title: Independent benefits of meeting the 2008 physical activity guidelines to insulin resistance in obese latino children.
abstract: We examined the independent association between moderate-to-vigorous physical activity (MVPA) and insulin resistance (IR) among obese Latino children (N = 113; 7-15 years) who were enrolled in a community-based obesity intervention. Baseline information on physical activity was gathered by self-report. Clinical assessments of body composition, resting energy expenditure (REE), as well as glucose and insulin responses to an oral glucose tolerance test (OGTT) were performed after an overnight fast. Insulin resistance was defined as a 2 h insulin concentration >57 μU·mL(-1). We observed that those obese children who met the 2008 Guidelines for MVPA (≥60 min/day) experienced a significantly lower odds of IR compared with those not meeting the Guidelines (OR = 0.29; 95% CI: (0.10-0.92)) and these findings were independent of age, sex, pubertal stage, acculturation, fasting insulin, and 2 h glucose concentrations. Efforts to promote 60 min or more of daily MVPA among children from ethnic minority and high-risk communities should assume primary public health importance.
authors.affiliation: Department of Pediatrics, Children's National Medical Center, The George Washington University Medical Center, Washington, DC 20010, USA.
authors.forename: Nazrat
authors.initials: N
authors.lastname: Mirza
authors.forename: Matilde
authors.initials: M
authors.lastname: Palmer
authors.forename: Johanna
authors.initials: J
authors.lastname: O'Connell
authors.forename: Loretta
authors.initials: L
authors.lastname: Dipietro