<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0186-2391</journal-id>
<journal-title><![CDATA[Acta pediátrica de México]]></journal-title>
<abbrev-journal-title><![CDATA[Acta pediatr. Méx]]></abbrev-journal-title>
<issn>0186-2391</issn>
<publisher>
<publisher-name><![CDATA[Instituto Nacional de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0186-23912016000300139</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Resistencia a la insulina, cortisol y composición corporal mediante dilución isotópica en niños costarricenses]]></article-title>
<article-title xml:lang="en"><![CDATA[Insulin resistance, cortisol and body composition by isotope dilution in costa rican children]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valverde-Vindas]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quintana-Guzmán]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salas-Chaves]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Costa Rica Sistema de Estudios de Posgrado ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Costa Rica Departamento de Análisis Clínicos ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Costa Rica Facultad de Microbiología Departamento de Microbiología]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2016</year>
</pub-date>
<volume>37</volume>
<numero>3</numero>
<fpage>139</fpage>
<lpage>148</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0186-23912016000300139&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0186-23912016000300139&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0186-23912016000300139&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  ANTECEDENTES:  la obesidad infantil es un proceso que involucra en sí mismo un estrés oxidativo y un estado inflamatorio crónico que estimula la producción de corticosteroides, promueve la aparición temprana de resistencia insulínica y de enfermedades como la diabetes mellitus tipo 2.  OBJETIVO:  evaluar la composición corporal en población infantil costarricense mediante técnicas de dilución isotópica con deuterio y analizar su relación con el índice de resistencia a la insulina y niveles de cortisol sérico matutino.  MATERIALES Y MÉTODOS:  determinación de cortisol sérico matutino y resistencia a la insulina mediante el método homeostático en 113 niños y niñas escolares. Se realiza la comparación por grupos según la clasificación McCarthy para porcentaje de masa grasa, determinada mediante el método de dilución isotópica.  RESULTADOS:  no se observan diferencias estadísticamente significativas entre los grupos de masa grasa, según la clasificación McCarthy para las variables de cortisol sérico matutino e índice HOMA (modelo homeostático) de resistencia a la insulina, en la muestra seleccionada.  CONCLUSIÓN:  en niños y niñas entre 6 y 9 años de edad no se evidencian las características bioquímicas que se esperan del síndrome metabólico, dada la poca exposición temporal al estrés oxidativo que produce la obesidad, determinada por medio de la medición de masa grasa con un método temprano como la dilución isotópica. Asimismo, en edades tempranas los mecanismos de detoxificación renal de los corticosteroides son suficientes para evitar su elevación sérica, protegiendo al niño de sus efectos a largo plazo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  INTRODUCTION:  Childhood obesity is a condition which involves in itself an oxidative stress and chronic inflammation that stimulates the production of corticosteroids and promotes the early onset of insulin resistance and diseases such as type 2 diabetes mellitus.  OBJECTIVE:  Assess ment of body composition in Costa Rican child population using deuterium dilution techniques and analysis its of relationship with the index of insulin resistance and morning serum cortisol levels.  RESULTS:  No statistically significant differences between groups of fat mass classification according to McCarthy was observed for variables morning serum cortisol and HOMA index of insulin resistance in the selected sample.  CONCLUSION:  In children between 6 and 9 years old the expected biochemical characteristics of the metabolic syndrome are not evident, given the short time exposure to oxidative stress of obesity, determined by measuring fat mass with an early method as isotopic dilution. Also, in early ages renal detoxification mechanisms of corticosteroids are sufficient to prevent elevated serum concentration and protect children from its long-term effects.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[composición corporal]]></kwd>
<kwd lng="es"><![CDATA[deuterio]]></kwd>
<kwd lng="es"><![CDATA[HOMA]]></kwd>
<kwd lng="es"><![CDATA[resistencia insulina]]></kwd>
<kwd lng="es"><![CDATA[cortisol]]></kwd>
<kwd lng="es"><![CDATA[espectrometría infrarroja]]></kwd>
<kwd lng="en"><![CDATA[body composition]]></kwd>
<kwd lng="en"><![CDATA[deuterium]]></kwd>
<kwd lng="en"><![CDATA[HOMA]]></kwd>
<kwd lng="en"><![CDATA[insulin resistance]]></kwd>
<kwd lng="en"><![CDATA[cortisol]]></kwd>
<kwd lng="en"><![CDATA[children]]></kwd>
<kwd lng="en"><![CDATA[infrared spectrometry]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mora]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
</person-group>
<source><![CDATA[Diabetes infantil en Costa Rica]]></source>
<year>2011</year>
<publisher-loc><![CDATA[San José (CR) ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Análisis de las hemoglobinas glucosiladas de los pacientes diabéticos diagnosticados del 2006 al 2008 en el Hospital Nacional de Niños]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Morales]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Richmond]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Bogarín]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Jaramillo]]></surname>
<given-names><![CDATA[O.]]></given-names>
</name>
</person-group>
<source><![CDATA[Acta Med Costarric.]]></source>
<year>2011</year>
<volume>53</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>88-92</page-range></nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Childhood Obesity: Effects of Micronutrients, Supplements, Genetics and Oxidative Stress]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sallas]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<source><![CDATA[J Nurse Pract.]]></source>
<year>2011</year>
<volume>7</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>647-53</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Boron]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Boulpaep]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
</person-group>
<source><![CDATA[Medical Phisiology A Cellular and Molecular Approach. 2arev]]></source>
<year>2009</year>
<publisher-loc><![CDATA[Philadelphia ]]></publisher-loc>
<publisher-name><![CDATA[SAUNDERS ELSEVIER]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Asociación del índice de resistencia a la insulina con niveles de cortisol y medidas antropométricas por género de niños mexicanos en edad escolar]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Méndez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Flores]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Noyola]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Mendoza]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Calderón]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Aradillas]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<source><![CDATA[Bioquimia]]></source>
<year>2007</year>
<volume>32</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>126-33</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[¿Es útil la antropometría para estimar la composición corporal en niños preescolares?]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Salazar]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Rocha]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Mardones]]></surname>
<given-names><![CDATA[F.]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Chil Pediatr.]]></source>
<year>2003</year>
<volume>74</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>37-45</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Tamaño y composición corporal en niños mexicanos: implicaciones en el uso del BOD, POD, DXA y dilución con deuterio en la evaluación de la masa grasa y masa libre de grasa]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ramírez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Valencia]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<source><![CDATA[Rev Salud Publica y Nutrición]]></source>
<year>2008</year>
<volume>9</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>1-11</page-range></nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Pediatric Highlight: Body fat reference curves for children]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[McCarthy]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Cole]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Jebb]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Prenticem]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<source><![CDATA[Int J Obes.]]></source>
<year>2006</year>
<volume>30</volume>
<page-range>598-602</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Índice de masa corporal (IMC) y composición corporal con deuterio en niños costarricenses]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Quintana]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Salas]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Acta Pediátr Mex.]]></source>
<year>2014</year>
<volume>35</volume>
<page-range>179-89</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Oxidative stress and potential interventions to reduce oxidative stress in overweight and obesity]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Innes]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Vincent]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Vincent]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
</person-group>
<source><![CDATA[Diabetes Obesity Metabol.]]></source>
<year>2007</year>
<volume>9</volume>
<page-range>813-39</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[The Pathogenetic Role of Cortisol in the Metabolic Syndrome: A Hypothesis]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Anagnostis]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Athyros]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Tziomalos]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Karagiannis]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Mikhailidis]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
</person-group>
<source><![CDATA[J Clin Endocrinol Metab.]]></source>
<year>2009</year>
<volume>94</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>2692-701</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Effect of chronic stress and exogenous glucocorticoid son regional fat distribution and metabolism]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rebuffé]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Walsh]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[McEwen]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Rodin]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<source><![CDATA[Physiol Behav.]]></source>
<year>1992</year>
<volume>52</volume>
<page-range>583-90</page-range></nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Increased cortisol bioavailability, abdominal obesity, and themetabolic syndrome in obese women]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Duclos]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Marquez]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Barat]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Gatta]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Roger]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
</person-group>
<source><![CDATA[Obes Res Clin Pract.]]></source>
<year>2005</year>
<volume>13</volume>
<page-range>1157-66</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Tissue-specific dysregulation of cortisol metabolism in human obesity]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rask]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Olsson]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Soderberg]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Andrew]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Livingstone]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Johnson]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
</person-group>
<source><![CDATA[J Clin Endocrinol Metab.]]></source>
<year>2001</year>
<volume>86</volume>
<page-range>1418-21</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Independent effects of obesity and cortisol in predicting cardiovascular risk factors in men and women]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Walker]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Soderberg]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Lindahl]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Olsson]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<source><![CDATA[J Intern Med.]]></source>
<year>2000</year>
<volume>247</volume>
<page-range>198-204</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Cortisol levels and measures of body composition in middleaged and older men]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Travison]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[O&#8217;donnell]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Araujo]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Matsumoto]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[McKinlay]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
</person-group>
<source><![CDATA[Clin Endocrinol.]]></source>
<year>2007</year>
<volume>67</volume>
<page-range>71-7</page-range></nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Krozowski Z.11&#946;-Hydroxysteroid dehydrogenase]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stewart]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[Vitam Horm]]></source>
<year>1999</year>
<volume>57</volume>
<page-range>249-324</page-range></nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Adipose tissue expression of 11&#946;-hydroxysteroid dehydrogenase type 1 in Cushing&#8217;s syndrome and in obesity]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Espíndola]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Kater]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<source><![CDATA[Arq Bras Endocrinol Metabol.]]></source>
<year>2007</year>
<volume>51</volume>
<page-range>1397-403</page-range></nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Evidence for an unidentified steroid in a child with apparent mineralocorticoid hypertension]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[New]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Levine]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Biglieri]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Pareira]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ulick]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
</person-group>
<source><![CDATA[J Clin Endocrinol Metab.]]></source>
<year>1977</year>
<numero>44</numero>
<issue>44</issue>
<page-range>924-33</page-range></nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bishop]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Fody]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Schoeff]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
</person-group>
<source><![CDATA[Química Clínica Principios, Procedimientos y Correlaciones. 5arev.]]></source>
<year>2007</year>
<publisher-loc><![CDATA[México DF ]]></publisher-loc>
<publisher-name><![CDATA[McGraw-Hill]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B21">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Cortisol clearance and associations with insulin sensitivity, body fat and fatty liver in middle-aged men]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Holt]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Wild]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Postle]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Zhang]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Koster]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Umpleby]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<source><![CDATA[Diabetologia]]></source>
<year>2007</year>
<volume>50</volume>
<page-range>1024-32</page-range></nlm-citation>
</ref>
<ref id="B22">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Elevated plasma cortisol concentrations: a link between low birth weight and the insulin resistance syndrome?]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Phillips]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Barker]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Fall]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Seckl]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Whorwood]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Wood]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
</person-group>
<source><![CDATA[J Clin Endocrinol Metab.]]></source>
<year>1998</year>
<volume>83</volume>
<page-range>757-60</page-range></nlm-citation>
</ref>
<ref id="B23">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Cortisol and its relation to insulin resistance before and after weight loss in obese children]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Reinehr]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Andler]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<source><![CDATA[Horm Resist.]]></source>
<year>2004</year>
<volume>62</volume>
<page-range>107-12</page-range></nlm-citation>
</ref>
<ref id="B24">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Lowergrowth hormone and higher cortisol are associated with greater visceral adiposity, intramyocellular lipids, and insulin resistance in over weight girls]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Misra]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Bredella]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Tsai]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Mendes]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Miller]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Klibanski]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<source><![CDATA[Am J Physiol Endocrinol Metab.]]></source>
<year>2008</year>
<volume>295</volume>
<page-range>E385-92</page-range></nlm-citation>
</ref>
<ref id="B25">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Pancreaticcells are important targets for the diabetogenic effects of glucocorticoids]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Delaunay]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Khan]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Cintra]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Davani]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Ling]]></surname>
<given-names><![CDATA[Z]]></given-names>
</name>
<name>
<surname><![CDATA[Andersson]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<source><![CDATA[J Clin Invest.]]></source>
<year>1997</year>
<volume>100</volume>
<page-range>2094- 2098</page-range></nlm-citation>
</ref>
<ref id="B26">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Effects of theassociation of aging and obesityonlipids, lipoproteins and oxidative stress biomarkers: A comparison of older with young men]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Karauzene]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Mezouk]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Aribi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Merzouk]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Berrouiguet]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Tessier]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<source><![CDATA[Nutr Metab Cardiovasc Dis.]]></source>
<year>2011</year>
<volume>21</volume>
<page-range>792-9</page-range></nlm-citation>
</ref>
<ref id="B27">
<nlm-citation citation-type="journal">
<article-title xml:lang=""><![CDATA[Endocrine Control of Body Composition in Infancy, Childhood and Puberty]]></article-title>
<person-group person-group-type="author">
<name>
<surname><![CDATA[Veldhuis]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Roemmich]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Richmond]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Rogol]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Lovejoy]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Sheffield]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<source><![CDATA[Endocr Rev.]]></source>
<year>2007</year>
<volume>26</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>114-46</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
