Dietary carbohydrates and insulin resistance in adolescents from marginalized areas of chiapas, México

Dietary carbohydrates and insulin resistance in adolescents from marginalized areas of chiapas, México

Evidence of the role that dietary carbohydrates (total carbohydrates, dietary fiber, total sugars, dietary glycemic index (GI) and glycemic load (GL)) exerts on insulin levels in adolescents is controversial. Thus, the aim of this study was to assess the association between dietary carbohydrates and insulin resistance in adolescents from Chiapas, México. A cross-sectional study was conducted in 217 adolescents. Sociodemographic, anthropometric, dietary and biochemical data were obtained. Total carbohydrates, dietary fiber, total sugars, dietary GI and GL were calculated from 24 h recalls. Two validated cut-off points for the homeostasis model assessment of insulin resistance (HOMA-IR) were used as surrogates of insulin resistance. Fasting insulin levels≥14.38 µU/mL were considered as abnormal. Multivariate logistic regression models were fitted to assess the association between tertiles of dietary carbohydrates and insulin resistance or hyperinsulinemia. In our study, adolescents with the highest dietary fiber intake had lower odds of HOMA-IR>2.97(OR=0.34; 95% CI:0.13-0.93) when adjusted for sex, age, body fat percentage and saturated fatty acids intake. No significant associations were found for the rest of the carbohydrate variables. In summary, high-fiber diets reduce the probability of insulin resistance in adolescents from marginalized areas of Chiapas, México.

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Bibliographic Details
Main Authors: Castro Quezada, Itandehui Doctora autora 21021, Flores Guillén, Leonides Elena Doctora autora 19756, Núñez Ortega, Pilar Elena Doctora autora 12479, Irecta Nájera, César Antonio Doctor autor 21174, Sánchez Chino, Xariss Miryam Doctora autora 14483, Méndez Flores, Orquidia Guadalupe Doctora autora 21609, Olivo Vidal, Zendy Evelyn Doctora autora 21642, García Miranda, Rosario Doctora autora 2215, Solís Hernández, Roberto Ingeniero autor 21655, Ochoa Díaz López, Héctor Doctor autor 8663
Format: Texto biblioteca
Language:eng
Subjects:Adolescentes, Carbohidratos, Resistencia a la insulina, Fibra dietética, Marginalidad social, Artfrosur,
Online Access:https://www.mdpi.com/2072-6643/11/12/3066
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Summary:Evidence of the role that dietary carbohydrates (total carbohydrates, dietary fiber, total sugars, dietary glycemic index (GI) and glycemic load (GL)) exerts on insulin levels in adolescents is controversial. Thus, the aim of this study was to assess the association between dietary carbohydrates and insulin resistance in adolescents from Chiapas, México. A cross-sectional study was conducted in 217 adolescents. Sociodemographic, anthropometric, dietary and biochemical data were obtained. Total carbohydrates, dietary fiber, total sugars, dietary GI and GL were calculated from 24 h recalls. Two validated cut-off points for the homeostasis model assessment of insulin resistance (HOMA-IR) were used as surrogates of insulin resistance. Fasting insulin levels≥14.38 µU/mL were considered as abnormal. Multivariate logistic regression models were fitted to assess the association between tertiles of dietary carbohydrates and insulin resistance or hyperinsulinemia. In our study, adolescents with the highest dietary fiber intake had lower odds of HOMA-IR>2.97(OR=0.34; 95% CI:0.13-0.93) when adjusted for sex, age, body fat percentage and saturated fatty acids intake. No significant associations were found for the rest of the carbohydrate variables. In summary, high-fiber diets reduce the probability of insulin resistance in adolescents from marginalized areas of Chiapas, México.

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