Trends and Risk Factors of Metabolic Syndrome among Korean Adolescents, 2007 to 2018

Background There is a lack of recent research on the changes in risk factors for metabolic syndrome (MetS) in the Asian pediatric population. We aimed to determine the 12-year trends in the prevalence of MetS and relevant lifestyle factors such as smoking, exercise, and calorie intake among Korean a...

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Autores principales:	Jiun Chae, Moon Young Seo, Shin-Hye Kim, Mi Jung Park
Formato:	article
Lenguaje:	EN
Publicado:	Korean Diabetes Association 2021
Materias:	adolescent diet exercise metabolic syndrome smoking Diseases of the endocrine glands. Clinical endocrinology RC648-665
Acceso en línea:	https://doaj.org/article/e738de9b7005464486d5fd6d80ead5bd
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spelling	oai:doaj.org-article:e738de9b7005464486d5fd6d80ead5bd2021-12-01T05:07:51ZTrends and Risk Factors of Metabolic Syndrome among Korean Adolescents, 2007 to 20182233-60792233-608710.4093/dmj.2020.0185https://doaj.org/article/e738de9b7005464486d5fd6d80ead5bd2021-11-01T00:00:00Zhttp://www.e-dmj.org/upload/pdf/dmj-2020-0185.pdfhttps://doaj.org/toc/2233-6079https://doaj.org/toc/2233-6087Background There is a lack of recent research on the changes in risk factors for metabolic syndrome (MetS) in the Asian pediatric population. We aimed to determine the 12-year trends in the prevalence of MetS and relevant lifestyle factors such as smoking, exercise, and calorie intake among Korean adolescents. Methods We investigated trends in MetS and lifestyle factors among 6,308 adolescents aged 12 to 18 years from the Korea National Health and Nutrition Examination Survey, 2007 to 2018. Results The prevalence of MetS was stable from 2007 to 2018 (1.7% to 2.2%). There were significant increases in the prevalence of central obesity (from 8.1% to 11.2%, P=0.012) and hyperglycemia (from 5.3% to 10.4%, P<0.001) and decreases in hypo-high-density lipoprotein (HDL)-cholesterolemia (from 22.4% to 14.8%, P<0.001). Total calorie intake and calorie intake from fat significantly increased (P<0.001), whereas calorie intP<reased (P<0.001) during the study period. The proportions of tobacco smokers and regular walkers significantly decreased from 2007 to 2018. After controlling for all covariates, total calorie intake was positively correlated with waist circumference (P<0.05). HDL-cholesterol was negatively associated with carbohydrate consumption (P<0.01) and positively associated with fat consumption (P<0.001). Regular walking and regular strength training were associated with lower waist circumference (P<0.05). Smoking was associated with lower fasting glucose levels (P<0.01). Conclusion Although the prevalence rate of MetS is stable among Korean adolescents, the prevalence of central obesity and hyperglycemia has increased greatly in the recent decade. Public education on proper dietary intake and lifestyle modification is required.Jiun ChaeMoon Young SeoShin-Hye KimMi Jung ParkKorean Diabetes Associationarticleadolescentdietexercisemetabolic syndromesmokingDiseases of the endocrine glands. Clinical endocrinologyRC648-665ENDiabetes & Metabolism Journal, Vol 45, Iss 6, Pp 880-889 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	adolescent diet exercise metabolic syndrome smoking Diseases of the endocrine glands. Clinical endocrinology RC648-665
spellingShingle	adolescent diet exercise metabolic syndrome smoking Diseases of the endocrine glands. Clinical endocrinology RC648-665 Jiun Chae Moon Young Seo Shin-Hye Kim Mi Jung Park Trends and Risk Factors of Metabolic Syndrome among Korean Adolescents, 2007 to 2018
description	Background There is a lack of recent research on the changes in risk factors for metabolic syndrome (MetS) in the Asian pediatric population. We aimed to determine the 12-year trends in the prevalence of MetS and relevant lifestyle factors such as smoking, exercise, and calorie intake among Korean adolescents. Methods We investigated trends in MetS and lifestyle factors among 6,308 adolescents aged 12 to 18 years from the Korea National Health and Nutrition Examination Survey, 2007 to 2018. Results The prevalence of MetS was stable from 2007 to 2018 (1.7% to 2.2%). There were significant increases in the prevalence of central obesity (from 8.1% to 11.2%, P=0.012) and hyperglycemia (from 5.3% to 10.4%, P<0.001) and decreases in hypo-high-density lipoprotein (HDL)-cholesterolemia (from 22.4% to 14.8%, P<0.001). Total calorie intake and calorie intake from fat significantly increased (P<0.001), whereas calorie intP<reased (P<0.001) during the study period. The proportions of tobacco smokers and regular walkers significantly decreased from 2007 to 2018. After controlling for all covariates, total calorie intake was positively correlated with waist circumference (P<0.05). HDL-cholesterol was negatively associated with carbohydrate consumption (P<0.01) and positively associated with fat consumption (P<0.001). Regular walking and regular strength training were associated with lower waist circumference (P<0.05). Smoking was associated with lower fasting glucose levels (P<0.01). Conclusion Although the prevalence rate of MetS is stable among Korean adolescents, the prevalence of central obesity and hyperglycemia has increased greatly in the recent decade. Public education on proper dietary intake and lifestyle modification is required.
format	article
author	Jiun Chae Moon Young Seo Shin-Hye Kim Mi Jung Park
author_facet	Jiun Chae Moon Young Seo Shin-Hye Kim Mi Jung Park
author_sort	Jiun Chae
title	Trends and Risk Factors of Metabolic Syndrome among Korean Adolescents, 2007 to 2018
title_short	Trends and Risk Factors of Metabolic Syndrome among Korean Adolescents, 2007 to 2018
title_full	Trends and Risk Factors of Metabolic Syndrome among Korean Adolescents, 2007 to 2018
title_fullStr	Trends and Risk Factors of Metabolic Syndrome among Korean Adolescents, 2007 to 2018
title_full_unstemmed	Trends and Risk Factors of Metabolic Syndrome among Korean Adolescents, 2007 to 2018
title_sort	trends and risk factors of metabolic syndrome among korean adolescents, 2007 to 2018
publisher	Korean Diabetes Association
publishDate	2021
url	https://doaj.org/article/e738de9b7005464486d5fd6d80ead5bd
work_keys_str_mv	AT jiunchae trendsandriskfactorsofmetabolicsyndromeamongkoreanadolescents2007to2018 AT moonyoungseo trendsandriskfactorsofmetabolicsyndromeamongkoreanadolescents2007to2018 AT shinhyekim trendsandriskfactorsofmetabolicsyndromeamongkoreanadolescents2007to2018 AT mijungpark trendsandriskfactorsofmetabolicsyndromeamongkoreanadolescents2007to2018
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Trends and Risk Factors of Metabolic Syndrome among Korean Adolescents, 2007 to 2018

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