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Cited by 285

The DOI matches its Crossref record; 87 of the 87 references it cites were found in a registry or an index.

Insulin resistance and obesity in childhood

Chiarelli, Francesco, Marcovecchio, Maria Loredana·2008·European Journal of Endocrinology

Abstract

Childhood obesity is a significant health problem that has reached epidemic proportions around the world and is associated with several metabolic and cardiovascular complications. Insulin resistance is a common feature of childhood obesity and is considered to be an important link between adiposity and the associated risk of type 2 diabetes and cardiovascular disease. Insulin resistance is also a key component of the metabolic syndrome, and its prevalence in the paediatric population is increasing, particularly among obese children and adolescents. Several factors are implicated in the pathogenesis of obesity-related insulin resistance, such as increased free fatty acids and many hormones and cytokines released by adipose tissue. Valid and reliable methods are essential to assess the presence and the extent of insulin resistance, the associated risk factors and the effect of pharmacological and lifestyle interventions. The two most common tests to assess insulin resistance are the hyperinsulinemic euglycemic clamp and the frequently sampled i.v. glucose tolerance test utilizing the minimal model. However, both these tests are not easily accomplished, are time consuming, expensive and invasive. Simpler methods to assess insulin resistance based on surrogate markers derived from an oral glucose tolerance test or from fasting insulin and glucose levels have been validated in children and adolescents and widely used. Given the strong association between obesity, insulin resistance and the development of metabolic syndrome and cardiovascular disease, prevention and treatment of childhood obesity appear to be essential to prevent the development of insulin resistance and the associated complications.

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Metadata

Authors
Chiarelli, F., & Marcovecchio, M. L.
Venue
European Journal of Endocrinology
Published
2008-12
Volume
159
Issue
suppl_1
Pages
S67-S74
ISSN
  • 0804-4643 (ISSN-L)
  • 1479-683X
OpenAlex
W2108785796
Cited by
285
References
87
FWCI
11.33
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Insulin resistance and obesity in childhood. https://app.cochat.ai/papers/10.1530/eje-08-0245
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Chiarelli, F., & Marcovecchio, M. L. (2008). Insulin resistance and obesity in childhood. European Journal of Endocrinology. https://doi.org/10.1530/eje-08-0245

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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