- The Correlation Between Insulin Resistance and Blood Lipids in Children

Correlation Between Insulin Resistance and Blood Lipids

  • Xu Xu xu Department of Endocrine, WuXi Children's Hospital, Wuxi 214023, Jiangsu Province, China
Keywords: Children with simple obesity; Insulin resistance; Blood lipids; High-intensity interval training

Abstract


Abstract: Introduction: this work focused on correlation between insulin resistance (IR) and blood lipids (BL) in children with simple obesity as well as the intervention effects of high-intensity interval training (HIIT) in weight loss of children. Material and Method: 80 children aged 6 to 17 years with simple obesity were selected from our hospital and randomly grouped into two. Children in control (Ctrl) group underwent traditional moderate-intensity continuous training (MICT), while those in the other group received HIIT (HIIT group). After four weeks, body composition-related indicators, BL levels, and IR were measured. Results: after exercise, children in both groups possessed obvious reductions in body mass index (BMI), body fat percentage (BFP), triglyceride (TG), and homeostasis model assessment of IR (HOMA-IR), demonstrating remarkable differences in contrast to those after intervention (P<0.05). The HIIT group also exhibited considerable differences in waist circumference (WC), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C) (P<0.05). After exercise, the HIIT group demonstrated more observable reductions in BMI, WC, TG, and HOMA-IR, showing great differences with Ctrl group (P<0.05). HOMA-IR exhibited positive correlations with TC, TG, and HDL-C but a negative one with LDL-C (P<0.05). Conclusion: HIIT improved the body composition and BL levels in children with simple obesity, downregulated HOMA-IR, and positively impacted their health status. Furthermore, IR was associated with BL-relevant indicators in children with simple obesity.

References

1. Cadenas-Sanchez C, Medrano M, Arenaza L, Amasene M, Osés M, Labayen I. Association between mediterranean dietary pattern and breakfast quality with physical fitness in school children: the HIIT project. Nutrients, 2021;13(4):1353(1-10).
2. Ahmadi A, Moheb-Mohammadi F, Navabi ZS, Dehghani M, Heydari H, Sajjadi F, Khodarahmi S. The effects of aerobic training, resistance training, combined training, and healthy eating recommendations on lipid profile and body mass index in overweight and obese children and adolescents: A randomized clinical trial. ARYA atherosclerosis, 2020;16(5):226-234.
3. Cao M, Tang YC, Li S, Zou Y. Effects of high-intensity interval training and moderate-intensity continuous training on cardiometabolic risk factors in overweight and obesity children and adolescents: a meta-analysis of randomized controlled trials. Int. J. Environ.l Res. Public Health, 2021;18(22):11905.
4. Zhao H, Zhang JQ, Cheng XY, Nie XZ, He B. Insulin resistance in polycystic ovary syndrome across various tissues: An updated review of pathogenesis, evaluation, and treatment. J. Ovarian Res., 2023;16(1):9.
5. Delgado-Floody P, Latorre-Román P, Jerez-Mayorga D, Caamaño-Navarrete F, García-Pinillos F. Feasibility of incorporating high-intensity interval training into physical education programs to improve body composition and cardiorespiratory capacity of overweight and obese children: A systematic review. J. Exerc. Sci. Fit., 2019;17(2):35-40.
6. Domaradzki J, Koźlenia D, Popowczak M. The Relative importance of age at peak height velocity and fat mass index in high-intensity interval training effect on cardiorespiratory fitness in adolescents: a randomized controlled trial. Children, 2022; 9(10):1554.
7. Espinoza Silva JM, Latorre Román PÁ, Cabrera Linares JC, Párraga Montilla JA, Martínez Salazar C. Effects of a high intensity interval training (HIIT) program on anthropomorphic and cardiometabolic variables in school children with overweight and obesity. Children, 2023;10(2):317.
8. Amatruda M, Ceravolo M D, Ceravolo G, Cuppari C, Oreto L, Piraino B, Xerra F, Nicocia G, Salpietro C, Calabrò M P. Cardiovascular risk factors in childhood obesity. J. Biol. Regul. Homeos. Agents, 2020;34(4(S2)):11-16.
9. Faria W, Rui E, Santos G, Gonçalves EM, Sasaki E, Stabelini AN. Acute effects of high intensity interval training on blood pressure in overweight/obese adolescents. Braz. J. Phy. Educ. Sport, 2021;35(1):25-34.
10. Hooshmand Moghadam B, Golestani F, Bagheri R, Cheraghloo N, Eskandari M, Wong A, Nordvall M, Suzuki K, Pournemati P. The effects of high-intensity interval training vs. moderate-intensity continuous training on inflammatory markers, body composition, and physical fitness in overweight/obese survivors of breast cancer: a randomized controlled clinical trial. Cancers, 2021;13(17):4386.
11. Iraji H, Minasian V, Kelishadi R. Effect of HIIT exercises on liver fat, liver Enzymes, and insulin resistance in children and adolescents with non-al-coholic fatty liver. Res. Med., 2021;45(1):1-7.
12. Khalafi M, Mohebbi H, Symonds ME, Karimi P, Akbari A, Tabari E, Faridnia M, Moghaddami K. The impact of moderate-intensity continuous or high-intensity interval training on adipogenesis and browning of subcutaneous adipose tissue in obese male rats. Nutrients, 2020;12(4):925.
13. Li DX, Chen P. The effects of different exercise modalities in the treatment of cardiometabolic risk factors in obese adolescents with sedentary behavior—a systematic review and meta-analysis of randomized controlled trials. Children, 2021;8(11):1062.
14. Manojlovic M, Roklicer R, Trivic T, Milic R, Maksimović N, Tabakov R, Sekulic D, Bianco A, Drid P. Effects of school-based physical activity interventions on physical fitness and cardiometabolic health in children and adolescents with disabilities: a systematic review. Front. Physiol., 2023;14:1180639.
15. Mayr HL, Cohen F, Isenring E, Soenen S, Marshall S, Project GRIT Team. Multidisciplinary lifestyle intervention in children and adolescents-results of the project GRIT (Growth, Resilience, Insights, Thrive) pilot study. BMC pediatr., 2020;20(1):174(1-16).
16. Kumar A, Sinha N, Bhardwaj A, Goel S. Clinical risk assessment of chronic kidney disease patients using genetic programming. Comput. Methods Biomech. Biomed. Engin., 2022;25(8):887-895.
17. Cao, M, Tang, YC, Li, S, Zou, Y. Effects of school-based high-intensity interval training on body composition, cardiorespiratory fitness and cardiometabolic markers in adolescent boys with obesity: A randomized controlled trial. BMC pediatr., 2022;22(1):112(1-11).
18. Mohib-UR-Rehman BA, Fehmeed M, Ali Z. Effectiveness of moderate intensity aerobic-based interventions targeting obesity among university students—a case of buitems. J. Posit. Sch. Psychol., 2022;6(11):1491-1504.
19. Nobari H, Gandomani EE, Reisi J, Vahabidelshad R, Suzuki K, Volpe SL, Pérez-Gómez J. Effects of 8 weeks of high-intensity interval training and spirulina supplementation on immunoglobin levels, cardio-respiratory fitness, and body composition of overweight and obese women. Biology, 2022;11(2):196.
20. Osipov A, Orlova I, Ratmanskaya T, Lepilina T. Effects of high-intensity interval training intervention on physical fitness and body mass index of overweight primary schoolchildren. Pamukkale J. Sport Sci., 2023;14(1):63-82.
21. Paahoo A, Tadibi V, Behpoor N. Effectiveness of continuous aerobic versus high-intensity interval training on atherosclerotic and inflammatory markers in boys with overweight/obesity. Pediatr. Exerc. Sci., 2021;33(3):132-138.
22. Popowczak M, Rokita A, Koźlenia D, Domaradzki J. The high-intensity interval training introduced in physical education lessons decrease systole in high blood pressure adolescents. Sci. Rep., 2022;12(1):1974.
23. Quiroga R, Nistal E, Estébanez B, Porras D, Juárez-Fernández M, Martínez-Flórez S, García-Mediavilla MV, de Paz JA, González-Gallego J, Sánchez-Campos S, Cuevas MJ. Exercise training modulates the gut microbiota profile and impairs inflammatory signaling pathways in obese children. Exp. Mol.Med., 2020;52(7):1048-1061.
24. Zhou LX, Wang ZY, Zhang Y, Gu W, Lu YL. A relevant research of insulin resistance in new-onset type 2 diabetes mellitus with different body weight. Acta Med. Mediterr., 2022;38(6):3975-3981.
25. Reljic D, Frenk F, Herrmann HJ, Neurath MF, Zopf Y. Low-volume high-intensity interval training improves cardiometabolic health, work ability and well-being in severely obese individuals: A randomized-controlled trial sub-study. J. Transl. Med., 2020;18(1):419(1-15).
26. Eldosouky MK, Allah AMA, AbdElmoneim A, Al-Ahmadi NS. Correlation between serum leptin and its gene expression to the anthropometric measures in overweight and obese children. Cell. Mol. Biol., 2018;64(1):84-90.
27. Yin J, Zhou ZX, Lan TW. High-intensity interval training versus moderate-intensity continuous training on health outcomes for children and adolescents: a meta-analysis of randomized controlled trials. Biomed Res. Int., 2020;20(7):9797439(1-18).
28. Solera-Martinez M, Diez-Fernandez A, González-García A, Manzanares-Dominguez I, Martinez-Vizcaino V, Pozuelo-Carrascosa DP. The effectiveness of high-intensity interval training on body composition, cardiorespiratory fitness, and cardiovascular risk factors in children: A protocol for a systematic review. Medicine, 2020;59(8):453-466.
29. Wang J, Wang XT, Zhai XZ, Hou YS, Han JL. Metabolic bariatric surgery in the treatment of obesity complicated with hypertension: mechanistic insight. Discov. Med., 2022;33(170):121-127.
Published
2024/06/17
Section
Short Communication