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Review
. 2022 Nov 16:13:1061524.
doi: 10.3389/fendo.2022.1061524. eCollection 2022.

An update of the consensus statement on insulin resistance in children 2010

Affiliations
Review

An update of the consensus statement on insulin resistance in children 2010

Veronica Maria Tagi et al. Front Endocrinol (Lausanne). .

Abstract

In our modern society, where highly palatable and calorie-rich foods are readily available, and sedentary lifestyle is common among children and adolescents, we face the pandemic of obesity, nonalcoholic fatty liver disease, hypertension, atherosclerosis, and T2D. Insulin resistance (IR) is known to be the main underlying mechanism of all these associated health consequences; therefore, the early detection of IR is fundamental for preventing them.A Consensus Statement, internationally supported by all the major scientific societies in pediatric endocrinology, was published in 2010, providing all the most recent reliable evidence to identify the definition of IR in children, its measurement, its risk factors, and the effective strategies to prevent and treat it. However, the 2010 Consensus concluded that further research was necessary to assess some of the discussed points, in particular the best way to measure insulin sensitivity, standardization of insulin measurements, identification of strong surrogate biomarkers of IR, and the effective role of lifestyle intervention and medications in the prevention and treatment of IR.The aim of this review is to update each point of the consensus with the most recent available studies, with the goal of giving a picture of the current state of the scientific literature regarding IR in children, with a particular regard for issues that are not yet fully clarified.

Keywords: children; diagnosis; genetics; insulin resistance; metabolic syndrome; obesity; treatment.

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Conflict of interest statement

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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References

    1. Chadt A, Al-Hasani H. Glucose transporters in adipose tissue, liver, and skeletal muscle in metabolic health and disease. Pflugers Arch (2020) 472(9):1273–98. doi: 10.1007/s00424-020-02417-x - DOI - PMC - PubMed
    1. Bussler S, Penke M, Flemming G, Elhassan YS, Kratzsch J, Sergeyev E, et al. . Novel insights in the metabolic syndrome in childhood and adolescence. Horm Res Paediatr (2017) 88:181–93. doi: 10.1159/000479510 - DOI - PubMed
    1. Kojta I, Chacińska M, Błachnio-Zabielska A. Obesity, bioactive lipids, and adipose tissue inflammation in insulin resistance. Nutrients (2020) 12(5):1305. doi: 10.3390/nu12051305 - DOI - PMC - PubMed
    1. Levy-Marchal C, Arslanian S, Cutfield W, Sinaiko A, Druet C, Marcovecchio ML, et al. . Insulin resistance in children: consensus, perspective, and future directions. J Clin Endocrinol Metab (2010) 95(12):5189–98. doi: 10.1210/jc.2010-1047 - DOI - PMC - PubMed
    1. Güneş H, Güneş H, Temiz F. The relationship between epicardial adipose tissue and insulin resistance in obese children. Arq Bras Cardiol (2020) 114(4):675–82. doi: 10.36660/abc.20190197 - DOI - PubMed