Comparison between a Pediatric Health Promotion Center and a Pediatric Obesity Clinic in Detecting Metabolic Syndrome and Non-Alcoholic Fatty Liver Disease in Children.
10.3346/jkms.2014.29.12.1672
- Author:
Hye Ran YANG
1
;
Dae Yong YI
;
Hyoung Soo CHOI
Author Information
1. Department of Pediatrics, Seoul National University Bundang Hospital, Seongnam, Korea. choihs1786@snubh.org
- Publication Type:Original Article ; Comparative Study
- Keywords:
Obesity;
Metabolic Syndrome;
Non-Alcoholic Fatty Liver Disease;
Prevalence;
Child
- MeSH:
Adolescent;
Causality;
Child;
Child, Preschool;
Comorbidity;
Female;
Health Promotion/*utilization;
Humans;
Male;
Metabolic Syndrome X/*diagnosis/epidemiology;
Non-alcoholic Fatty Liver Disease/*diagnosis/epidemiology;
Obesity/*diagnosis/epidemiology;
Physical Examination/*statistics & numerical data;
Prevalence;
Reproducibility of Results;
Republic of Korea/epidemiology;
Risk Factors;
Sensitivity and Specificity;
Young Adult
- From:Journal of Korean Medical Science
2014;29(12):1672-1677
- CountryRepublic of Korea
- Language:English
-
Abstract:
This study was done to evaluate the efficacy of health check-ups in children in detecting metabolic syndrome and non-alcoholic fatty liver disease (NAFLD) by comparing the pediatric health promotion center with the pediatric obesity clinic. Children who visited a pediatric health promotion center (n=218) or a pediatric obesity clinic (n=178) were included. Anthropometric data, blood pressure, laboratory tests, and abdominal ultrasonography were evaluated. Two different criteria were applied to diagnose metabolic syndrome. The prevalence of metabolic syndrome in the 2 units was 3.2%-3.7% in a pediatric health promotion center and 23%-33.2% in a pediatric obesity clinic. Significant differences were observed in the prevalence of each component of metabolic syndrome between the 2 units including abdominal adiposity, blood pressure, serum triglycerides, and fasting blood glucose (P<0.05). The prevalence of NAFLD was 8.7% and 71.9% in the 2 units according to liver enzymes and 5.9% and 61.8% according to ultrasonography (P<0.05). The prevalence of metabolic syndrome and NAFLD was higher among patients visiting the obesity clinic targeting obese children than that among patients visiting the health promotion center offering routine check-ups. An obesity-oriented approach is required to prevent obesity-related health problems in children.
