Children recovered from malnutrition exhibit normal insulin production and sensitivity

Br J Nutr. 2008 Feb;99(2):297-302. doi: 10.1017/S0007114507793959. Epub 2007 Jul 26.

Abstract

Protein-energy malnutrition promotes adaptive hormonal changes that result in stunting. A previous study showed that stunted children had increased insulin sensitivity and diminished pancreatic beta-cell function. The objectives of the present study were to analyse the glucose, insulin, homeostasis model assessment of insulin sensitivity (HOMA-S) and homeostasis model assessment of pancreatic beta-cell function (HOMA-B) levels after nutritional recovery. The recovered group (n 62) consisted of malnourished children after treatment at a nutrition rehabilitation centre. At the beginning of treatment their age was 2.41 (sd 1.28) and 2.31 (sd 1.08) years, weight-for-age Z score - 2.09 (sd 0.94) and - 2.05 (sd 0.55) and height-for-age Z score - 1.85 (sd 1.11) and - 1.56 (sd 0.90), for boys and girls respectively. The control group consisted of well-nourished children without treatment (n 26). After treatment, boys of the recovered group gained 1.29 (sd 1.06) Z scores of height-for-age and 1.14 (sd 0.99) Z scores of weight-for-age, and girls, 1.12 (sd 0.91) and 1.21 (sd 0.74) Z scores respectively. No differences were found between control and recovered groups in insulin levels for boys (P = 0.704) and girls (P = 0.408), HOMA-B for boys (P = 0.451) and girls (P = 0.330), and HOMA-S (P = 0.765) for boys and girls (P = 0.456) respectively. The present study shows that the changes observed previously in glucose metabolism and insulin were reverted in children who received adequate treatment at nutritional rehabilitation centres and showed linear catch-up.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Anthropometry
  • Blood Glucose / metabolism
  • Body Mass Index
  • Case-Control Studies
  • Child
  • Child Nutrition Disorders / blood*
  • Child Nutrition Disorders / physiopathology
  • Child Nutrition Disorders / therapy*
  • Child Nutritional Physiological Phenomena
  • Child, Preschool
  • Eating / physiology
  • Energy Intake / physiology
  • Female
  • Homeostasis / physiology
  • Humans
  • Infant
  • Infant Nutrition Disorders / blood*
  • Infant Nutrition Disorders / physiopathology
  • Infant Nutrition Disorders / therapy*
  • Insulin / biosynthesis*
  • Insulin-Secreting Cells / physiology
  • Male
  • Nutritional Status
  • Puberty

Substances

  • Blood Glucose
  • Insulin