The Relationship between Lifestyle and Metabolic Syndrome in Obese Children and Adolescents.
- Author:
Ky Young CHO
1
;
Hyesook PARK
;
Jeong Wan SEO
Author Information
1. Department of Pediatrics, Ewha Womans UniversitySchool of Medicine, Seoul, Korea. jwseo@ewha.ac.kr
- Publication Type:Original Article
- Keywords:
Obesity;
Metabolic syndrome;
Lifestyle;
Child;
Adolescent
- MeSH:
Adolescent;
Blood Glucose;
Child;
Diet;
Eating;
Fasting;
Glucose;
Humans;
Hyperinsulinism;
Hypertension;
Hypertriglyceridemia;
Insulin;
Life Style;
Medical Records;
Obesity;
Parents;
Surveys and Questionnaires;
Retrospective Studies;
Risk Factors;
Triglycerides
- From:Korean Journal of Pediatric Gastroenterology and Nutrition
2008;11(2):150-159
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To assess the relationship between lifestyle and metabolic syndrome in obese children and adolescents. METHODS: We retrospectively reviewed the medical records and laboratory results of 109 subjects (7~15 years of age) who visited our pediatric obesity clinic between January 2004 and December 2007. They completed the parent- and self-report questionnaire developed by the Committee on Nutrition of the Korean Pediatric Society to assess lifestyle. The metabolic syndrome was defined as having 3 or more of the following metabolic risk factors: obesity, hypertension, serum triglycerides > or =110 mg/dL, HDL-cholesterol < or =40 mg/dL, fasting glucose > or =110 mg/dL, and insulin > or =20 micronIU/mL. RESULTS: All subjects had at least 1 risk factor (obesity). Sixty-three percent of subjects had 2 or more risk factors, 32% of subjects had 3 or more risk factors, and 10% had 4 or more metabolic risk factors. Hypertriglyceridemia (36%), hypertension (32%), hyperinsulinemia (24%), and HDL-hypocholesterolemia (20%) were observed. Fasting blood glucose levels were normal in all subjects. Hypertension was significantly associated with an unbalanced diet and hyperinsulinemia was significantly associated with parental obesity (p<0.05). Those who ate after 8 PM were at a risk of hypertension (odds ratio, 2.5; 95% CI, 1.0~6.1). Those who did not have a preference for exercise were at a risk of hyperinsulinemia (odds ratio, 10.4; 95% CI, 2~54.1). Those who watched TV for > or =3 hours/day were at a risk of metabolic syndrome (odds ratio, 4.8; 95% CI, 1.2~18.8). CONCLUSION: Lifestyle, such as eating late, no preference for exercise, and TV watching > or =3 hours/day, were related to metabolic syndrome in obese children and adolescents.
