BACKGROUND: Due to the lack of consensus on its definition, the metabolic syndrome (MS) in children and adolescents is not formally recognized. However, several researchers have changed the adult criteria for pediatric standards in order to assess the prevalence. OBJECTIVE: The aim of this study was to evaluate the frequency of MS and its components according to two of the currently used definitions in overweight and obese adolescents. METHODS: A cross-sectional study with 232 adolescents with excess weight from a public school of the city of Rio de Janeiro. Anthropometric, blood pressure, and biochemical variables were assessed. MS was defined using two different diagnostic criteria: the National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATPIII) and International Diabetes Federation (IDF). RESULTS: MS was diagnosed in 40.4 and 24.6% of obese adolescents and 9.4 and 1.9% of overweight adolescents according to the NCEP-ATPIII and IDF criteria, respectively. The degree of agreement, assessed by the κ index, from the definitions adopted in this study was 0.48. CONCLUSION: The results show a significant difference between the two diagnostic criteria. A higher frequency was found when the NCEP-ATPIII was used, which is of concern given the association of MS with diabetes and cardiovascular disease.
BACKGROUND: Due to the lack of consensus on its definition, the metabolic syndrome (MS) in children and adolescents is not formally recognized. However, several researchers have changed the adult criteria for pediatric standards in order to assess the prevalence. OBJECTIVE: The aim of this study was to evaluate the frequency of MS and its components according to two of the currently used definitions in overweight and obese adolescents. METHODS: A cross-sectional study with 232 adolescents with excess weight from a public school of the city of Rio de Janeiro. Anthropometric, blood pressure, and biochemical variables were assessed. MS was defined using two different diagnostic criteria: the National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATPIII) and International Diabetes Federation (IDF). RESULTS: MS was diagnosed in 40.4 and 24.6% of obese adolescents and 9.4 and 1.9% of overweight adolescents according to the NCEP-ATPIII and IDF criteria, respectively. The degree of agreement, assessed by the κ index, from the definitions adopted in this study was 0.48. CONCLUSION: The results show a significant difference between the two diagnostic criteria. A higher frequency was found when the NCEP-ATPIII was used, which is of concern given the association of MS with diabetes and cardiovascular disease.
Authors: D T Giannini; M C C Kuschnir; C L de Oliveira; K V Bloch; B D Schaan; F V Cureau; K M B de Carvalho; G M Dias; M Szklo Journal: Eur J Clin Nutr Date: 2017-05-24 Impact factor: 4.016
Authors: Maria Cristina C Kuschnir; Katia Vergetti Bloch; Moyses Szklo; Carlos Henrique Klein; Laura Augusta Barufaldi; Gabriela de Azevedo Abreu; Beatriz Schaan; Gloria Valeria da Veiga; Thiago Luiz Nogueira da Silva; Maurício T L de Vasconcellos; Ana Júlia Pantoja de Moraes; Ana Luíza Borges; Ana Mayra Andrade de Oliveira; Bruno Mendes Tavares; Cecília Lacroix de Oliveira; Cristiane de Freitas Cunha; Denise Tavares Giannini; Dilson Rodrigues Belfort; Eduardo Lima Santos; Elisa Brosina de Leon; Elizabeth Fujimori; Elizabete Regina Araújo Oliveira; Erika da Silva Magliano; Francisco de Assis Guedes Vasconcelos; George Dantas Azevedo; Gisela Soares Brunken; Isabel Cristina Britto Guimarães; José Rocha Faria Neto; Juliana Souza Oliveira; Kenia Mara B de Carvalho; Luis Gonzaga de Oliveira Gonçalves; Maria Inês Monteiro; Marize M Santos; Pascoal Torres Muniz; Paulo César B Veiga Jardim; Pedro Antônio Muniz Ferreira; Renan Magalhães Montenegro; Ricardo Queiroz Gurgel; Rodrigo Pinheiro Vianna; Sandra Mary Vasconcelos; Stella Maris Seixas Martins; Tamara Beres Lederer Goldberg Journal: Rev Saude Publica Date: 2016-02-23 Impact factor: 2.106
Authors: Enrique Albert Pérez; Victoria Mateu Olivares; Rosa María Martínez-Espinosa; Mariola D Molina Vila; Manuel Reig García-Galbis Journal: Nutrients Date: 2018-07-06 Impact factor: 5.717
Authors: Abeer Ali Aljahdali; Karen E Peterson; Alejandra Cantoral; Edward Ruiz-Narvaez; Martha M Tellez-Rojo; Hyungjin Myra Kim; James R Hébert; Michael D Wirth; Libni A Torres-Olascoaga; Nitin Shivappa; Ana Baylin Journal: Nutrients Date: 2022-02-20 Impact factor: 5.717