyperglycemia and the influences of sex and pubertal development on these associations. Design, Setting, and Participants: We performed a cross-sectional analysis of 1223 8- to 16-year-old Hispanic/Latino youth from a community-based study in the United States (SOL Youth). Main Outcome Measures: We measured IR (≥75th percentile of sex-specific Homeostatic Model Assessment of Insulin Resistance) and hyperglycemia (fasting glucose ≥100 mg/dL or hemoglobin a1c ≥5.7%). Results: In boys, body mass index (BMI) showed the strongest association with IR [prevalence ratio (PR), 2.10; 95%confidence interval (CI), 1.87 to 2.36 per standard deviation],whichwas not statistically different compared with body fat percentage (%BF) (PR, 2.03; 95% CI, 1.81 to 2.29) and waist circumference( WC) (PR, 1.89; 95%CI, 1.67 to 2.13) butwas significantly stronger comparedwith fatmass index (FMI) (PR, 1.79; 95%CI, 1.63 to 1.96),waist-to-hip ratio (WHR) (PR, 1.32; 95%CI, 1.21 to 1.44), and waist-to-height ratio (WHtR) (PR, 1.76; 95%CI, 1.54 to 2.01) (P for difference <0.05). In girls,%BF (PR, 2.73; 95%CI, 2.34 to 3.20) showed a significantly stronger association with IR comparedwith BMI (PR, 1.48; 95%CI, 1.29 to 1.70), FMI (PR, 1.71; 95%CI, 1.49 to 1.95),WC (PR, 1.96; 95%CI, 1.70 to 2.27),WHR (PR, 1.95; 95% CI, 1.70 to 2.23), and WHtR (PR, 1.79; 95% CI, 1.53 to 2.09) (P for difference, <0.003). Associations between adiposity measures and IR were generally stronger among children in puberty versus those who had completed puberty, with significant interactions forWC andWHtR in boys and for BMI in girls (P for interaction, <0.01). Adiposity measures were modestly associated with hyperglycemia (PR, 1.14 to 1.25), with no interactions with sex or pubertal status. Conclusions: Sex and puberty may influence associations between adiposity measures and IR in US Hispanic/Latino youth. Multiple adiposity measures are needed to better assess IR risk between boys and girls according to pubertal status.

AB - Context: US Hispanic/Latino youth are disproportionally affected by the obesity and diabetes. Objective: We examined associations of adiposity measures with insulin resistance (IR) and hyperglycemia and the influences of sex and pubertal development on these associations. Design, Setting, and Participants: We performed a cross-sectional analysis of 1223 8- to 16-year-old Hispanic/Latino youth from a community-based study in the United States (SOL Youth). Main Outcome Measures: We measured IR (≥75th percentile of sex-specific Homeostatic Model Assessment of Insulin Resistance) and hyperglycemia (fasting glucose ≥100 mg/dL or hemoglobin a1c ≥5.7%). Results: In boys, body mass index (BMI) showed the strongest association with IR [prevalence ratio (PR), 2.10; 95%confidence interval (CI), 1.87 to 2.36 per standard deviation],whichwas not statistically different compared with body fat percentage (%BF) (PR, 2.03; 95% CI, 1.81 to 2.29) and waist circumference( WC) (PR, 1.89; 95%CI, 1.67 to 2.13) butwas significantly stronger comparedwith fatmass index (FMI) (PR, 1.79; 95%CI, 1.63 to 1.96),waist-to-hip ratio (WHR) (PR, 1.32; 95%CI, 1.21 to 1.44), and waist-to-height ratio (WHtR) (PR, 1.76; 95%CI, 1.54 to 2.01) (P for difference <0.05). In girls,%BF (PR, 2.73; 95%CI, 2.34 to 3.20) showed a significantly stronger association with IR comparedwith BMI (PR, 1.48; 95%CI, 1.29 to 1.70), FMI (PR, 1.71; 95%CI, 1.49 to 1.95),WC (PR, 1.96; 95%CI, 1.70 to 2.27),WHR (PR, 1.95; 95% CI, 1.70 to 2.23), and WHtR (PR, 1.79; 95% CI, 1.53 to 2.09) (P for difference, <0.003). Associations between adiposity measures and IR were generally stronger among children in puberty versus those who had completed puberty, with significant interactions forWC andWHtR in boys and for BMI in girls (P for interaction, <0.01). Adiposity measures were modestly associated with hyperglycemia (PR, 1.14 to 1.25), with no interactions with sex or pubertal status. Conclusions: Sex and puberty may influence associations between adiposity measures and IR in US Hispanic/Latino youth. Multiple adiposity measures are needed to better assess IR risk between boys and girls according to pubertal status.

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