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POSTER PRESENTATION Open Access The association between bone age advancement and insulin in prepubertal children with obesity Hae Sang Lee * , Hwal Rim Jeong, Eunbyul Kwon, Jin Soon Hwang From 8th APPES Biennial Scientific Meeting Darwin, Australia. 29 October 1 November 2014 Aims Obesity is associated with bone age (BA) advancement of unclear etiology. In animal study, insulin may directly modulate skeletal growth. Our objective was to investi- gate the association with BA maturation and insulin levels in children with overweight and obesity. Methods In this cross-sectional study of 103 prepubertal children, anthropometric data and hormonal values during oral glucose tolerance test were measured. Subjects were divided into two groups by the difference between BA and chronological age (CA) (noted as BA-CA). Results The study population included 49 (47.6%) males and 54 (52.4%) females with a mean age of 7.6 ± 1.6 years. The advanced bone age group defined as BA-CA>1 year (n=53) had significantly higher HOMA-IR, fasting insu- lin levels and lower quantitative insulin sensitivity check index (QUICKI). Also, BA-CA was significantly corre- lated with fasting insulin (r=0.315, P<0.001), HOMA-IR (r=0.288, P<0.001), and QUICKI (r=-0.353, P<0.001). In multiple regression analysis, fasting insulin was identi- fied as significant independent predictors for BA-CA. Conclusion Skeletal age is more advanced in overweight and obese children with hyperinsulinemia and insulin resistance. These findings suggest that insulin may modulate skele- tal growth. Published: 28 April 2015 doi:10.1186/1687-9856-2015-S1-P71 Cite this article as: Lee et al.: The association between bone age advancement and insulin in prepubertal children with obesity. International Journal of Pediatric Endocrinology 2015 2015(Suppl 1):P71. Submit your next manuscript to BioMed Central and take full advantage of: Convenient online submission Thorough peer review No space constraints or color figure charges Immediate publication on acceptance Inclusion in PubMed, CAS, Scopus and Google Scholar Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit Department of Pediatrics, Ajou University School of Medicine, Ajou University Hospital, Suwon, Korea Lee et al. International Journal of Pediatric Endocrinology 2015, 2015(Suppl 1):P71 http://www.ijpeonline.com/content/2015/S1/P71 © 2015 Lee et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http:// creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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  • POSTER PRESENTATION Open Access

    The association between bone age advancementand insulin in prepubertal children with obesityHae Sang Lee*, Hwal Rim Jeong, Eunbyul Kwon, Jin Soon Hwang

    From 8th APPES Biennial Scientific MeetingDarwin, Australia. 29 October 1 November 2014

    AimsObesity is associated with bone age (BA) advancementof unclear etiology. In animal study, insulin may directlymodulate skeletal growth. Our objective was to investi-gate the association with BA maturation and insulinlevels in children with overweight and obesity.

    MethodsIn this cross-sectional study of 103 prepubertal children,anthropometric data and hormonal values during oralglucose tolerance test were measured. Subjects weredivided into two groups by the difference between BAand chronological age (CA) (noted as BA-CA).

    ResultsThe study population included 49 (47.6%) males and 54(52.4%) females with a mean age of 7.6 1.6 years. Theadvanced bone age group defined as BA-CA>1 year(n=53) had significantly higher HOMA-IR, fasting insu-lin levels and lower quantitative insulin sensitivity checkindex (QUICKI). Also, BA-CA was significantly corre-lated with fasting insulin (r=0.315, P /AntiAliasGrayImages false /CropGrayImages true /GrayImageMinResolution 300 /GrayImageMinResolutionPolicy /Warning /DownsampleGrayImages true /GrayImageDownsampleType /Bicubic /GrayImageResolution 500 /GrayImageDepth -1 /GrayImageMinDownsampleDepth 2 /GrayImageDownsampleThreshold 1.50000 /EncodeGrayImages true /GrayImageFilter /DCTEncode /AutoFilterGrayImages true /GrayImageAutoFilterStrategy /JPEG /GrayACSImageDict > /GrayImageDict > /JPEG2000GrayACSImageDict > /JPEG2000GrayImageDict > /AntiAliasMonoImages false /CropMonoImages true /MonoImageMinResolution 1200 /MonoImageMinResolutionPolicy /Warning /DownsampleMonoImages true /MonoImageDownsampleType /Bicubic /MonoImageResolution 1200 /MonoImageDepth -1 /MonoImageDownsampleThreshold 1.50000 /EncodeMonoImages true /MonoImageFilter /CCITTFaxEncode /MonoImageDict > /AllowPSXObjects false /CheckCompliance [ /None ] /PDFX1aCheck false /PDFX3Check false /PDFXCompliantPDFOnly false /PDFXNoTrimBoxError true /PDFXTrimBoxToMediaBoxOffset [ 0.00000 0.00000 0.00000 0.00000 ] /PDFXSetBleedBoxToMediaBox true /PDFXBleedBoxToTrimBoxOffset [ 0.00000 0.00000 0.00000 0.00000 ] /PDFXOutputIntentProfile (None) /PDFXOutputConditionIdentifier () /PDFXOutputCondition () /PDFXRegistryName () /PDFXTrapped /False

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