Compliance with behavioral guidelines for diet, physical activity and sedentary behaviors is related to insulin resistance among overweight and obese youth

<p>Abstract</p> <p>Background</p> <p>Overweight and obesity are established risk factors for insulin resistance in youth. A number of behavioral recommendations have been publicized with the goal of improving glycemic control. However, there is limited information about...

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Main Authors: Sallis James F, Calfas Karen J, Norman Gregory J, Gottschalk Michael, Huang Jeannie S, Patrick Kevin
Format: Article
Language:English
Published: BMC 2011-02-01
Series:BMC Research Notes
Online Access:http://www.biomedcentral.com/1756-0500/4/29
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author Sallis James F
Calfas Karen J
Norman Gregory J
Gottschalk Michael
Huang Jeannie S
Patrick Kevin
author_facet Sallis James F
Calfas Karen J
Norman Gregory J
Gottschalk Michael
Huang Jeannie S
Patrick Kevin
author_sort Sallis James F
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Overweight and obesity are established risk factors for insulin resistance in youth. A number of behavioral recommendations have been publicized with the goal of improving glycemic control. However, there is limited information about whether meeting these behavioral recommendations actually reduces insulin resistance.</p> <p>Findings</p> <p>92 youths 11 - 16 years with BMI ≥ 85% underwent oral glucose tolerance testing. HOMA-IR and AUC<sub>Insulin</sub>/AUC<sub>Glucose </sub>were calculated as measures of insulin resistance. Dietary and physical activity (PA) measures were performed. Assessments included whether or not participants met recommended levels of diet, PA and sedentary behaviors.</p> <p>62% youths met criteria for insulin resistance. 82% (75/92) met at least one behavioral recommendation. Participants who met ≥ 1 dietary, sedentary, or PA recommendations had significantly reduced insulin resistance as compared with youth who did not. This relationship remained significant in multivariate modeling of insulin resistance adjusting for age, sex, and BMI.</p> <p>Conclusions</p> <p>Even relatively minor behavior change may reduce insulin resistance in youth at risk for diabetes. Our findings support the relevance of current behavioral interventions for glycemic control.</p> <p>Trials Registration</p> <p>Clinical Trials <a href="http://www.clinicaltrials.gov/ct2/show/#NCT00412165">#NCT00412165</a>.</p>
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spelling doaj.art-7973ac29d2444c67b701235955222fc92022-12-21T21:21:16ZengBMCBMC Research Notes1756-05002011-02-01412910.1186/1756-0500-4-29Compliance with behavioral guidelines for diet, physical activity and sedentary behaviors is related to insulin resistance among overweight and obese youthSallis James FCalfas Karen JNorman Gregory JGottschalk MichaelHuang Jeannie SPatrick Kevin<p>Abstract</p> <p>Background</p> <p>Overweight and obesity are established risk factors for insulin resistance in youth. A number of behavioral recommendations have been publicized with the goal of improving glycemic control. However, there is limited information about whether meeting these behavioral recommendations actually reduces insulin resistance.</p> <p>Findings</p> <p>92 youths 11 - 16 years with BMI ≥ 85% underwent oral glucose tolerance testing. HOMA-IR and AUC<sub>Insulin</sub>/AUC<sub>Glucose </sub>were calculated as measures of insulin resistance. Dietary and physical activity (PA) measures were performed. Assessments included whether or not participants met recommended levels of diet, PA and sedentary behaviors.</p> <p>62% youths met criteria for insulin resistance. 82% (75/92) met at least one behavioral recommendation. Participants who met ≥ 1 dietary, sedentary, or PA recommendations had significantly reduced insulin resistance as compared with youth who did not. This relationship remained significant in multivariate modeling of insulin resistance adjusting for age, sex, and BMI.</p> <p>Conclusions</p> <p>Even relatively minor behavior change may reduce insulin resistance in youth at risk for diabetes. Our findings support the relevance of current behavioral interventions for glycemic control.</p> <p>Trials Registration</p> <p>Clinical Trials <a href="http://www.clinicaltrials.gov/ct2/show/#NCT00412165">#NCT00412165</a>.</p>http://www.biomedcentral.com/1756-0500/4/29
spellingShingle Sallis James F
Calfas Karen J
Norman Gregory J
Gottschalk Michael
Huang Jeannie S
Patrick Kevin
Compliance with behavioral guidelines for diet, physical activity and sedentary behaviors is related to insulin resistance among overweight and obese youth
BMC Research Notes
title Compliance with behavioral guidelines for diet, physical activity and sedentary behaviors is related to insulin resistance among overweight and obese youth
title_full Compliance with behavioral guidelines for diet, physical activity and sedentary behaviors is related to insulin resistance among overweight and obese youth
title_fullStr Compliance with behavioral guidelines for diet, physical activity and sedentary behaviors is related to insulin resistance among overweight and obese youth
title_full_unstemmed Compliance with behavioral guidelines for diet, physical activity and sedentary behaviors is related to insulin resistance among overweight and obese youth
title_short Compliance with behavioral guidelines for diet, physical activity and sedentary behaviors is related to insulin resistance among overweight and obese youth
title_sort compliance with behavioral guidelines for diet physical activity and sedentary behaviors is related to insulin resistance among overweight and obese youth
url http://www.biomedcentral.com/1756-0500/4/29
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