Fitriyanti, Addina Rizky
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Prediction of insulin resistance in late adolescent based on anthropometric index Fitriyanti, Addina Rizky; Sulchan, Muhammad; Tjahjono, Kusmiyati; Sunarto, Sunarto
Jurnal Gizi dan Pangan Vol 14, No 2 (2019)
Publisher : Food and Nutrition Society of Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25182/jgp.2019.14.2.53-60

Abstract

The study aimed to evaluate the role of neck circumference for predicting insulin resistance in adolescent compared with waist circumference and waist hip ratio. A cross sectional study was conducted by measuring anthropometric parameters (neck circumference, waist circumference, hip circumference) and biochemical parameter (fasting plasma glucose, fasting insulin, and HOMA-IR) involving 80 late adolescents. Statistical analysis used in this study were Pearson and Spearman correlation, multivariate linear regression. Neck circumference positively correlated with fasting insulin and HOMA-IR in both gender, while neck circumference only positively correlated with fasting plasma glucose in men. In addition, multivariate linier regression showed that a higher regression coefficient of waist circumference associated with a higher risk of insulin resistance (fasting insulin (?=0.11; p<0.05), HOMA-IR (?=0.05; p<0.05)) compared to neck circumference and waist hip ratio. Neck circumference, waist circumference, and waist hip ratio is an anthropometry indicators that could be used to predict insulin resistance.  However, waist circumference is better than neck circumference and waist hip ratio for predicting insulin resistance in adolescent.
Sensitivitas dan spesifisitas lingkar pergelangan tangan sebagai prediktor obesitas dan resistensi insulin pada remaja akhir Fitriyanti, Addina Rizky; Tjahjono, Kusmiyati; Sulchan, Mohammad; Sunarto, Sunarto
Jurnal Gizi Indonesia (The Indonesian Journal of Nutrition) Vol 7, No 2 (2019)
Publisher : Department of Nutrition Science, Faculty of Medicine, Universitas Diponegoro

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (311.753 KB) | DOI: 10.14710/jgi.7.2.121-126

Abstract

Background: Obesity is one of the risk factors for insulin resistance. Insulin resistance plays an important role in the pathogenesis of cardiovascular disease. Wrist circumference has the potential for predicting obesity and insulin resistance.Objectives:. To evaluate the sensitivity and specificity of wrist circumference against obesity and insulin resistance in late adolescents.Methods: The design of this study is a crossectional study with a sample of 85 students at Diponegoro University Semarang. Data collected consisted of anthropometric measurements (body weight, height, wrist circumference, neck circumference, waist circumference and pelvic girth) and blood vein sampling (fasting blood glucose and fasting insulin). Statistical analyses used in this study were Pearson or R Spearman correlation test.Results: Wrist circumference was positively correlated with all biochemical parameters and anthropometric measurements except the waist hip ratio. Wrist circumference correlates positively and significantly with fasting insulin and HOMA-IR in male adolescents. The results of the ROC curve analysis showed that the AUC value of wrist circumference in male adolescents had better performance in predicting obesity (88% (95% CI, 76% - 100%)) than insulin resistance (81% (95% CI, 51% -100%)).Conclusion: Wrist circumference is one of the anthropometric measurements that can be used for predicting obesity and insulin resistance in late adolescents.