Original Article

Insulin Resistance is Related to Psychiatric Disorders Among Obese Children

10.4274/jcrpe.0055

  • Deniz Özalp Kızılay
  • Şermin Yalın Sapmaz
  • Semra Şen
  • Yekta Özkan
  • Betül Ersoy

Received Date: 28.03.2018 Accepted Date: 22.05.2018 J Clin Res Pediatr Endocrinol 0;0(0):0-0 [e-Pub] PMID: 29789273

Objective:

The current study aimed to investigate psychiatric consequences of obesity (OBy) and the relationship between metabolic syndrome components and psychiatric disorders in children. Our secondaryaim was to elucidate which of the anthropometric parameters or metabolic components were most strongly associated with psychiatric disorders.

Methods:

The study included 88 obese(OB)and overweight (OW) children with a body mass index (BMI) greater than 85th percentile. The patients were evaluated for psychiatric disorders by one child and adolescent psychiatrist. Forty patients who were diagnosed with psychiatric disorders and 48 patients with normal psychiatric evaluation were compared in terms of anthropometric and metabolic parameters. Body mass index (BMI), BMI-Standard deviation score (SDS) and BMI percentile, waist circumference (WC), waist to hip ratio, blood pressure and pubertal stage of all patients were recorded. Fasting serumglucose, insulin,lipid profile and homeostatic model assessments of insulin resistance (HOMA-IR) were measured to evaluate the metabolic parameters. Serum and 24 hour urine cortisol levels were measured.

Results:

The presence of insulin resistance in group with psychiatric disorder was found significantly higher than in group without psychiatric disorder. Other anthropometric measurements and metabolic parameters were not significantly different between the two groups.

Conclusıon:

An understanding of the relationships between obesity related medical co-morbidities and psychiatric pathologies is important to encourage patients and their families for succesfull healthy lifestyle changes, weight management in terms of appropriate treatment.

Keywords: Child, obesity, insulin resistance, mental disorder