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Table 1 Studies investigating the association between FFM/LBM and IR in children and adolescents

From: Fat-free/lean body mass in children with insulin resistance or metabolic syndrome: a systematic review and meta-analysis

Reference

Study design

Population n (♀;♂)

Age

Country

Study period

Method to assess maturation stage

Method to assess body composition

Metabolic variables

IR criteria

Body composition outcome by IR

Association: body composition– IR

Secondary outcomes

Non IR

mean ± SD

IR

mean ± SD

Burrows et al. [30]

CS

667 adolescents (♀ 47.8%; ♂ 52.2%)

16.8 ± 0.3

Chile

NA

NA

DXA

Fasting glucose; TG; HDL-C; WC; BP; adiponectin; hs-CRP.

HOMA-IR

(n = 558)

(n = 109)

Adolescents with IR had significantly lower (p < 0.001) mean values of LM (%).

Independently significant association between IR and sarcopenia (OR: 4.9; 95% CI: 3.2–7.5)

LM (%)

68.7 ± 11.4

LM (%)

62.0 ± 9.4

Sanches et al. [29]

CT

66 post-pubertal adolescents with obesity.

16.8 ± 1.6

Brazil

Tanner V 100%

Tanner stages

Air-displacement plethysmography (BOD-POD)

LDL-C; HDL-C; VLDL; HOMA-IR; QUICKI; MBP; leptin; adiponectin; Leptin/Adiponectin ratio and resistin.

HOMA-IR; QUICKI

(n = 27)

(n = 39)

No significant difference between groups with IR and non-IR.

 

LBM (%)

52.62 ± 5.77

LBM (%)

52.42 ± 5.34

Rodríguez-Rodríguez et al. [28]

CS

443 schoolchildren (♀ 44.4%; ♂ 55.5%)

10 (9–11)

Spain

NA

NA

Anthropometric measurements (equation of Parizkova for body fat (%))

Fasting glucose; TG; HDL-C; WC; BP; adiponectin determinations; hs-CRP.

HOMA

(n = 427)

(♀ 238; ♂ 189)

(n = 16)

(♀ 8; ♂ 8)

Adolescents with IR had significantly lower (p < 0.01) mean values of FFBM (%) and significantly differences with respect to sex (p < 0.05)

 

FFBM (%)

♀ 77.8 (72.1–82.7)

♂ 79.8 (74.2–85.4)

Total 78.5 (73.0–83.8)

FFBM (%)

♀69.5 (67.4–74.0)

♂ 72.9 (69.6–81.9)

Total 70.6 (68.2–75.8)

  1. CS Cross-sectional studies, CT Clinical trial, NA Not available, IR Insulin resistance, TG Triglycerides, HDL-C High density lipoprotein cholesterol, WC Waist circumference, BP Blood pressure, hs-CRP High sensitivity C-reactive protein, LDL-C Low density lipoprotein cholesterol, VLDL Very low-density lipoprotein, HOMA-IR Homeostasis model assessment insulin resistance index, QUICKI Quantitative insulin sensitivity check index, MBP Mean blood pressure, GF/IF The ratio of fasting glucose to fasting insulin, DXA Dual energy X-ray absorptiometry, LM Lean mass, LBM Lean body mass, TLM Total lean mass, FFBM Fat free body mass