PMID- 37299403 OWN - NLM STAT- MEDLINE DCOM- 20230612 LR - 20230715 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 15 IP - 11 DP - 2023 May 24 TI - Inflammatory Mediators and Type 2 Diabetes Risk Factors before and in Response to Lifestyle Intervention among Latino Adolescents with Obesity. LID - 10.3390/nu15112442 [doi] LID - 2442 AB - Obesity is associated with chronic inflammation that may contribute to T2D among youth. We examined the association between inflammatory biomarkers and insulin sensitivity and beta-cell function and response to lifestyle intervention among Latino youth with obesity. Latino youth (n = 64) were randomized to six months of lifestyle intervention (INT, n = 40) or usual care (UC, n = 24). INT included nutrition education and physical activity. UC involved meeting with a pediatric endocrinologist and registered dietitian to discuss healthy lifestyles. At baseline, multiple linear regression assessed fasting serum interleukin-6 (IL-6), tumor necrosis factor-alpha (TNF-alpha), monocyte chemoattractant protein-1 (MCP-1), high-molecular weight adiponectin (HMW Adpn), IL-10, IL-1 receptor antagonist (IL-1ra) as predictors of insulin sensitivity (whole-body insulin sensitivity index, WBISI) and beta-cell function (oral disposition index, oDI). Changes in outcomes between groups were assessed using covariance pattern models. At baseline, MCP-1 (beta +/- SE, -0.12 +/- 0.05, p = 0.027) and IL-1ra (-0.03 +/- 0.01, p = 0.005) were negatively associated with WBISI. Treatment effects were not observed for inflammatory markers. WBISI was significantly increased among both INT (from 1.8 +/- 0.2 to 2.6 +/- 0.4, p = 0.005) and UC (from 1.6 +/- 0.2 to 2.8 +/- 0.5, p = 0.002) with no significant differences between the groups. Obesity-related inflammatory mediators were associated with T2D risk factors but were unaffected by lifestyle intervention among Latino youth. FAU - Pena, Armando AU - Pena A AUID- ORCID: 0000-0002-8219-9433 AD - Department of Health and Wellness Design, School of Public Health-Bloomington, Indiana University, Bloomington, IN 47405, USA. AD - College of Health Solutions, Arizona State University, Phoenix, AZ 85004, USA. AD - Center for Health Promotion and Disease Prevention, Arizona State University, Phoenix, AZ 85004, USA. FAU - Olson, Micah L AU - Olson ML AD - Center for Health Promotion and Disease Prevention, Arizona State University, Phoenix, AZ 85004, USA. AD - Division of Pediatric Endocrinology and Diabetes, Phoenix Children's Hospital, Phoenix, AZ 85016, USA. FAU - Ayers, Stephanie L AU - Ayers SL AD - Southwestern Interdisciplinary Research Center, Arizona State University, Phoenix, AZ 85004, USA. FAU - Sears, Dorothy D AU - Sears DD AUID- ORCID: 0000-0002-9260-3540 AD - College of Health Solutions, Arizona State University, Phoenix, AZ 85004, USA. FAU - Vega-Lopez, Sonia AU - Vega-Lopez S AUID- ORCID: 0000-0001-8089-0725 AD - College of Health Solutions, Arizona State University, Phoenix, AZ 85004, USA. AD - Southwestern Interdisciplinary Research Center, Arizona State University, Phoenix, AZ 85004, USA. FAU - Colburn, Abigail T AU - Colburn AT AUID- ORCID: 0000-0002-9086-1730 AD - Obstetrics, Gynecology and Reproductive Sciences, Yale School of Medicine, New Haven, CT 06510, USA. AD - John B. Pierce Laboratory, Yale School of Medicine, New Haven, CT 06519, USA. FAU - Shaibi, Gabriel Q AU - Shaibi GQ AD - Center for Health Promotion and Disease Prevention, Arizona State University, Phoenix, AZ 85004, USA. AD - Division of Pediatric Endocrinology and Diabetes, Phoenix Children's Hospital, Phoenix, AZ 85016, USA. AD - Southwestern Interdisciplinary Research Center, Arizona State University, Phoenix, AZ 85004, USA. LA - eng GR - R01DK107579-03S1/DK/NIDDK NIH HHS/United States GR - F31 DK125037/DK/NIDDK NIH HHS/United States GR - F31DK125037/DK/NIDDK NIH HHS/United States GR - R01DK107579/DK/NIDDK NIH HHS/United States GR - R01 DK107579/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Randomized Controlled Trial DEP - 20230524 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Interleukin 1 Receptor Antagonist Protein) RN - 0 (Inflammation Mediators) SB - IM MH - Adolescent MH - Child MH - Humans MH - *Insulin Resistance MH - Interleukin 1 Receptor Antagonist Protein MH - Inflammation Mediators MH - *Diabetes Mellitus, Type 2/complications MH - Obesity/complications MH - Life Style MH - Risk Factors MH - Hispanic or Latino PMC - PMC10255740 OTO - NOTNLM OT - adipokine OT - diabetes prevention OT - exercise OT - inflammation OT - nutrition OT - pediatric obesity COIS- The authors declare no conflict of interest. EDAT- 2023/06/10 15:14 MHDA- 2023/06/12 06:43 PMCR- 2023/05/24 CRDT- 2023/06/10 01:18 PHST- 2023/04/11 00:00 [received] PHST- 2023/05/15 00:00 [revised] PHST- 2023/05/23 00:00 [accepted] PHST- 2023/06/12 06:43 [medline] PHST- 2023/06/10 15:14 [pubmed] PHST- 2023/06/10 01:18 [entrez] PHST- 2023/05/24 00:00 [pmc-release] AID - nu15112442 [pii] AID - nutrients-15-02442 [pii] AID - 10.3390/nu15112442 [doi] PST - epublish SO - Nutrients. 2023 May 24;15(11):2442. doi: 10.3390/nu15112442.