PMID- 25303644 OWN - NLM STAT- MEDLINE DCOM- 20160902 LR - 20220409 IS - 1399-5448 (Electronic) IS - 1399-543X (Linking) VI - 16 IP - 8 DP - 2015 Dec TI - Association between triglyceride to HDL-C ratio and insulin resistance in indigenous Argentinean children. PG - 606-12 LID - 10.1111/pedi.12228 [doi] AB - BACKGROUND: Insulin resistance is considered one of the major risk factors for the development of type 2 diabetes mellitus (T2DM). Thus, early identification, preferably by using simple and inexpensive diagnostic tools, is essential for preventing T2DM. Triglyceride (TG) to high-density lipoprotein cholesterol (HDL-C) ratio (TG/HDL-C) has been proposed as an inexpensive tool to identify individuals at high risk of T2DM. The objective of this study was to determine the relationship between insulin resistance and TG/HDL-C in indigenous Argentinean children. METHODS: A cross-sectional study of 501 (243 boys) indigenous school children aged 10.0 +/- 2.4 yr were assessed for anthropometry, lipids, glucose, and insulin levels from November 2011 to November 2013. Insulin resistance was defined as the upper third quartile of homeostasis model assessment (HOMA-IR). RESULTS: The prevalence of overweight/obesity was 11.4% per Centers for Disease Control. Mean levels of various characteristics were: body mass index (BMI) 17.2 +/- 2.6, HDL-C 39 +/- 9 mg/dL, TGs 121 +/- 58 mg/dL, TG/HDL-C 2.9 +/- 1.8, glucose 77 +/- 8 mg/dL, HOMA-IR 1.0 +/- 0.8, and insulin 44 +/- 9 mUI/L. Children in the higher quartiles of TG/HDL-C had significantly higher HOMA-IR values than children in the lower quartiles. Multiple linear regression analysis showed that TG/HDL-C was significantly associated with HOMA-IR (r(2) = 0.19) adjusted for age, gender, and BMI. Furthermore, for a 1-unit increase in log TG/HDL-C, the odds of being insulin resistant (HOMA-IR>III quartile) increased by 2.58 times [odds ratio (OR), 2.58 (1.63-4.05); p < 0.01], adjusted for age, gender, and BMI. CONCLUSION: This study suggests that TG/HDL-C may be a good marker to identify insulin resistant indigenous Argentinean children. CI - (c) 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. FAU - Hirschler, V AU - Hirschler V AD - Universidad de Buenos Aires, Buenos Aires, Argentina. FAU - Maccallini, G AU - Maccallini G AD - Hidalgo Laboratories, Buenos Aires, Argentina. FAU - Sanchez, M AU - Sanchez M AD - Hidalgo Laboratories, Buenos Aires, Argentina. FAU - Gonzalez, C AU - Gonzalez C AD - Universidad de Buenos Aires, Buenos Aires, Argentina. FAU - Molinari, C AU - Molinari C AD - Universidad de Buenos Aires, Buenos Aires, Argentina. LA - eng PT - Journal Article DEP - 20141010 PL - Denmark TA - Pediatr Diabetes JT - Pediatric diabetes JID - 100939345 RN - 0 (Cholesterol, HDL) RN - 0 (Triglycerides) SB - IM MH - Adolescent MH - Argentina/ethnology MH - Child MH - Cholesterol, HDL/*blood MH - Cross-Sectional Studies MH - Female MH - Humans MH - *Insulin Resistance MH - Male MH - Sex Factors MH - Triglycerides/*blood OTO - NOTNLM OT - TG/HDL-C OT - indigenous children OT - insulin resistance EDAT- 2014/10/11 06:00 MHDA- 2016/09/03 06:00 CRDT- 2014/10/11 06:00 PHST- 2014/06/14 00:00 [received] PHST- 2014/09/12 00:00 [revised] PHST- 2014/09/12 00:00 [accepted] PHST- 2014/10/11 06:00 [entrez] PHST- 2014/10/11 06:00 [pubmed] PHST- 2016/09/03 06:00 [medline] AID - 10.1111/pedi.12228 [doi] PST - ppublish SO - Pediatr Diabetes. 2015 Dec;16(8):606-12. doi: 10.1111/pedi.12228. Epub 2014 Oct 10.