Relationship between obesity and metabolic syndrome among Argentinean elementary school children

Clinical Biochemistry
Valeria HirschlerClaudio Aranda

Abstract

Argentina has experienced marked increases in the prevalence of childhood overweight (OW)/obesity over the last few decades. We examined (1) the distribution of the mean values of lipids, glucose, and HOMA-IR according to the presence of OW/obesity, age, and sex and (2) the association between metabolic syndrome and OW/obesity, Tanner stage, gender, and HOMA-IR. Data were collected from 1009 children (508 males) in 10 elementary schools between April and September 2007. BMI, waist circumference, blood pressure, Tanner, lipids, insulin, and glucose were determined. Criteria analogous to ATPIII were used for metabolic syndrome in children. Over 1009 children (508 males) aged 9.4 + or - 2.0 years were evaluated. One hundred and sixty-five (16.4%) were obese (>95th percentile), and 166 (16.5%) were OW (85-95th). Twenty-five (2.5%) were severely obese (BMI>99th). Most of the children (62%; 613/979) were at Tanner 1. Triglycerides, insulin, and HOMA-IR were higher (p<0.001) and HDL-C lower (p<0.001) in OW/obesity in both age groups and genders. The prevalence of metabolic syndrome was 5.8% overall, 32% in severely obese, 16.4% in OW/obese and 0.4% in normal weight children. Multiple logistic regression showed that BMI (OR 24.48; 95% ...Continue Reading

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Citations

Sep 29, 2011·Pediatric Cardiology·Valeria HirschlerKarin Oestreicher
Mar 26, 2013·Journal of Paediatrics and Child Health·Smita NambiarKimberley Baxter
Mar 8, 2011·Archives of Medical Research·Valeria HirschlerFernando Brites
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