Adipocytokines on Insulin Resistance in Adolescents
Abstract Background: Recently, leptin/adiponectin (L/A) ratio has been suggested as a novel predictor of cardio-metabolic and other chronic disease.Aim: to evaluate the ability of leptin (L), adiponectin (A) and the L/A ratio in identifying high risk of IR in adolescents adjusted by cardiorespiratory fitness, adherence to the Mediterranean diet and body fat percentage. Subjects and methods: This is a cross-sectional analysis with 529 adolescents aged 12-18 years-old. Blood samples were taken to analyze glucose, insulin, leptin, and adiponectin levels. IR (homeostasis model assessment of insulin resistance [HOMA‐IR] was estimated from fasting serum insulin and glucose). Results: Adiponectin, leptin, and L/A ratio were accurate to predict of IR among adolescents. The optimal L/A cut-off value to indicate risk of IR development was >0.35 in boys and >0.97 in girls. Logistic analyses showed that the suggested cut points for adiponectin (girls: OR:2.87 (1.1.26-6.53); p=0.012); leptin (boys: OR:5.23 (1.16-7.14) p = 0.006; girls: OR:2.99 (1.10-8.09) p=0.031) and the L/A ratio (boys: OR:8.38 (2.6-26.8) p<0.001; girls: OR:6.1 (2.1-17.0) p<0.001), were significant predictors of IR, after adjustments for age, pubertal stage, adherence to the Mediterranean diet, cardiorespiratory fitness and body fat percentage. Conclusion: Leptin and L/A ratio were associated with IR risk, after adjustments for confounders in both sexes and adiponectin in girls. L/A ratio seems to have a higher diagnostic accuracy to identify IR risk than adiponectin or leptin, in both sexes.