title: A study of insulin resistance and its clinico-metabolic associations among apparently healthy individuals attending a tertiary care hospital.
abstract: BACKGROUND
  Insulin resistance (IR), as a result of unhealthy life-styles and westernization, most likely contributes to the increased incidence of metabolic abnormalities and consequently, the development of metabolic syndrome (MS).
  
  
  OBJECTIVE
  The present study was undertaken to determine the magnitude of IR and associated clinico-metabolic risk factors among the out-patients of a tertiary care hospital in Bihar, India.
  
  
  METHODS
  Anthropometric profile, lipid profile, fasting blood glucose, C-reactive protein (CRP) and C-peptide of 112 individuals were measured using the standard procedures. IR was assessed using the homeostasis model (Homeostatic model assessment [HOMA]-IR).
  
  
  RESULTS
  The mean IR was 1.5 (1.0). Individuals with MS, higher body mass index and CRP ≥6 mg/l had higher IR. Linear regression showed, among the components of MS, waist circumference had the highest contribution toward IR. The optimal cut-off value to detect IR by HOMA2-IR was 1.35.
  
  
  CONCLUSIONS
  IR was found to have a strong association with various clinico-metabolic risk factors.
authors.affiliation: Department of Biochemistry, North Bengal Medical College and Hospital, Siliguri, West Bengal, India.
authors.forename: R
authors.initials: R
authors.lastname: Banerjee
authors.affiliation: Department of Community Medicine, North Bengal Medical College and Hospital, Siliguri, West Bengal, India.
authors.forename: K
authors.initials: K
authors.lastname: Ray
authors.affiliation: Department of Community Medicine, North Bengal Medical College and Hospital, Siliguri, West Bengal, India.
authors.forename: S
authors.initials: S
authors.lastname: Bhattacherjee
authors.affiliation: Malda Medical College and Hospital, Malda, West Bengal, India.
authors.forename: S
authors.initials: S
authors.lastname: Guha
authors.affiliation: Department of Medicine, Mata Gujri Memorial Medical College and LSK Hospital, Kishanganj, Bihar, India.
authors.forename: I
authors.initials: I
authors.lastname: Banerjee
authors.affiliation: Department of Biochemistry, North Bengal Medical College and Hospital, Siliguri, West Bengal, India.
authors.forename: I
authors.initials: I
authors.lastname: Nath
keywords: C-reactive protein; Homeostatic model assessment insulin resistance; Insulin resistance; Metabolic syndrome