RESISTENCIA A LA INSULINA Y SÍNDROME METABÓLICO EN NIÑOS OBESOS DE LA PROVINCIA DE MANABÍ DEL CANTÓN CHONE

Abstract

Insulin resistance is a pathophysiological condition known to be the first trigger of type II diabetes mellitus commonly related to the metabolic syndrome, are a series of determining characteristics of this condition. The causes that cause insulin resistance are not specific, but they are related to several factors that influence their appearance, genetic factors, sedentary lifestyle and obesity. Childhood obesity is a very serious health problem, and is that obese children have a tendency to remain obese in adulthood, and increase the likelihood of noncommunicable diseases such as diabetes mellitus type II and its predecessor insulin resistance, the syndrome metabolic and heart diseases. The main objective of this study was to determine the insulin resistance and metabolic syndrome in obese children of Chone canton schools. The methodology used was cross-sectional, prospective, descriptive, field, and analytical, the instrument and technique that was used for the data collection was the interview and survey, experimentation in the study subjects with the performance of an anthropometric examination consisting of in the calculation of percentiles by means of body mass index and age, measurement of blood pressure, abdominal perimeter and laboratory tests that included serum glucose, HDL cholesterol, triglycerides and insulin. The results of the study indicated alterations in HDL-cholesterol levels, with decreased levels, triglycerides with values higher than the reference range, normal glucose levels, ruling out the hyperglycemia necessary for the diagnosis of the syndrome, however, despite the fact that absence of hyperglycemia, 24% of children met the diagnostic criteria of metabolic syndrome, on the other hand, 48% presented hyperinsulinemia, and then using the HOMA-IR calculation 24% classified as insulin resistant