RT journal article T1 Impaired Glucose Tolerance and Altered Body Composition in Obese Young Adults: A Case–Control Study A1 Mohamed Mohamed, Himan A1 Pardo Moreno, Teresa A1 Jiménez Palomares, Margarita A1 Perez Andranaz, Bibiana A1 Sánchez Lara, Encarnación María A1 Vázquez Lara, María Dolores A1 de la Mata Fernández, Mario A1 García Morales, Victoria A1 Ramos-Rodríguez, Juan José A2 BiomedicinaBiotecnología y Salud Pública K1 body mass index K1 diabetes K1 glucose intolerance K1 insulin resistance K1 obesity AB Background/Objectives: To examine the association between body composition and glucose tolerance in young adults with normal weight, overweight, or obesity. Methods:This observational case–control study included 154 healthy individuals aged 18–25 years.Participants were categorized into three BMI-based groups and underwent anthropometricand body composition assessments using bioelectrical impedance. Glucose tolerance wasevaluated via oral glucose tolerance testing, with capillary blood samples collected atbaseline and at 30, 60, 90, and 120 min post load. Results: Compared to the normal-weightgroup, overweight and obese individuals exhibited significantly higher body weight, BMI,visceral and total fat percentages, and reduced muscle mass. Obese participants alsoshowed a significantly greater glucose area under the curve (AUC) and higher fasting andpost-load glucose levels. Visceral fat was positively correlated with metabolic impairment.These results indicate a progressive decline in glucose tolerance associated with increasingadiposity and reduced lean mass. Conclusions: Young adults with elevated BMI alreadydemonstrate marked alterations in body composition and impaired glucose tolerance, evenin the absence of overt metabolic disease. These findings underscore the importance ofthe early identification of at-risk individuals using simple, non-invasive tools. Preventivestrategies promoting healthy body composition in early adulthood may reduce the futurerisk of diabetes and its associated complications. PB MDPI SN 2227-9059 YR 2025 FD 2025-06-26 LK http://hdl.handle.net/10498/37873 UL http://hdl.handle.net/10498/37873 LA eng DS Repositorio Institucional de la Universidad de Cádiz RD 07-nov-2026