Sonia Caprio, MD
Professor of Pediatrics (Endocrinology)Cards
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Pediatric Endocrinology & Diabetes
PO Box 208064
New Haven, CT 06520-8064
United States
About
Titles
Professor of Pediatrics (Endocrinology)
Biography
I have been involved in Patient-Oriented Research in the field of Childhood Obesity and Type 2 diabetes (T2D) in youth for the past 25 years. Realizing the need to understand the pathophysiology and to find better treatments for T2D in Obese Youth, I have been investigating the role of insulin resistance and beta-cell dysfunction at the earliest stage of T2D, namely Impaired Glucose Tolerance (IGT). My research in pre-diabetes in obese children and adolescents has brought into focus at the national level the magnitude of the obesity problem in children in the US. This research demonstrated a much faster tempo of progression of beta-cell failure in obese adolescents, which helped to stimulate the funding of two NIDDK RCTs in obese youth; The TODAY and RISE studies. In recognition of the importance of this work, in 2008 Dr. Caprio was awarded the prestigious “Distinguished Clinical Scientist Award (DCSA)” from the American Diabetes Association. Her research spans both clinical and basic research in metabolism, genetics, and imaging and is the recipient of the “Distinguished Leader in Insulin Resistance” 2015 Award from the International Committee for Insulin Resistance (ICIR). Over the past decade, our group has assembled two large multiethnic cohorts of children/adolescents cohorts: The Pathogenesis of Youth Onset Diabetes (PYOD) study (NCT01967849), (R01HD040787, R01DK111038), and The Yale Pediatric NAFLD/NASH Cohort (NCT01966627), which served as the vehicle for a series of studies aimed at investigating the roles of insulin resistance, beta-cell dysfunction and NAFLD in the earliest stage of T2D: Impaired Glucose Tolerance (IGT).
Appointments
Pediatric Endocrinology & Diabetes
ProfessorPrimary
Other Departments & Organizations
- Diabetes Program
- Diabetes Research Center
- Fellowship Training
- Liver Center
- MR Center
- Obesity Research Working Group
- Pediatric Endocrinology & Diabetes
- Pediatric Weight Solutions Program
- Pediatrics
- Yale Medicine
- Yale Stress Center
- Yale Ventures
Education & Training
- Fellow
- Yale University School of Medicine (1989)
- Resident
- Temple University Hospital (1983)
- Resident
- Universita' di Medicina e Chirurgia (1980)
- Resident
- Ospedale Cardarelli (1980)
- MD
- Universita di Medicina e Chirurgia (1978)
Research
Overview
Medical Research Interests
Research at a Glance
Yale Co-Authors
Research Interests
Alfonso Galderisi, MD, PhD
Nicola Santoro, MD, PhD
Alla Vash-Margita, MD, FACOG
Ania Jastreboff, MD, PhD
Jessica Nouws, PhD
Michelle Van Name, MD
Publications
2024
Adipose Tissue Insulin Resistance in Children and Adolescents: Linking Glucose and Free Fatty Acid Metabolism to Hepatic Injury Markers
Bonet J, Weiss R, Galderisi A, Man C, Caprio S, Santoro N. Adipose Tissue Insulin Resistance in Children and Adolescents: Linking Glucose and Free Fatty Acid Metabolism to Hepatic Injury Markers. AJP Endocrinology And Metabolism 2024 PMID: 39503461, DOI: 10.1152/ajpendo.00270.2024.Peer-Reviewed Original ResearchConceptsImpaired glucose toleranceInsulin sensitivity indexAlanine transaminaseInsulin resistanceFree fatty acid metabolismInsulin sensitivityP<10<sup>-6</sup>Years of follow-upMeasurement of liver function testsLiver function testsFree fatty acidsAdipose tissue insulin resistanceAdipose tissue insulin sensitivityHepatic injury markersPlasma alanine transaminaseEstimated insulin sensitivity indexTissue insulin sensitivityMann-Whitney testTissue insulin resistanceType 2 diabetesDevelopment of insulin resistanceProgression of insulin resistanceOral minimal modelCardiometabolic complicationsInsulin-resistant statesAlirocumab in Pediatric Patients With Heterozygous Familial Hypercholesterolemia
Santos R, Wiegman A, Caprio S, Cariou B, Averna M, Poulouin Y, Scemama M, Manvelian G, Garon G, Daniels S. Alirocumab in Pediatric Patients With Heterozygous Familial Hypercholesterolemia. JAMA Pediatrics 2024, 178: 283-293. PMID: 38315470, PMCID: PMC10845038, DOI: 10.1001/jamapediatrics.2023.6477.Peer-Reviewed Original ResearchCitationsAltmetricConceptsDouble-blind periodLipid-lowering therapyHeterozygous familial hypercholesterolemiaPediatric patientsLDL-CLipid parametersFamilial hypercholesterolemiaRecommended low-density lipoprotein cholesterolAdjunctive lipid-lowering therapiesSecondary efficacy end pointsEnd pointsPediatric patients aged 8Least-squares mean differenceEfficacy of alirocumabOpen-label periodEfficacy end pointLow-density lipoprotein cholesterolReduced LDL-CBaseline to weekPrimary end pointAdverse event incidencePatients aged 8Randomized clinical trialsSquare mean differencesStatistically significant reductionAltered extracellular matrix dynamics is associated with insulin resistance in adolescent children with obesity
Slusher A, Nouws J, Tokoglu F, Vash‐Margita A, Matthews M, Fitch M, Shankaran M, Hellerstein M, Caprio S. Altered extracellular matrix dynamics is associated with insulin resistance in adolescent children with obesity. Obesity 2024, 32: 593-602. PMID: 38410080, PMCID: PMC11034857, DOI: 10.1002/oby.23974.Peer-Reviewed Original ResearchAltmetricMeSH Keywords and ConceptsConceptsSubcutaneous adipose tissueLiver fat contentInsulin resistanceInsulin sensitivityEctopic storage of lipidOral glucose tolerance testGluteal subcutaneous adipose tissueExtracellular matrix dynamicsMagnetic resonance imaging scansAdipose tissueBody fat distribution patternsFibrogenesis in vivoAdipocyte turnoverAssociated with insulin resistanceGlucose tolerance testFat distribution patternsWhole-body IRAdipose tissue insulin signalingTissue insulin signalingTolerance testGluteal fatImaging scansPathophysiological pathwaysAssociated with ratioObesityObesity, Growth, Development, Metabolic Disorder, and Insulin Resistance in Pediatrics
Santoro N, Galderisi A, Caprio S. Obesity, Growth, Development, Metabolic Disorder, and Insulin Resistance in Pediatrics. 2024, vol1:608-vol1:616. DOI: 10.1201/9781003437734-70.ChaptersConceptsNonalcoholic fatty liver diseaseType 2 diabetesInsulin resistanceAdolescent obesityAssociated with precocious pubertyDevelopment of prediabetesCardiometabolic risk factorsPathogenesis of insulin resistanceFatty liver diseasePrecocious pubertyClinical peculiaritiesPediatric obesityLiver diseaseRisk factorsGlobal health challengeMetabolic disordersObesityFatty liverPathological complicationsPotential mechanismsInsulinHealth challengesChildrenComplicationsDyslipidemia
2023
Efficacy and safety of alirocumab in children and adolescents with heterozygous familial hypercholesterolaemia inadequately controlled with statins
Santos R, Wiegman A, Caprio S, Cariou B, Averna M, Poulouin Y, Scemama M, Manvelian G, Garon G, Daniels S. Efficacy and safety of alirocumab in children and adolescents with heterozygous familial hypercholesterolaemia inadequately controlled with statins. European Heart Journal 2023, 44: ehad655.2809. DOI: 10.1093/eurheartj/ehad655.2809.Peer-Reviewed Original ResearchCitationsAltmetricConceptsProprotein convertase subtilisin/kexin type 9Safety of alirocumabKey secondary endpointHeterozygous familial hypercholesterolaemiaWeek 24Secondary endpointsPediatric patientsLipid parametersFamilial hypercholesterolaemiaTreatment periodTreatment groupsInternational phase 3 trialConvertase subtilisin/kexin type 9Subtilisin/kexin type 9Atherogenic lipid parametersEfficacy of alirocumabMean baseline LDLOpen-label periodPhase 3 trialLDL cholesterol levelsSignificant treatment differencesAlirocumab treatmentBaseline LDLPlacebo Q2WWeek 104Obesity, Growth, Development, Metabolic Disorder, and Insulin Resistance in Pediatrics
Santoro N, Galderisi A, Caprio S. Obesity, Growth, Development, Metabolic Disorder, and Insulin Resistance in Pediatrics. 2023, 608-616. DOI: 10.1201/9781003437673-70.Peer-Reviewed Original ResearchConceptsNonalcoholic fatty liver diseaseType 2 diabetesInsulin resistanceAdolescent obesityCardiometabolic risk factorsMajor global health challengeFatty liver diseaseDevelopment of prediabetesGlobal health challengeClinical peculiaritiesFatty liverLiver diseasePediatric obesityRisk factorsPrecocious pubertyMetabolic disordersPathological complicationsObesityHealth challengesPsychosocial conditionsPotential mechanismsDiabetesEarly ageChildrenDyslipidemia
2014
Leptin Is Associated With Exaggerated Brain Reward and Emotion Responses to Food Images in Adolescent Obesity
Jastreboff AM, Lacadie C, Seo D, Kubat J, Van Name MA, Giannini C, Savoye M, Constable RT, Sherwin RS, Caprio S, Sinha R. Leptin Is Associated With Exaggerated Brain Reward and Emotion Responses to Food Images in Adolescent Obesity. Diabetes Care 2014, 37: 3061-3068. PMID: 25139883, PMCID: PMC4207200, DOI: 10.2337/dc14-0525.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsLow-calorie foodsBrain responsesFood imagesEmotion processingEmotion responsesAdolescent brainNeural responsesNeural activationHigh-calorie food consumptionFood cravingsNeural alterationsBrain rewardFunctional MRIAdolescent obesityRisk of overconsumptionAdolescentsObesity-related metabolic changesEndogenous leptin levelsFood advertisingMetabolic changesYouthDevelopment of obesityType 2 diabetesLean adolescentsNation's youthA low disposition index in adolescent offspring of mothers with gestational diabetes: a risk marker for the development of impaired glucose tolerance in youth
Holder T, Giannini C, Santoro N, Pierpont B, Shaw M, Duran E, Caprio S, Weiss R. A low disposition index in adolescent offspring of mothers with gestational diabetes: a risk marker for the development of impaired glucose tolerance in youth. Diabetologia 2014, 57: 2413-2420. PMID: 25168408, DOI: 10.1007/s00125-014-3345-2.Peer-Reviewed Original ResearchCitationsAltmetricMeSH Keywords and ConceptsConceptsGestational diabetes mellitusImpaired glucose toleranceType 2 diabetesGlucose toleranceNGDM groupDisposition indexInsulin sensitivityNormal glucose toleranceLower disposition indexOral disposition indexBeta-cell functionGestational diabetesDiabetes mellitusUtero exposureObese adolescentsRisk markersGlucose exposureBeta cellsDiabetesAdolescent offspringCell functionSignificant predictorsUteroEarlier inabilityExposureThe development of type 2 diabetes in the obese adolescents: a growing challenge.
Caprio S. The development of type 2 diabetes in the obese adolescents: a growing challenge. Clinical Biochemistry 2014, 47: 721. PMID: 24854690, DOI: 10.1016/j.clinbiochem.2014.05.027.Peer-Reviewed Original Research
Clinical Trials
Current Trials
Semaglutide Effects in Obese Youth With Prediabetes/New Onset Type 2 Diabetes and Non-Alcoholic Fatty Liver Disease
HIC ID2000031181RolePrincipal InvestigatorPrimary Completion Date12/31/2026Recruiting ParticipantsPreventing Obesity in Preterm Infants
HIC ID2000031084RoleSub InvestigatorPrimary Completion Date09/30/2026Recruiting ParticipantsThe Role of Hepatic De Novo Lipogenesis (DNL) in the Pathogenesis of Hepatic Steatosis
HIC ID1604017607RolePrincipal InvestigatorPrimary Completion Date05/01/2023Recruiting ParticipantsGenderBothAge12 years - 30 yearsStudy to investigate adipocyte cell and lipid turnover in obese adolescents
HIC ID1503015459RolePrincipal InvestigatorPrimary Completion Date05/01/2025Recruiting ParticipantsGenderBothAge12 years - 21 yearsPrevalence of Carbohydrate Intolerance in Lean and Obese Children
HIC ID9909011190RolePrincipal InvestigatorPrimary Completion Date09/30/2025Recruiting ParticipantsGenderBothAge8 years - 18 years
Academic Achievements & Community Involvement
honor 2001-2011 K24 Investigator Award in Patient Oriented Research
National AwardNIH-NICDDetails10/06/2020United Stateshonor 2003 Bayer Scholar Award in Diabetes Research
National AwardDetails10/06/2020United Stateshonor 2008-2012 Distinguished Clinical Scientist Award, American Diabetes Association
National AwardAmerican Diabetes AssociationDetails10/06/2020United Stateshonor 2015 Distinguished Leader in Insulin Resistance Award, International Committee for Insulin Resistance (ICIR)
International AwardDetails10/06/2020United Stateshonor 2017 The Samuel J. Fomon Nutrition Award from the American Academy of Pediatrics
International AwardDetails10/06/2020United States
Clinical Care
Overview
Sonia Caprio, MD, is a pediatric endocrinologist and an expert in childhood type 2 diabetes and obesity. She also treats fatty liver disease, genetic disorders that cause high cholesterol and metabolic syndrome, abnormalities associated with heart disease and type 2 diabetes. She tells new patients and their parents: “Both pre-diabetes and early onset of type 2 diabetes can be prevented. Often only minor changes in dietary intake and minimal weight loss together with more physical activity will help chase diabetes away.”
In treating childhood obesity and diabetes, Yale Medicine physicians focus on the family as well as the child, Dr. Caprio says. Therapies include a unique weight management plan for the entire family, she says. The practice also uses cutting-edge genetic testing to better understand a patient’s metabolism.
A professor of pediatrics (endocrinology) at Yale School of Medicine, Dr. Caprio is a leading researcher of childhood obesity and type 2 diabetes. Her work seeks to better understand the causes of insulin resistance and impaired insulin secretion in obese children. She received the 2015 Distinguished Leader in Insulin Resistance Award from the International Committee for Insulin Resistance.
Clinical Specialties
Fact Sheets
Hypercholesterolemia (High Cholesterol)
Learn More on Yale MedicineFatty Liver Disease
Learn More on Yale MedicineHemoglobin A1C Test
Learn More on Yale MedicineType 2 Diabetes: Symptoms and Treatments
Learn More on Yale Medicine
Yale Medicine News
Are You a Patient?
View this doctor's clinical profile on the Yale Medicine website for information about the services we offer and making an appointment.
View Doctor ProfileNews & Links
News
- May 02, 2024
56 Yale Pediatricians Recognized by Connecticut Magazine's 2024 “Top Doctors” List
- November 01, 2023
The next era of obesity medicine
- June 23, 2023Source: World Congress on IR, DM & CVD
WCIRDC2022: Sonia Caprio
- September 01, 2022Source: Yale Medicine
Prediabetes Is on the Rise—Here’s How To Reverse It
Get In Touch
Contacts
Pediatric Endocrinology & Diabetes
PO Box 208064
New Haven, CT 06520-8064
United States
Administrative Support
Locations
Patient Care Locations
Are You a Patient? View this doctor's clinical profile on the Yale Medicine website for information about the services we offer and making an appointment.