BACKGROUND/AIMS: There is a strong debate on the diagnosis and early phenotypic expression of the metabolic syndrome in children. The aim of the present study was to examine the frequency of the metabolic syndrome using various definitions in obese prepubertal and pubertal children. METHODS: 478 (213 females and 265 males) obese children were recruited in three provinces of Spain. Blood pressure (BP), waist circumference, and weight and height were measured, and body mass index was calculated. Glucose, insulin, high-density lipoprotein cholesterol and triacylglycerols were determined. We classified the children according to seven different proposed definitions of the metabolic syndrome. RESULTS: Regardless of the definition used, the prevalence of the metabolic syndrome (8.3-34.2%) was relatively high in obese children in the prepubertal period as well as in pubertal children (9.7-41.2%). We performed a principal-factor analysis to explain correlations among features of the metabolic syndrome and found that glucose metabolism (factor 1), dyslipidemia (factor 2) and obesity/BP (factor 3) explained 72% of the total variance. CONCLUSION: Irrespective of the classification used, the metabolic syndrome is not only present in pubertal but also in prepubertal children. International definitions of the metabolic syndrome should also consider criteria specific for children in the prepubertal period, i.e. children aged <10 years.
BACKGROUND/AIMS: There is a strong debate on the diagnosis and early phenotypic expression of the metabolic syndrome in children. The aim of the present study was to examine the frequency of the metabolic syndrome using various definitions in obese prepubertal and pubertal children. METHODS: 478 (213 females and 265 males) obesechildren were recruited in three provinces of Spain. Blood pressure (BP), waist circumference, and weight and height were measured, and body mass index was calculated. Glucose, insulin, high-density lipoprotein cholesterol and triacylglycerols were determined. We classified the children according to seven different proposed definitions of the metabolic syndrome. RESULTS: Regardless of the definition used, the prevalence of the metabolic syndrome (8.3-34.2%) was relatively high in obesechildren in the prepubertal period as well as in pubertal children (9.7-41.2%). We performed a principal-factor analysis to explain correlations among features of the metabolic syndrome and found that glucose metabolism (factor 1), dyslipidemia (factor 2) and obesity/BP (factor 3) explained 72% of the total variance. CONCLUSION: Irrespective of the classification used, the metabolic syndrome is not only present in pubertal but also in prepubertal children. International definitions of the metabolic syndrome should also consider criteria specific for children in the prepubertal period, i.e. children aged <10 years.
Authors: W Ahrens; L A Moreno; S Mårild; D Molnár; A Siani; S De Henauw; J Böhmann; K Günther; C Hadjigeorgiou; L Iacoviello; L Lissner; T Veidebaum; H Pohlabeln; I Pigeot Journal: Int J Obes (Lond) Date: 2014-09 Impact factor: 5.095
Authors: Pedro Juan Carpena Lucas; Francisco Sánchez-Cubo; Manuel Vargas Vargas; José Mondéjar Jiménez Journal: Int J Environ Res Public Health Date: 2022-03-31 Impact factor: 3.390
Authors: Rosaura Leis; Jose Manuel Jurado-Castro; Francisco Jesus Llorente-Cantarero; Augusto Anguita-Ruiz; Azahara Iris-Rupérez; Juan Jose Bedoya-Carpente; Rocío Vázquez-Cobela; Concepción María Aguilera; Gloria Bueno; Mercedes Gil-Campos Journal: Nutrients Date: 2020-05-01 Impact factor: 5.717