Sagittal Abdominal Diameter to Measure Visceral Adipose Tissue in Overweight or Obese Adolescent XXXX and Its Role as A Marker of Insulin Resistance.

@entity1 @entity28 @entity6 @entity5710 @entity4696 @entity413
BACKGROUND: Measurement of sagittal abdominal diameter using a revalidated caliper is simple, inexpensive, non-invasive method. It strongly correlates with insulin resistance and can be used as a surrogate marker to predict risk for @entity6 . AIM: To assess visceral abdominal fat by measuring sagittal abdominal diameter using sliding calipers and to predict insulin resistance in @entity28 or overweight adolescent @entity1 . STUDY DESIGN: Explorative study for Paediatric age group among over weight and @entity28 @entity1 aged 10-18 years in urban population in a Tertiary Care Centre. MATERIALS AND METHODS: Paediatric population satisfying ADA guidelines for diagnosis of @entity5710 were included in the study. Anthropometric measurements with @entity4696 were recorded. Blood was collected to investigate for @entity5710 and insulin resistance using HOMA-IR. RESULTS: Out of 924 subjects who gave assent to participate in study 108 fulfilled ADA criteria. 33 subjects who didn't come for the follow up were excluded. Out of 75 subjects 12 were detected to have insulin resistance (16%) and 63 were normal (84%). Pearson's partial correlation of HOMA-IR and OGTT with @entity4696 has demonstrated it to be better correlation with Insulin Resistance (IR) than other anthropometric measurements. Fasting @entity413 correlated better with Waist Hip Circumference. CONCLUSION: Insulin Resistance was diagnosed in 16% of the population and these had high levels of insulin resistance. @entity4696 in relation to @entity413 metabolism, had a better correlation with OGTT followed by HOMA-IR and fasting Insulin. @entity4696 with anthropometric measurements had better correlation all the parameters other than Waist Circumference, which had negative correlation. @entity4696 can be used in evaluation of @entity28 or overweight @entity1 for evaluation.
