Metabolic Syndrome Based on IDF Criteria in a Sample of Normal Weight and Obese School Children
- Author:
Quah YV
;
Poh BK
;
Ismail MN
- Publication Type:Journal Article
- Keywords:
IDF Criteria, metabolic syndrome, normal weight children, obese children
- From:
Malaysian Journal of Nutrition
2010;16(2):207-217
- CountryMalaysia
- Language:English
-
Abstract:
Metabolic syndrome was once reported only in adults but is now occurring more frequently in children. This study compared the incidence of metabolic
syndrome and its components among normal and obese children using the 2007 International Diabetes Federation (IDF) pediatric definition for metabolic
syndrome. Subjects comprised 78 school children aged 8-10 years, with 34 obese and 44 normal weight children. Body weight, height, and waist circumference
(WC) were measured and body mass index was calculated. Clinical profiles measured included fasting blood glucose, triglyceride, HDL cholesterol, LDL cholesterol, total cholesterol, and blood pressure. Metabolic syndrome (MS) was defined using the 2007 IDF pediatric criteria. Obese subjects had a significantly (p<0.001) higher mean BMI (26.0 ± 3.6 kg/m2) compared to normal weight subjects
(15.1 ± 0.8 kg/m2). Only one obese subject (1.3% of subjects) had metabolic syndrome based on the IDF definition, but all obese subjects had at least one
component of metabolic syndrome. In comparison, no normal weight subjects had metabolic syndrome and only 9.1% of normal weight subjects had at least one component of metabolic syndrome. The most common component was
central obesity, observed in 43.6% of subjects having WC equal to or greater than the 90th percentile. In concurrence with central obesity as the core feature of
the IDF criteria, WC showed the strongest correlation with indicators of obesity such as BMI (r=0.938, p<0.001), fat mass (r=0.912, p<0.001) and fat-free mass (r=0.863,
p<0.001). We conclude that the problem of metabolic syndrome is more prominent among obese children, although the incidence of MS as defined by the 2007 pediatric IDF criteria, is low in this population (1.3%).
- Full text:W020150713548376112663.pdf
