Measuring insulin sensitivity in postmenopausal women covering a range of glucose tolerance: comparison of indices derived from the oral glucose tolerance test with the euglycemic-hyperinsulinemic clamp
Abstract
This study compares indices of insulin sensitivity derived from fasting and oral glucose tolerance test (OGTT) glucose and insulin measurements, with respect to the reference measure (M/I), obtained from the euglycemic-hyperinsulinemic clamp, in postmenopausal women with varying glucose tolerance status. Fasting plasma insulin index, homeostasis model assessment index, and OGTT-derived indices (insulin 120-minute, Matsuda, metabolic clearance rate [MCR] of glucose, insulin sensitivity [ISI], and Cederholm indices) were calculated and compared with the M/I value in 112 postmenopausal women. All indices examined were significantly correlated with M/I (0.28 < or = r(2) < or = 0.56). Association studies revealed that on average, 48% of women were grouped in the same tertile of insulin sensitivity when using M/I and fasting plasma insulin index, and 54% when using M/I and insulin 120-minute index. However, concordance with M/I tertiles were 57%, 58%, 64%, 64%, and 68% for homeostasis model assessment, Matsuda, MCR, ISI, and Cederholm indices, respectively. Finally, correlation coefficients between M/I and insulin sensitivity indices were generally lower in women with normal glucose tolerance compared with women with impaired glucose tolerance or type 2 diabetes mellitus. These results suggest that in postmenopausal women, surrogate indices of insulin sensitivity obtained from OGTT data and incorporating a measurement of body weight or body mass index) (Cederholm, ISI, and MCR indices) appear to be superior to those without OGTT data or body weight-body mass index measurements and, therefore, could offer a better estimate of insulin sensitivity, allowing an improved clinical evaluation of this population at higher risk of cardiovascular disease and type 2 diabetes mellitus.
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The Cederholm Index has previously been shown to correlate well with the gold standard insulin clamp method.
“The Cederholm Index has previously been shown to correlate well with the gold standard insulin clamp method (Piche et al. 2007).”
From Towards the minimal amount of exercise for improving metabolic health: beneficial effects of reduced-exertion high-intensity interval training (2012) · cites this paper as Piche et al. 2007
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- Authors
- Piché, M.-È., Lemieux, S., Corneau, L., Nadeau, A., Bergeron, J., & Weisnagel, S. J.
- Affiliations
- Centre hospitalier de l'Université Laval (CA)
- Université Laval (CA)
- Corresponding author
- Weisnagel, S. John
- Venue
- Metabolism
- Publisher
- Elsevier BV
- Published
- 2007-09
- Volume
- 56
- Issue
- 9
- Pages
- 1159-1166
- ISSN
- 0026-0495 (ISSN-L)
- OpenAlex
- W2036044659
- Cited by
- 31
- References
- 32
- Citations by year
- 2025: 1 · 2021: 1 · 2019: 2 · 2018: 3 · 2016: 1 · 2015: 4 · 2014: 4 · 2013: 3 · 2012: 1
- FWCI
- 1.46
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Metabolism (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- insulin sensitivity, postmenopausal women, oral glucose tolerance test, hyperinsulinemic-euglycemic clamp, insulin sensitivity index, Matsuda index, HOMA, glucose metabolic clearance rate, impaired glucose tolerance, type 2 diabetes, body mass index, surrogate indices
- MeSH terms
- Aged, Blood Glucose, Female, Glucose Tolerance Test, Health Status Indicators, Humans, Insulin Resistance, Middle Aged, Glucose Clamp Technique, Prevalence, Postmenopause, Glucose Intolerance, Metabolic Syndrome
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