Evaluation of insulin resistance in Turkish girls with premature pubarche using the homeostasis assessment (HOMA) model

Premature pubarche can be benign, or it can be an early marker of insulin resistance in some girls. The aim of this study was to evaluate insulin resistance in prepubertal girls presenting with premature pubarche (n = 19; mean age = 6.93 +/- 1.78) as compared to age- and Tanner stage-matched control...

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Veröffentlicht in:Turkish journal of pediatrics 2007-04, Vol.49 (2), p.165-170
Hauptverfasser: Evliyaoğlu, Olcay, Berberoğlu, Merih, Adiyaman, Pelin, Aycan, Zehra, Ocal, Gönül
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container_end_page 170
container_issue 2
container_start_page 165
container_title Turkish journal of pediatrics
container_volume 49
creator Evliyaoğlu, Olcay
Berberoğlu, Merih
Adiyaman, Pelin
Aycan, Zehra
Ocal, Gönül
description Premature pubarche can be benign, or it can be an early marker of insulin resistance in some girls. The aim of this study was to evaluate insulin resistance in prepubertal girls presenting with premature pubarche (n = 19; mean age = 6.93 +/- 1.78) as compared to age- and Tanner stage-matched controls (n = 10; mean age = 7.55 +/- 1.32) using indirect insulin resistance parameters. Two groups were compared by means of oral glucose tolerance test (OGTT), indirect insulin resistance (IR) parameters [homeostasis assessment (HOMA) models: HOMA-IR, glucose/insulin (G/I)] and serum lipid profiles. In the girls with premature pubarche, mean baseline insulin level and HOMA-IR value were significantly higher and G/I ratio was lower than in the control group. IR was observed in 42.1% and in 31.6% according to HOMA-IR value and G/I ratio, respectively. Even at diagnosis, IR was increased in a significant portion of the girls with premature pubarche.
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source MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Case-Control Studies
Child
Female
Glucose Tolerance Test
Homeostasis
Hormones - blood
Humans
Insulin - blood
Insulin Resistance
Lipids - blood
Puberty, Precocious - blood
Statistics, Nonparametric
Turkey
title Evaluation of insulin resistance in Turkish girls with premature pubarche using the homeostasis assessment (HOMA) model
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