Vaspin association with insulin resistance is related to physical activity and body fat in Brazilian adolescents - A cross-sectional study La asociación de la vaspina con la resistencia a la insulina está relacionada con la actividad física y la grasa corporal en adolescentes brasileños. Un estudio transversal

Background: Vaspin is a newly-identifi ed adipocytokine associated with insulin resistance (IR). Objective: The aim of this study was to investigate the correlation between plasma vaspin concentrations and IR and determine whether this association is affected by body composition, physical activity and pubertal stage in adolescents. Methods: Were studied 484 Brazilian adolescents aged 10–14 years whose anthropometric, clinical, biochemical, and lifestyle measurements were analized. We evaluated the correlation between vaspin and risk factors for IR in adolescents with normal and high body fat percentage (%BF) and did a logistic regression to calculate the odds ratio for IR according to vaspin quartiles sex specifi c for the sample. Results: Vaspin was positively correlated with IR in adolescents with high %BF (r = 0.23, p = 0.003). The logistic regression analysis adjusted for sex, age, BMI, and pubertal stage showed that adolescents in the 2 nd (OR = 0.43, 95% CI = 0.23-0.80, p = 0.008) and 3 rd (OR = 0.46, 95% CI = 0.25-0.85, p = 0.014) quartile of vaspin concentration had a lower risk for IR. When the model was adjusted for %BF and physical activity, the association remained statically signifi cant only for adolescents in the 2 nd quartile. Conclusion: Vaspin was correlated positively with risk factors associated with insulin metabolism in adolescents with high %BF. Vaspin was associated with a reduced risk of IR independently of BMI and pubertal stage and the association was infl uenced by body fat and physical activity in these adolescents.