Low‐grade inflammation and muscular fitness on insulin resistance in adolescents: Results from LabMed Physical Activity Study

Background Low muscular fitness (MF) and low‐grade inflammation has been linked to insulin resistance (IR). Objective To evaluate the associations between MF and a clustered score of inflammatory biomarkers on IR and to investigate the combined impact of MF and inflammation on IR in adolescents. Met...

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Veröffentlicht in:Pediatric diabetes 2018-05, Vol.19 (3), p.429-435
Hauptverfasser: Agostinis‐Sobrinho, César A, Ramírez‐Vélez, Robinson, García‐Hermoso, Antonio, Moreira, Carla, Lopes, Luís, Oliveira‐Santos, José, Abreu, Sandra, Mota, Jorge, Santos, Rute
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container_end_page 435
container_issue 3
container_start_page 429
container_title Pediatric diabetes
container_volume 19
creator Agostinis‐Sobrinho, César A
Ramírez‐Vélez, Robinson
García‐Hermoso, Antonio
Moreira, Carla
Lopes, Luís
Oliveira‐Santos, José
Abreu, Sandra
Mota, Jorge
Santos, Rute
description Background Low muscular fitness (MF) and low‐grade inflammation has been linked to insulin resistance (IR). Objective To evaluate the associations between MF and a clustered score of inflammatory biomarkers on IR and to investigate the combined impact of MF and inflammation on IR in adolescents. Methods This is a cross‐sectional analysis with 529 adolescents (267 girls) aged 12 to 18 years. Pubertal stage, socioeconomic status, adherence to the Mediterranean diet, cardiorespiratory fitness, and waist circumference were assessed. Standing long‐jump and isometric handgrip dynamometry were used as indicators of MF. Continuous score of clustered inflammatory biomarkers (InflaScore) (sum of Z‐scores of C‐reactive protein, C3, C4, fibrinogen, and leptin) and IR (homeostasis model assessment of insulin resistance [HOMA‐IR] estimated from fasting serum insulin and glucose) were assessed. Results HOMA‐IR and fasting insulin were positively associated with InflaScore and negatively associated with MF, independently of age, sex, pubertal stage, socioeconomic status, adherence to the Mediterranean diet, cardiorespiratory fitness, and waist circumference. Adolescents classified as High InflaScore/Unfit showed significantly higher HOMA‐IR when compared than those with High InflaScore/Fit and those with Low InflaScore/Fit (F(3,519) = 4.761, P 
doi_str_mv 10.1111/pedi.12607
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Objective To evaluate the associations between MF and a clustered score of inflammatory biomarkers on IR and to investigate the combined impact of MF and inflammation on IR in adolescents. Methods This is a cross‐sectional analysis with 529 adolescents (267 girls) aged 12 to 18 years. Pubertal stage, socioeconomic status, adherence to the Mediterranean diet, cardiorespiratory fitness, and waist circumference were assessed. Standing long‐jump and isometric handgrip dynamometry were used as indicators of MF. Continuous score of clustered inflammatory biomarkers (InflaScore) (sum of Z‐scores of C‐reactive protein, C3, C4, fibrinogen, and leptin) and IR (homeostasis model assessment of insulin resistance [HOMA‐IR] estimated from fasting serum insulin and glucose) were assessed. Results HOMA‐IR and fasting insulin were positively associated with InflaScore and negatively associated with MF, independently of age, sex, pubertal stage, socioeconomic status, adherence to the Mediterranean diet, cardiorespiratory fitness, and waist circumference. Adolescents classified as High InflaScore/Unfit showed significantly higher HOMA‐IR when compared than those with High InflaScore/Fit and those with Low InflaScore/Fit (F(3,519) = 4.761, P &lt; .003), after adjustments for potential confounders. Unfit adolescents with high InflaScore had the highest odds of expressing high HOMA‐IR (odds ratio, OR = 2.40, 95% confidence interval [CI]: 1.2‐5.6) and insulin risk (2.53 95% CI, 1.5‐5.9) when compared to those of the Low InflaScore/Fit group, after adjustments for potential confounders. Conclusion Higher levels of MF seem to minimize the deleterious effect of inflammation on IR.</description><identifier>ISSN: 1399-543X</identifier><identifier>EISSN: 1399-5448</identifier><identifier>DOI: 10.1111/pedi.12607</identifier><identifier>PMID: 29171185</identifier><language>eng</language><publisher>Former Munksgaard: John Wiley &amp; Sons A/S</publisher><subject>Adolescents ; Biomarkers ; Cardiorespiratory fitness ; Diet ; Exercise ; Fibrinogen ; handgrip ; Homeostasis ; Inflammation ; Insulin ; Insulin resistance ; Isometric ; Leptin ; Physical activity ; Physical fitness ; Socioeconomic factors ; strength ; Teenagers ; youth</subject><ispartof>Pediatric diabetes, 2018-05, Vol.19 (3), p.429-435</ispartof><rights>2017 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><rights>2017 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd.</rights><rights>2018 John Wiley &amp; Sons A/S. Published by John Wiley &amp; Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3937-f51ad2ffd86c5078fa2f3eae04079fe56015e6d2bf4f4f63af39190e96de99463</citedby><cites>FETCH-LOGICAL-c3937-f51ad2ffd86c5078fa2f3eae04079fe56015e6d2bf4f4f63af39190e96de99463</cites><orcidid>0000-0003-3075-6960 ; 0000-0001-9104-9042</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fpedi.12607$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fpedi.12607$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27923,27924,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29171185$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Agostinis‐Sobrinho, César A</creatorcontrib><creatorcontrib>Ramírez‐Vélez, Robinson</creatorcontrib><creatorcontrib>García‐Hermoso, Antonio</creatorcontrib><creatorcontrib>Moreira, Carla</creatorcontrib><creatorcontrib>Lopes, Luís</creatorcontrib><creatorcontrib>Oliveira‐Santos, José</creatorcontrib><creatorcontrib>Abreu, Sandra</creatorcontrib><creatorcontrib>Mota, Jorge</creatorcontrib><creatorcontrib>Santos, Rute</creatorcontrib><title>Low‐grade inflammation and muscular fitness on insulin resistance in adolescents: Results from LabMed Physical Activity Study</title><title>Pediatric diabetes</title><addtitle>Pediatr Diabetes</addtitle><description>Background Low muscular fitness (MF) and low‐grade inflammation has been linked to insulin resistance (IR). Objective To evaluate the associations between MF and a clustered score of inflammatory biomarkers on IR and to investigate the combined impact of MF and inflammation on IR in adolescents. Methods This is a cross‐sectional analysis with 529 adolescents (267 girls) aged 12 to 18 years. Pubertal stage, socioeconomic status, adherence to the Mediterranean diet, cardiorespiratory fitness, and waist circumference were assessed. Standing long‐jump and isometric handgrip dynamometry were used as indicators of MF. Continuous score of clustered inflammatory biomarkers (InflaScore) (sum of Z‐scores of C‐reactive protein, C3, C4, fibrinogen, and leptin) and IR (homeostasis model assessment of insulin resistance [HOMA‐IR] estimated from fasting serum insulin and glucose) were assessed. Results HOMA‐IR and fasting insulin were positively associated with InflaScore and negatively associated with MF, independently of age, sex, pubertal stage, socioeconomic status, adherence to the Mediterranean diet, cardiorespiratory fitness, and waist circumference. Adolescents classified as High InflaScore/Unfit showed significantly higher HOMA‐IR when compared than those with High InflaScore/Fit and those with Low InflaScore/Fit (F(3,519) = 4.761, P &lt; .003), after adjustments for potential confounders. Unfit adolescents with high InflaScore had the highest odds of expressing high HOMA‐IR (odds ratio, OR = 2.40, 95% confidence interval [CI]: 1.2‐5.6) and insulin risk (2.53 95% CI, 1.5‐5.9) when compared to those of the Low InflaScore/Fit group, after adjustments for potential confounders. Conclusion Higher levels of MF seem to minimize the deleterious effect of inflammation on IR.</description><subject>Adolescents</subject><subject>Biomarkers</subject><subject>Cardiorespiratory fitness</subject><subject>Diet</subject><subject>Exercise</subject><subject>Fibrinogen</subject><subject>handgrip</subject><subject>Homeostasis</subject><subject>Inflammation</subject><subject>Insulin</subject><subject>Insulin resistance</subject><subject>Isometric</subject><subject>Leptin</subject><subject>Physical activity</subject><subject>Physical fitness</subject><subject>Socioeconomic factors</subject><subject>strength</subject><subject>Teenagers</subject><subject>youth</subject><issn>1399-543X</issn><issn>1399-5448</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp90c9qFTEUBvBQlLbWbvoAEnAjwq3JJPMn7kpttXDFoha6C7mTE03JZK45Gcus6iP4jD6Jud7ahQuTRUL45ePAR8gRZ8e8rFdrsP6YVw1rd8g-F0otaim7Rw93cb1HniDeMMZbJeQu2asUbznv6n1ytxxvf_34-SUZC9RHF8wwmOzHSE20dJiwn4JJ1PkcAZGWdx9xCj7SBOgxm9hv_lFjxwDYQ8z4mn6EQjJSl8aBLs3qPVh6-XVG35tAT_rsv_s80095svNT8tiZgHB4fx6Qq_Ozz6fvFssPby9OT5aLXijRLlzNja2cs13T16ztnKmcAANMslY5qBvGa2hstXKy7EYYJxRXDFRjQSnZiAPyYpu7TuO3CTDrwZdxQzARxgk1V00npawVL_T5P_RmnFIs0-mKCSa7llVVUS-3qk8jYgKn18kPJs2aM72pRW9q0X9qKfjZfeS0GsA-0L89FMC34NYHmP8TpS_P3lxsQ38DSuOapQ</recordid><startdate>201805</startdate><enddate>201805</enddate><creator>Agostinis‐Sobrinho, César A</creator><creator>Ramírez‐Vélez, Robinson</creator><creator>García‐Hermoso, Antonio</creator><creator>Moreira, Carla</creator><creator>Lopes, Luís</creator><creator>Oliveira‐Santos, José</creator><creator>Abreu, Sandra</creator><creator>Mota, Jorge</creator><creator>Santos, Rute</creator><general>John Wiley &amp; 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Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric diabetes</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Agostinis‐Sobrinho, César A</au><au>Ramírez‐Vélez, Robinson</au><au>García‐Hermoso, Antonio</au><au>Moreira, Carla</au><au>Lopes, Luís</au><au>Oliveira‐Santos, José</au><au>Abreu, Sandra</au><au>Mota, Jorge</au><au>Santos, Rute</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Low‐grade inflammation and muscular fitness on insulin resistance in adolescents: Results from LabMed Physical Activity Study</atitle><jtitle>Pediatric diabetes</jtitle><addtitle>Pediatr Diabetes</addtitle><date>2018-05</date><risdate>2018</risdate><volume>19</volume><issue>3</issue><spage>429</spage><epage>435</epage><pages>429-435</pages><issn>1399-543X</issn><eissn>1399-5448</eissn><abstract>Background Low muscular fitness (MF) and low‐grade inflammation has been linked to insulin resistance (IR). Objective To evaluate the associations between MF and a clustered score of inflammatory biomarkers on IR and to investigate the combined impact of MF and inflammation on IR in adolescents. Methods This is a cross‐sectional analysis with 529 adolescents (267 girls) aged 12 to 18 years. Pubertal stage, socioeconomic status, adherence to the Mediterranean diet, cardiorespiratory fitness, and waist circumference were assessed. Standing long‐jump and isometric handgrip dynamometry were used as indicators of MF. Continuous score of clustered inflammatory biomarkers (InflaScore) (sum of Z‐scores of C‐reactive protein, C3, C4, fibrinogen, and leptin) and IR (homeostasis model assessment of insulin resistance [HOMA‐IR] estimated from fasting serum insulin and glucose) were assessed. Results HOMA‐IR and fasting insulin were positively associated with InflaScore and negatively associated with MF, independently of age, sex, pubertal stage, socioeconomic status, adherence to the Mediterranean diet, cardiorespiratory fitness, and waist circumference. Adolescents classified as High InflaScore/Unfit showed significantly higher HOMA‐IR when compared than those with High InflaScore/Fit and those with Low InflaScore/Fit (F(3,519) = 4.761, P &lt; .003), after adjustments for potential confounders. Unfit adolescents with high InflaScore had the highest odds of expressing high HOMA‐IR (odds ratio, OR = 2.40, 95% confidence interval [CI]: 1.2‐5.6) and insulin risk (2.53 95% CI, 1.5‐5.9) when compared to those of the Low InflaScore/Fit group, after adjustments for potential confounders. Conclusion Higher levels of MF seem to minimize the deleterious effect of inflammation on IR.</abstract><cop>Former Munksgaard</cop><pub>John Wiley &amp; Sons A/S</pub><pmid>29171185</pmid><doi>10.1111/pedi.12607</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-3075-6960</orcidid><orcidid>https://orcid.org/0000-0001-9104-9042</orcidid><oa>free_for_read</oa></addata></record>
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source Wiley Online Library All Journals
subjects Adolescents
Biomarkers
Cardiorespiratory fitness
Diet
Exercise
Fibrinogen
handgrip
Homeostasis
Inflammation
Insulin
Insulin resistance
Isometric
Leptin
Physical activity
Physical fitness
Socioeconomic factors
strength
Teenagers
youth
title Low‐grade inflammation and muscular fitness on insulin resistance in adolescents: Results from LabMed Physical Activity Study
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