Thus, the purposes of this investigation were to determine the frequency of IR in patients with DMD/BMD and to evaluate the association of deletions in specific regions of the DMD gene with obesity and IR, as well as exploring molecular mechanisms likely leading to IR, by evaluating molecules involved in glucose metabolism such as insulin receptor, insulin receptor substrate, and GLUT4 localization in muscle biopsies of DMD/BMD patients. Here, INSR is linked to obesity due to melanocortin 4 receptor deficiency.