The metabolic syndrome and body composition in childhood cancer survivors.
10.3345/kjp.2011.54.6.253
- Author:
Young Bae SOHN
1
;
Su Jin KIM
;
Sung Won PARK
;
Se Hwa KIM
;
Sung Yoon CHO
;
Soo Hyun LEE
;
Keon Hee YOO
;
Ki Woong SUNG
;
Jae Hoon CHUNG
;
Hong Hoe KOO
;
Dong Kyu JIN
Author Information
1. Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jindk@skku.edu
- Publication Type:Original Article
- Keywords:
Cancer survivor;
Metabolic syndrome;
Body composition;
Fat percentage
- MeSH:
Adipose Tissue;
Adolescent;
Body Composition;
Body Mass Index;
Cardiovascular Diseases;
Child;
Cholesterol;
Cholesterol, HDL;
Cranial Irradiation;
Humans;
Korea;
Lipoproteins;
Medical Records;
Retrospective Studies;
Survivors;
Waist Circumference
- From:Korean Journal of Pediatrics
2011;54(6):253-259
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Long-term survivors of childhood cancer appear to have an increased risk for the metabolic syndrome, subsequent type 2 diabetes and cardiovascular disease in adulthood compared to healthy children. The purpose of this study was to investigate the frequency of the metabolic syndrome and associated factors in childhood cancer survivors at a single center in Korea. METHODS: We performed a retrospective review of medical records of 98 childhood cancer survivors who were diagnosed and completed anticancer treatment at Samsung Medical Center, Seoul, Korea between Jan. 1996 and Dec. 2007. Parameters of metabolic syndrome were evaluated between Jan. 2008 and Dec. 2009. Clinical and biochemical findings including body fat percentage were analyzed. RESULTS: A total of 19 (19.4%) patients had the metabolic syndrome. The median body fat percentage was 31.5%. The body mass index and waist circumference were positively correlated with the cranial irradiation dose (r=0.38, P<0.001 and r=0.44, P<0.00, respectively). Sixty-one (62.2%) patients had at least one abnormal lipid value. The triglyceride showed significant positive correlation with the body fat percentage (r=0.26, P=0.03). The high density lipoprotein cholesterol showed significant negative correlation with the percent body fat (r=-0.26, P=0.03). CONCLUSION: Childhood cancer survivors should have thorough metabolic evaluation including measurement of body fat percentage even if they are not obese. A better understanding of the determinants of the metabolic syndrome during adolescence might provide preventive interventions for improving health outcomes in adulthood.
