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Longitudinal association of inflammatory markers with markers of glycaemia and insulin resistance in European children

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Abstract
Purpose Subclinical systemic inflammation may lead to development of type 2 diabetes, but there has been no investigation into its relationship with early progression of glycaemic deterioration and insulin resistance, especially in younger population. In this study we assessed longitudinal associations of pro- and anti-inflammatory markers with markers that evaluate glycaemia and insulin resistance. Methods This study includes 6537 initially nondiabetic children (mean age at baseline = 6.2 years) with repeated measurements from the IDEFICS/I.Family cohort study (mean follow-up = 5.3 years) from eight European countries. Markers of inflammation were used as independent variables and markers of glycaemia/insulin resistance as dependent variables. Associations were examined using two-level growth model. Models were adjusted for sex, age, major lifestyle, metabolic risk factors, early life markers, and other inflammatory markers in final model. Results Children with 6 years of follow-up showed that a one-unit increase in z-score of leptin level was associated with 0.38 (95% CI = 0.32 to 0.44) unit increase in HOMA-IR z-scores. Leptin continued to be associated with HOMA-IR even when analysis was limited to children with no overall obesity, no abdominal obesity, and low to normal triglyceride levels. An inverse association was observed between IL-15 and HOMA-IR (beta = -0.11, 95% CI = -0.15 to -0.07). Conclusions IL-15 should be evaluated further in the prevention or treatment of prediabetes whereas leptin may prove to be useful in early detection of prediabetes via their association with markers of insulin resistance in European children.
Keywords
Endocrinology, Endocrinology, Diabetes and Metabolism, Internal Medicine, children cohort, HOMA-IR, inflammatory markers, interleukin-15, leptin, C-REACTIVE PROTEIN, RECEPTOR ANTAGONIST LEVELS, ADIPONECTIN LEVELS, DIABETES-MELLITUS, REFERENCE VALUES, LEPTIN LEVELS, TNF-ALPHA, HIGH-RISK, TYPE-2, IDEFICS

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MLA
Nagrani, Rajini, et al. “Longitudinal Association of Inflammatory Markers with Markers of Glycaemia and Insulin Resistance in European Children.” DIABETES-METABOLISM RESEARCH AND REVIEWS, vol. 38, no. 3, 2022, doi:10.1002/dmrr.3511.
APA
Nagrani, R., Foraita, R., Wolters, M., De Henauw, S., Marild, S., Molnár, D., … I.Family consortia, [missing]. (2022). Longitudinal association of inflammatory markers with markers of glycaemia and insulin resistance in European children. DIABETES-METABOLISM RESEARCH AND REVIEWS, 38(3). https://doi.org/10.1002/dmrr.3511
Chicago author-date
Nagrani, Rajini, Ronja Foraita, Maike Wolters, Stefaan De Henauw, Staffan Marild, Dénes Molnár, Luis A. Moreno, et al. 2022. “Longitudinal Association of Inflammatory Markers with Markers of Glycaemia and Insulin Resistance in European Children.” DIABETES-METABOLISM RESEARCH AND REVIEWS 38 (3). https://doi.org/10.1002/dmrr.3511.
Chicago author-date (all authors)
Nagrani, Rajini, Ronja Foraita, Maike Wolters, Stefaan De Henauw, Staffan Marild, Dénes Molnár, Luis A. Moreno, Paola Russo, Michael Tornaritis, Toomas Veidebaum, Wolfgang Ahrens, Manuela Marron, [missing] IDEFICS, and [missing] I.Family consortia. 2022. “Longitudinal Association of Inflammatory Markers with Markers of Glycaemia and Insulin Resistance in European Children.” DIABETES-METABOLISM RESEARCH AND REVIEWS 38 (3). doi:10.1002/dmrr.3511.
Vancouver
1.
Nagrani R, Foraita R, Wolters M, De Henauw S, Marild S, Molnár D, et al. Longitudinal association of inflammatory markers with markers of glycaemia and insulin resistance in European children. DIABETES-METABOLISM RESEARCH AND REVIEWS. 2022;38(3).
IEEE
[1]
R. Nagrani et al., “Longitudinal association of inflammatory markers with markers of glycaemia and insulin resistance in European children,” DIABETES-METABOLISM RESEARCH AND REVIEWS, vol. 38, no. 3, 2022.
@article{8731180,
  abstract     = {{Purpose Subclinical systemic inflammation may lead to development of type 2 diabetes, but there has been no investigation into its relationship with early progression of glycaemic deterioration and insulin resistance, especially in younger population. In this study we assessed longitudinal associations of pro- and anti-inflammatory markers with markers that evaluate glycaemia and insulin resistance. Methods This study includes 6537 initially nondiabetic children (mean age at baseline = 6.2 years) with repeated measurements from the IDEFICS/I.Family cohort study (mean follow-up = 5.3 years) from eight European countries. Markers of inflammation were used as independent variables and markers of glycaemia/insulin resistance as dependent variables. Associations were examined using two-level growth model. Models were adjusted for sex, age, major lifestyle, metabolic risk factors, early life markers, and other inflammatory markers in final model. Results Children with 6 years of follow-up showed that a one-unit increase in z-score of leptin level was associated with 0.38 (95% CI = 0.32 to 0.44) unit increase in HOMA-IR z-scores. Leptin continued to be associated with HOMA-IR even when analysis was limited to children with no overall obesity, no abdominal obesity, and low to normal triglyceride levels. An inverse association was observed between IL-15 and HOMA-IR (beta = -0.11, 95% CI = -0.15 to -0.07). Conclusions IL-15 should be evaluated further in the prevention or treatment of prediabetes whereas leptin may prove to be useful in early detection of prediabetes via their association with markers of insulin resistance in European children.}},
  articleno    = {{e3511}},
  author       = {{Nagrani, Rajini and Foraita, Ronja and Wolters, Maike and De Henauw, Stefaan and Marild, Staffan and Molnár, Dénes and Moreno, Luis A. and Russo, Paola and Tornaritis, Michael and Veidebaum, Toomas and Ahrens, Wolfgang and Marron, Manuela and IDEFICS, [missing] and I.Family consortia, [missing]}},
  issn         = {{1520-7552}},
  journal      = {{DIABETES-METABOLISM RESEARCH AND REVIEWS}},
  keywords     = {{Endocrinology,Endocrinology,Diabetes and Metabolism,Internal Medicine,children cohort,HOMA-IR,inflammatory markers,interleukin-15,leptin,C-REACTIVE PROTEIN,RECEPTOR ANTAGONIST LEVELS,ADIPONECTIN LEVELS,DIABETES-MELLITUS,REFERENCE VALUES,LEPTIN LEVELS,TNF-ALPHA,HIGH-RISK,TYPE-2,IDEFICS}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{11}},
  title        = {{Longitudinal association of inflammatory markers with markers of glycaemia and insulin resistance in European children}},
  url          = {{http://doi.org/10.1002/dmrr.3511}},
  volume       = {{38}},
  year         = {{2022}},
}

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