The Relation between Birth Weight and Insulin Resistance in Korean Adolescents.
- Author:
Chul Sik KIM
1
;
Jong Suk PARK
;
Jina PARK
;
Ji Sun NAM
;
Eun Seok KANG
;
Chul Woo AHN
;
Bong Soo CHA
;
Sung Kil LIM
;
Kyung Rae KIM
;
Hyun Chul LEE
;
Kap Bum HUH
;
Dae Jung KIM
Author Information
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords: Birth weight; insulin resistance; adolescence
- MeSH: Male; Korea/epidemiology; Insulin-Secreting Cells/physiology; *Insulin Resistance; Insulin/blood; Hyperinsulinism/epidemiology/etiology/metabolism; Humans; Female; Child; C-Peptide/blood; Blood Pressure; *Birth Weight; Adolescent
- From:Yonsei Medical Journal 2006;47(1):85-92
- CountryRepublic of Korea
- Language:English
- Abstract: Low birth weight is associated with insulin resistance and type 2 diabetes in adults. The fetal programming hypothesis has shown that insulin resistance and its associated metabolic disturbances result from a poor gestational environment, for which low birth weight is a surrogate. An at-home questionnaire survey was performed on 660 middle school students (12-15 years) in Seoul, Korea, and 152 cases were randomly selected based on their birth weight. Subjects were divided into three groups according to birth weight. We recorded their birth weight and measured their current anthropometric data, blood pressure, lipid profile, HOMA-IR, and HOMA-beta, and compared these parameters among the groups. The relation of birth weight to physiological characteristics in adolescence was examined. Systolic blood pressure, lipid profiles, and fasting plasma glucose, HOMA-beta were not significantly different among the groups, but diastolic blood pressure was lower in the third tertile. Insulin, C-peptide, and HOMA-IR were higher in the lower birth weight tertile. After adjustment for confounding factors, birth weight was inversely related to diastolic blood pressure, insulin, C-peptide, and HOMA-IR. We conclude that low birth weight may predict the risk of the insulin resistance and its progression over age, and that adequate gestational nutrition is therefore necessary to prevent low birth weight.
