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Beyond metabolism: nutrition, sleep, and psychological wellbeing in children with insulin resistance—a case-control study

Evla Demircioğlu, Merve Pehlivan

Frontiers in Nutrition, 2026

60 participants

Abstract

Objective In this study, it was aimed to compare the nutritional status, sleep quality, and depression levels of children between the ages of 10–18 who were diagnosed with insulin resistance with their healthy peers. Methods A total of 60 children, including children diagnosed with insulin resistance (case) and healthy children (control), were included in the study. Children's demographic information, dietary habits, physical activity status, biochemical findings, and two-day dietary intake records were taken, and the Mediterranean Diet Quality Index (KIDMED), Pittsburgh Sleep Quality Index (PSQI), and Children's Depression Inventory (CDI) were applied to the children. Results A comparison of the case and control groups revealed that the children in the case group showed significantly higher body weights, BMI means (kg/m2), waist circumferences (cm), body fat ratios (%), and BMI z-score according to age compared to the control group (p 0.05). A statistically significant difference in mean PSQI and CDI scores was observed between the case and control groups (p < 0.05). Conclusion In addition to the nutritional status of children with insulin resistance, it is very important to carefully address, monitor, and improve their sleep quality and depression levels.

How strong is the evidence?

Evidence Hub reads this as a case-control, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause. Reported size: 60 participants or records.

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