Prevalencia de síndrome metabólico en niños y adolescentes que consultan por obesidad

Background: The higher prevalence of chüdhood obesity has led to search for metabolic syndrome (MS) in this age group. Aim: To study the prevalence of MS in obese children and adolescents. Material ana Methods: Cross sectional study of 255 obese children and adolescents aged 11.3 ± 2.4 years, 45% ma...

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Autores principales: Eyzaguirre,Francisca, Silva,Ricardo, Román,Rossana, Palacio,Ana, Cosentino,Marcela, Vega,Vanessa, García,Hernán
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2011
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000600006
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spelling oai:scielo:S0034-988720110006000062011-09-14Prevalencia de síndrome metabólico en niños y adolescentes que consultan por obesidadEyzaguirre,FranciscaSilva,RicardoRomán,RossanaPalacio,AnaCosentino,MarcelaVega,VanessaGarcía,Hernán Adolescent Child Metabolic syndrome X Obesity Background: The higher prevalence of chüdhood obesity has led to search for metabolic syndrome (MS) in this age group. Aim: To study the prevalence of MS in obese children and adolescents. Material ana Methods: Cross sectional study of 255 obese children and adolescents aged 11.3 ± 2.4 years, 45% males, 60% pubertal, with a body mass Índex (BMI) z score of 2.7 ± 0.6, who were evaluated for obesity. MS was defined as the presence of at least three of the following criteria, according to Ferranti: fasting glucose (FG) &#8805; 100 mg/dl, triglycerides (TG) &#8805; 100 mg/dl, HDL < 50 mg/dl, waist circumference (WC) &gt; percentile (p) 75 and blood pressure (BP) &gt; p90. Patients were also classified using Cook criteria: FG &#8805;100 mg/dl, TG &#8805; 110 mg/dl, HDL < 40 mg/dl, WC &gt; p 90, BP &gt; p 90. Results: MS was observed in 45 and 22.7% of patients, according to Ferranti and Cook definitions, respectively. WC was the most frequent criteria and glucose was the most uncommon. Males had higher body mass Índex, WC and TG levéis than femóles. According to Ferranti and Cook áefinitions, MS prevalence was 53.5 and 28% in males and 37.6 andl8.4% in fernales (p < 0.05). Fifty and 26.1% of pubertal patients exhibited MS vs 36.9 and 17.5% in pre-pubertal subjects (p < 0.05) using Ferranti and Cook criteria, respectively. The frequency of MS increased along with a higher BMI. Conclusions: MS is a prevalent condition in obese children and adolescents, especially in males and pubertal children. It is necessary to have a better and universal definition for MS in pediatrics including all ages, in order to be focused in obesity prevention and treatment.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.139 n.6 20112011-06-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000600006es10.4067/S0034-98872011000600006
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Adolescent
Child
Metabolic syndrome X
Obesity
spellingShingle Adolescent
Child
Metabolic syndrome X
Obesity
Eyzaguirre,Francisca
Silva,Ricardo
Román,Rossana
Palacio,Ana
Cosentino,Marcela
Vega,Vanessa
García,Hernán
Prevalencia de síndrome metabólico en niños y adolescentes que consultan por obesidad
description Background: The higher prevalence of chüdhood obesity has led to search for metabolic syndrome (MS) in this age group. Aim: To study the prevalence of MS in obese children and adolescents. Material ana Methods: Cross sectional study of 255 obese children and adolescents aged 11.3 ± 2.4 years, 45% males, 60% pubertal, with a body mass Índex (BMI) z score of 2.7 ± 0.6, who were evaluated for obesity. MS was defined as the presence of at least three of the following criteria, according to Ferranti: fasting glucose (FG) &#8805; 100 mg/dl, triglycerides (TG) &#8805; 100 mg/dl, HDL < 50 mg/dl, waist circumference (WC) &gt; percentile (p) 75 and blood pressure (BP) &gt; p90. Patients were also classified using Cook criteria: FG &#8805;100 mg/dl, TG &#8805; 110 mg/dl, HDL < 40 mg/dl, WC &gt; p 90, BP &gt; p 90. Results: MS was observed in 45 and 22.7% of patients, according to Ferranti and Cook definitions, respectively. WC was the most frequent criteria and glucose was the most uncommon. Males had higher body mass Índex, WC and TG levéis than femóles. According to Ferranti and Cook áefinitions, MS prevalence was 53.5 and 28% in males and 37.6 andl8.4% in fernales (p < 0.05). Fifty and 26.1% of pubertal patients exhibited MS vs 36.9 and 17.5% in pre-pubertal subjects (p < 0.05) using Ferranti and Cook criteria, respectively. The frequency of MS increased along with a higher BMI. Conclusions: MS is a prevalent condition in obese children and adolescents, especially in males and pubertal children. It is necessary to have a better and universal definition for MS in pediatrics including all ages, in order to be focused in obesity prevention and treatment.
author Eyzaguirre,Francisca
Silva,Ricardo
Román,Rossana
Palacio,Ana
Cosentino,Marcela
Vega,Vanessa
García,Hernán
author_facet Eyzaguirre,Francisca
Silva,Ricardo
Román,Rossana
Palacio,Ana
Cosentino,Marcela
Vega,Vanessa
García,Hernán
author_sort Eyzaguirre,Francisca
title Prevalencia de síndrome metabólico en niños y adolescentes que consultan por obesidad
title_short Prevalencia de síndrome metabólico en niños y adolescentes que consultan por obesidad
title_full Prevalencia de síndrome metabólico en niños y adolescentes que consultan por obesidad
title_fullStr Prevalencia de síndrome metabólico en niños y adolescentes que consultan por obesidad
title_full_unstemmed Prevalencia de síndrome metabólico en niños y adolescentes que consultan por obesidad
title_sort prevalencia de síndrome metabólico en niños y adolescentes que consultan por obesidad
publisher Sociedad Médica de Santiago
publishDate 2011
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872011000600006
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