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Dietary Carbohydrates and Insulin Resistance in Adolescents from Marginalized Areas of Chiapas, México

1
Health Department, El Colegio de la Frontera Sur, Carr. Panamericana y Periférico Sur s/n, Barrio de María Auxiliadora, San Cristóbal de las Casas, Chiapas 29290, Mexico
2
Faculty of Nutrition and Food Science, University of Science and Arts of Chiapas, Libramiento Norte-Poniente 1150, Col. Lajas Maciel, Tuxtla Gutiérrez, Chiapas 29039, Mexico
3
Health Department, El Colegio de la Frontera Sur, Carr. A Reforma Km. 15.5 s/n, RA. Guineo 2da. Sección, Villahermosa, Tabasco 86280, Mexico
4
Cátedra-CONACyT, Health Department, El Colegio de la Frontera Sur, Unidad Villahermosa, Carretera a Reforma Km. 15.5 s/n, RA. Guineo 2da. Sección, Villahermosa, Tabasco 86280, Mexico
5
Cátedra-CONACyT, Health Department, El Colegio de la Frontera Sur, Carr. Panamericana y Periférico Sur s/n, Barrio de María Auxiliadora, San Cristóbal de las Casas, Chiapas 29290, Mexico
*
Author to whom correspondence should be addressed.
Nutrients 2019, 11(12), 3066; https://doi.org/10.3390/nu11123066
Received: 5 November 2019 / Revised: 5 December 2019 / Accepted: 12 December 2019 / Published: 16 December 2019
Evidence of the role that dietary carbohydrates (total carbohydrates, dietary fiber, total sugars, dietary glycemic index (GI) and glycemic load (GL)) exerts on insulin levels in adolescents is controversial. Thus, the aim of this study was to assess the association between dietary carbohydrates and insulin resistance in adolescents from Chiapas, México. A cross-sectional study was conducted in 217 adolescents. Sociodemographic, anthropometric, dietary and biochemical data were obtained. Total carbohydrates, dietary fiber, total sugars, dietary GI and GL were calculated from 24 h recalls. Two validated cut-off points for the homeostasis model assessment of insulin resistance (HOMA-IR) were used as surrogates of insulin resistance. Fasting insulin levels ≥ 14.38 μU/mL were considered as abnormal. Multivariate logistic regression models were fitted to assess the association between tertiles of dietary carbohydrates and insulin resistance or hyperinsulinemia. In our study, adolescents with the highest dietary fiber intake had lower odds of HOMA-IR > 2.97 (OR = 0.34; 95% CI: 0.13–0.93) when adjusted for sex, age, body fat percentage and saturated fatty acids intake. No significant associations were found for the rest of the carbohydrate variables. In summary, high-fiber diets reduce the probability of insulin resistance in adolescents from marginalized areas of Chiapas, México. View Full-Text
Keywords: carbohydrates; dietary fiber; sugars; glycemic index; glycemic load; insulin; insulin resistance; adolescents; Chiapas; México carbohydrates; dietary fiber; sugars; glycemic index; glycemic load; insulin; insulin resistance; adolescents; Chiapas; México
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MDPI and ACS Style

Castro-Quezada, I.; Flores-Guillén, E.; Núñez-Ortega, P.E.; Irecta-Nájera, C.A.; Sánchez-Chino, X.M.; Mendez-Flores, O.G.; Olivo-Vidal, Z.E.; García-Miranda, R.; Solís-Hernández, R.; Ochoa-Díaz-López, H. Dietary Carbohydrates and Insulin Resistance in Adolescents from Marginalized Areas of Chiapas, México. Nutrients 2019, 11, 3066. https://doi.org/10.3390/nu11123066

AMA Style

Castro-Quezada I, Flores-Guillén E, Núñez-Ortega PE, Irecta-Nájera CA, Sánchez-Chino XM, Mendez-Flores OG, Olivo-Vidal ZE, García-Miranda R, Solís-Hernández R, Ochoa-Díaz-López H. Dietary Carbohydrates and Insulin Resistance in Adolescents from Marginalized Areas of Chiapas, México. Nutrients. 2019; 11(12):3066. https://doi.org/10.3390/nu11123066

Chicago/Turabian Style

Castro-Quezada, Itandehui; Flores-Guillén, Elena; Núñez-Ortega, Pilar E.; Irecta-Nájera, César A.; Sánchez-Chino, Xariss M.; Mendez-Flores, Orquidia G.; Olivo-Vidal, Zendy E.; García-Miranda, Rosario; Solís-Hernández, Roberto; Ochoa-Díaz-López, Héctor. 2019. "Dietary Carbohydrates and Insulin Resistance in Adolescents from Marginalized Areas of Chiapas, México" Nutrients 11, no. 12: 3066. https://doi.org/10.3390/nu11123066

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