The predictive ability of triglycerides and waist (hypertriglyceridemic waist) in assessing metabolic triad change in obese children and adolescents

James P. Hobkirk, Roderick F. King, Paul Gately, Philip Pemberton, Alexander Smith, Julian H. Barth, Nicola Harman, Ian Davies, Sean Carroll

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Background: The metabolic triad [fasting insulin, apolipoprotein B, and low-density lipoporotein (LDL) peak particle density] is characteristic of increased intra-abdominal adipose tissue and insulin resistance and can be predicted by the simple and adoptable screening tool, the hypertriglyceridemic waist. The associations between hypertriglyceridemic waist components [fasting triglycerides (TG) and waist circumference cut-points derived from a child-specific metabolic syndrome definition] with the metabolic triad were examined in obese youth before and after weight loss. Methods: A continuous metabolic triad score (MTS) was calculated as a cumulative and standardized residual score of fasting insulin, apolipoprotein B, and LDL peak particle density (z-scores of the metabolic triad variables regressed onto age and sex). The predictive ability of TG and waist in assessing metabolic triad change was undertaken in 75 clinically obese boys and girls, aged 8-18, body mass index (BMI) 34.2±6.4 kg/m2 before and after weight loss. Results: Fasting TG concentrations (r2=0.216, P
    Original languageEnglish
    Pages (from-to)336-342
    Number of pages6
    JournalMetabolic Syndrome and Related Disorders
    Volume11
    Issue number5
    DOIs
    Publication statusPublished - 1 Oct 2013

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