Metabolic Syndrome in the at risk for overweight and overweight children and adolescents
BL Yatheesha, Ashwin Borade, L Rajam
Department of Pediatrics, Amrita Institute of Medical Sciences, Kochi, India.
Abstract

Objectives: To determine the prevalence of metabolic syndrome (MS) in at risk for overweight and overweight children and adolescents. Secondary objective was to estimate the distribution of the individual components of the metabolic syndrome.

Materials and Methods: For this study, a total of 81 children and adolescents at risk for overweight and overweight in the age group of 2-18 years were included in the study. Subjects were evaluated for anthropometry, waist circumference, blood pressure (BP) and biochemical parameters. Subjects who met Adult Treatment Panel (ATP) III definition modified for age were defined as metabolic syndrome.

Results: The overall prevalence of MS in the at risk for overweight and overweight children and adolescents in study was 25.9%. There was no gender difference in prevalence of MS (P=0.626). Low HDL was most common (61.7%) and hyperglycemia was the least common risk factor (2.5%). In this study the constituent factors for MS were, one factor in 27.16%, two in 35.8%, three in 21% and four in 4.9%.

Conclusion: Childhood obesity is associated with increased frequency of metabolic syndrome. We suggest screening for the metabolic syndrome should be considered in all at risk for overweight and overweight children and adolescents.
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