Impairment of cardiovascular autonomic pattern in obese adolescents with Type 2 diabetes mellitus
The aim of this study was to assess the behaviour of insulin sensitivity and insulin resistance (IR) indexes in a group of obese adolescents with Type 2 diabetes mellitus (T2DM) in comparison to obese adolescents without diabetes and normal controls, moreover to compare these parameters with the car...
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Published in | Journal of endocrinological investigation Vol. 33; no. 8; pp. 539 - 543 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
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Springer International Publishing
01.09.2010
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Abstract | The aim of this study was to assess the behaviour of insulin sensitivity and insulin resistance (IR) indexes in a group of obese adolescents with Type 2 diabetes mellitus (T2DM) in comparison to obese adolescents without diabetes and normal controls, moreover to compare these parameters with the cardiac autonomic pattern. Seven T2DM obese (12.7±0.5 yr), 18 obese without T2DM, and 10 nonobese control adolescents age matched were studied. In all subjects we performed oral glucose tolerance test (OGTT) with insulin and glucose determination, 24-h electrocardiogram Holter, blood pressure monitoring, ecoho-cardiogram.
Results
: serum lipids were significantly higher in obese and T2DM. Insulin sensitivity was significantly reduced in T2DM and obese
vs
controls; T2DM showed a more pronounced oral glucose insulin sensitivity (OGIS) reduction
vs
obese. Both obese and T2DM presented an higher IR. T2DM showed an impaired β-cell function, with insulin areas under the curve and disposition index significantly reduced in comparison to controls and obese who showed similar values. A progressive reduction of vagal indexes and an increase of sympathetic indexes were found in obese adolescents and were more pronounced in T2DM. These parameters were correlated with OGIS and β-cell function parameters in both obese and T2DM adolescents. T2DM showed a significant relative wall thickness increase suggesting a trend toward concentric remodeling. In conclusion, T2DM adolescents are characterized by a more marked IR reduced β-cell function in comparison to non-diabetic obese. These modifications may lead to an early impairment of the autonomic pattern. |
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AbstractList | The aim of this study was to assess the behaviour of insulin sensitivity and insulin resistance (IR) indexes in a group of obese adolescents with Type 2 diabetes mellitus (T2DM) in comparison to obese adolescents without diabetes and normal controls, moreover to compare these parameters with the cardiac autonomic pattern. Seven T2DM obese (12.7±0.5 yr), 18 obese without T2DM, and 10 nonobese control adolescents age matched were studied. In all subjects we performed oral glucose tolerance test (OGTT) with insulin and glucose determination, 24-h electrocardiogram Holter, blood pressure monitoring, ecoho-cardiogram.
Results
: serum lipids were significantly higher in obese and T2DM. Insulin sensitivity was significantly reduced in T2DM and obese
vs
controls; T2DM showed a more pronounced oral glucose insulin sensitivity (OGIS) reduction
vs
obese. Both obese and T2DM presented an higher IR. T2DM showed an impaired β-cell function, with insulin areas under the curve and disposition index significantly reduced in comparison to controls and obese who showed similar values. A progressive reduction of vagal indexes and an increase of sympathetic indexes were found in obese adolescents and were more pronounced in T2DM. These parameters were correlated with OGIS and β-cell function parameters in both obese and T2DM adolescents. T2DM showed a significant relative wall thickness increase suggesting a trend toward concentric remodeling. In conclusion, T2DM adolescents are characterized by a more marked IR reduced β-cell function in comparison to non-diabetic obese. These modifications may lead to an early impairment of the autonomic pattern. The aim of this study was to assess the behaviour of insulin sensitivity and insulin resistance (IR) indexes in a group of obese adolescents with Type 2 diabetes mellitus (T2DM) in comparison to obese adolescents without diabetes and normal controls, moreover to compare these parameters with the cardiac autonomic pattern. Seven T2DM obese (12.7 ± 0.5 yr), 18 obese without T2DM, and 10 nonobese control adolescents age matched were studied. In all subjects we performed oral glucose tolerance test (OGTT) with insulin and glucose determination, 24-h electrocardiogram Holter, blood pressure monitoring, ecohocardiogram. serum lipids were significantly higher in obese and T2DM. Insulin sensitivity was significantly reduced in T2DM and obese vs controls; T2DM showed a more pronounced oral glucose insulin sensitivity (OGIS) reduction vs obese. Both obese and T2DM presented an higher IR. T2DM showed an impaired β-cell function, with insulin areas under the curve and disposition index significantly reduced in comparison to controls and obese who showed similar values. A progressive reduction of vagal indexes and an increase of sympathetic indexes were found in obese adolescents and were more pronounced in T2DM. These parameters were correlated with OGIS and β-cell function parameters in both obese and T2DM adolescents. T2DM showed a significant relative wall thickness increase suggesting a trend toward concentric remodeling. In conclusion, T2DM adolescents are characterized by a more marked IR reduced β-cell function in comparison to non-diabetic obese. These modifications may lead to an early impairment of the autonomic pattern. |
Author | Rabbia, F. Veglio, F. Bertello, M. C. Rabbone, I. Greco, G. Cerutti, F. Mulatero, P. Pacini, G. Bobbio, A. Ignaccolo, M. G. |
Author_xml | – sequence: 1 givenname: F. surname: Cerutti fullname: Cerutti, F. email: franco.cerutti@unito.it organization: Department of Pediatrics, University of Torino – sequence: 2 givenname: F. surname: Rabbia fullname: Rabbia, F. organization: Department of Internal Medicine, University of Turin – sequence: 3 givenname: I. surname: Rabbone fullname: Rabbone, I. organization: Department of Pediatrics, University of Torino – sequence: 4 givenname: A. surname: Bobbio fullname: Bobbio, A. organization: Department of Pediatrics, University of Torino – sequence: 5 givenname: M. G. surname: Ignaccolo fullname: Ignaccolo, M. G. organization: Department of Pediatrics, University of Torino – sequence: 6 givenname: G. surname: Greco fullname: Greco, G. organization: Department of Pediatrics, University of Torino – sequence: 7 givenname: M. C. surname: Bertello fullname: Bertello, M. C. organization: Department of Pediatrics, University of Torino – sequence: 8 givenname: P. surname: Mulatero fullname: Mulatero, P. organization: Department of Internal Medicine, University of Turin – sequence: 9 givenname: F. surname: Veglio fullname: Veglio, F. organization: Department of Internal Medicine, University of Turin – sequence: 10 givenname: G. surname: Pacini fullname: Pacini, G. organization: Metabolic Unit, Institute of Biomedical Engineering, National Research Council |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/20160470$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_1111_pedi_12119 crossref_primary_10_1007_s11892_016_0750_6 crossref_primary_10_1142_S2575900018500040 crossref_primary_10_1038_s41390_018_0226_2 crossref_primary_10_17098_amj_364159 crossref_primary_10_1161_CIR_0000000000000094 crossref_primary_10_1161_JAHA_115_002804 crossref_primary_10_1016_j_jelectrocard_2013_08_002 crossref_primary_10_1111_pedi_12961 |
Cites_doi | 10.1111/j.1469-8986.1990.tb01982.x 10.1097/00004872-199816121-00019 10.1016/S0140-6736(97)11144-8 10.2337/diacare.28.5.1216 10.1161/01.HYP.32.2.293 10.1161/01.HYP.0000242642.42177.49 10.2337/diacare.27.4.998 10.1056/NEJMoa012578 10.2337/diacare.26.1.118 10.1007/s00125-003-1263-9 10.1097/01.hjh.0000202817.02836.9c 10.1111/j.1651-2227.1998.tb01411.x 10.1161/01.CIR.93.5.1043 10.1038/oby.2003.76 10.1214/aoms/1177731746 10.1016/j.numecd.2006.02.001 10.2337/diacare.24.3.539 10.1542/peds.105.3.671 10.2337/diacare.28.1.115 10.1542/peds.114.2.S2.555 10.1007/s00125-005-1798-z 10.1007/s00125-005-0109-z 10.1161/01.CIR.58.6.1072 10.1210/jc.2004-1258 10.1530/eje.0.1500097 10.2337/db05-1200 10.1161/01.HYP.0000251711.92482.14 10.2337/dc08-s273 10.1016/S1521-690X(03)00042-3 |
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SubjectTerms | Adolescent Autonomic Nervous System - physiopathology Blood Pressure Cardiovascular System - physiopathology Child Diabetes Mellitus, Type 2 - physiopathology Echocardiography Electrocardiography, Ambulatory Endocrinology Female Glucose Tolerance Test Humans Insulin Resistance - physiology Insulin-Secreting Cells - physiology Lipids - blood Medicine Medicine & Public Health Metabolic Diseases Obesity - complications Obesity - physiopathology Original Articles |
Title | Impairment of cardiovascular autonomic pattern in obese adolescents with Type 2 diabetes mellitus |
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