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, raised blood pressure, insulin resistance, and dyslipidemia ( 7 , 10 ). There is controversy as to whether increased HPA axis activity is a cause or a consequence of childhood obesity. It has been demonstrated that the rise in serum corticosteroids
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Internal Medicine, S. Maria delle Croci Hospital, AUSL Romagna, Ravenna, Italy
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Istituto Auxologico Italiano, IRCCS, Obesity Unit - Laboratory of Nutrition and Obesity Research, Department of Endocrine and Metabolic Diseases, Milan, Italy
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diabetes with fasting hyperglycemia 0 (0%) 0 (0%) 0 (0%) Homeostatic model assessment for insulin resistance 1.09 (0.62, 1.56) 1.10 (0.51, 1.46) 1.09 (0.64, 1.58) 0.7 Oral glucose insulin sensitivity index (mL min−1 m−2) 539
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). This association has been identified in obese pubertal boys as well, as they may present with DP, associated with insulin resistance. Higher BMI contributes to lower serum testosterone concentration in pubertal males and suggests that the relative
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, constituting two s.d. above and below the age and gender adjusted mean IGF1, respectively. IGF1 SDS was calculated as the difference between measured IGF1 and mean IGF1, divided by the s.d. ( 25 ). Insulin resistance was defined by homeostatic model
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Département de Métabolomique Clinique, Hôpital Saint-Antoine, AP-HP Sorbonne Université, Paris, France
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Département de Métabolomique Clinique, Hôpital Saint-Antoine, AP-HP Sorbonne Université, Paris, France
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Université de Paris, INSERM, Institut IMAGINE, Hôpital Necker-Enfants Malades, AP-HP, Paris, France
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Sorbonne Université, INSERM, Centre de Recherche Saint-Antoine, Paris, France
Hôpital Armand Trousseau, AP-HP Sorbonne Université, Paris, France
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Département de Métabolomique Clinique, Hôpital Saint-Antoine, AP-HP Sorbonne Université, Paris, France
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betamethasone can have an impact this strong on adrenal infant functions ( 16 ). There are also many long-term issues linked to corticosteroid treatments, especially metabolic consequences such as insulin resistance, type 2 diabetes, and hypertension in
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to GH treatment occurred. They included transient and dose-dependent headache, nausea, edema and joint pain ( 2 , 17 , 19 , 26 ). Also, as expected, a small increase in fasting glucose and trends toward higher insulin and insulin resistance was