BACKGROUND: The prevalence of overweight and obesity in children in Mexico are high, as well as the complications associated with their presence. The objective of this work was to estimate the prevalence of metabolic syndrome in obese children and adolescents attending a Hospital Clinic and identify the associated factors. METHODS: Cross sectional design with 120 children and adolescents; of either sex, with exogenous obesity and BMI > 2.0 standard deviations. Personal and family history was collected, blood pressure was measured and determination of serum glucose, insulin, lipoprotein HDL cholesterol and triglycerides were performed. The presence of metabolic syndrome with the ATPIII, WHO and International Diabetes Federation criteria was identified. The association of metabolic syndrome with different variables was identified with chi square test and calculation of odds ratio. RESULTS: Mean age was 10.6 ± 2.7 years. The prevalence of metabolic syndrome was 37.5% to 54.5% depending on the criteria used. The presence of metabolic syndrome was associated with a history of large birth weight (OR= 2.21 [1.01-4.82]), and insulin resistance (OR= 6.53 [2.40-18.2]). CONCLUSIONS: The prevalence of metabolic syndrome is high in this group of children and adolescents with obesity. The history of large birth weight and the presence of insulin resistance should alert us to the presence of the disease.
BACKGROUND: The prevalence of overweight and obesity in children in Mexico are high, as well as the complications associated with their presence. The objective of this work was to estimate the prevalence of metabolic syndrome in obesechildren and adolescents attending a Hospital Clinic and identify the associated factors. METHODS: Cross sectional design with 120 children and adolescents; of either sex, with exogenous obesity and BMI > 2.0 standard deviations. Personal and family history was collected, blood pressure was measured and determination of serum glucose, insulin, lipoprotein HDL cholesterol and triglycerides were performed. The presence of metabolic syndrome with the ATPIII, WHO and International Diabetes Federation criteria was identified. The association of metabolic syndrome with different variables was identified with chi square test and calculation of odds ratio. RESULTS: Mean age was 10.6 ± 2.7 years. The prevalence of metabolic syndrome was 37.5% to 54.5% depending on the criteria used. The presence of metabolic syndrome was associated with a history of large birth weight (OR= 2.21 [1.01-4.82]), and insulin resistance (OR= 6.53 [2.40-18.2]). CONCLUSIONS: The prevalence of metabolic syndrome is high in this group of children and adolescents with obesity. The history of large birth weight and the presence of insulin resistance should alert us to the presence of the disease.
Entities:
Keywords:
Children and adolescents; Insulin resistance; Metabolic syndrome X; Obesity
Authors: Miguel Henrique Pereira de Paiva; Valberto Alencar Miranda Filho; Ana Raquel Soares de Oliveira; Kyria Jayanne Clímaco Cruz; Regina Maria Sousa de Araújo; Karla Andrade de Oliveira Journal: Rev Paul Pediatr Date: 2022-07-06
Authors: Hyung-Sub Jin; Eun-Bee Choi; Minseo Kim; Sarah Soyeon Oh; Sung-In Jang Journal: Int J Environ Res Public Health Date: 2019-11-14 Impact factor: 3.390
Authors: Karen S W Leong; Thilini N Jayasinghe; Brooke C Wilson; José G B Derraik; Benjamin B Albert; Valentina Chiavaroli; Darren M Svirskis; Kathryn L Beck; Cathryn A Conlon; Yannan Jiang; William Schierding; Tommi Vatanen; David J Holland; Justin M O'Sullivan; Wayne S Cutfield Journal: Sci Rep Date: 2020-11-18 Impact factor: 4.379