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Insulin resistance commonly results from obesity with excessive adipose tissue, increasing body mass index and waist circumference. This cross-sectional correlational study aimed to examine factors influencing insulin resistance in Indonesian adolescents with obesity. A total of 134 adolescents with obesity aged 13-15 years were recruited from five randomly selected junior high schools in a southern city in Indonesia. Participants were classified into insulin resistance (n =67) and non-insulin resistance (n =67) based on the homeostasis model assessment of insulin resistance. Data were collected using a demographic questionnaire, the Adolescent Sedentary Activity Questionnaire, and had a nutritional assessment comprised of waist circumference, body mass index, snacking calories, fasting blood glucose and plasma insulin. Data were analyzed using descriptive statistics, and univariate and multivariate logistic regression.
The univariate logistic regression indicated that waist circumference, body mass index, family history of obesity or diabetes, frequency of breakfast, snacking calories, sedentary behavior, and father’s income and mother’s education were significantly associated with insulin resistance. The multivariate logistic regression model predicting insulin resistance included waist circumference, family history of obesity or diabetes, and sedentary behavior >5 hours/day. These three variables together explained 76.7% variance of the insulin resistance. Nurses’ roles should include monitoring health education and assessment of adolescents and their families, and promoting physical activity in schools, and particularly for those adolescents with obesity and family history of obesity or diabetes.
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