Comparison of Different Criteria in the Prevalence of Metabolic Syndrome in Students From Paranavaí, Paraná

Guilherme, Flávio Ricardo; Nascimento, Matheus Amarante do; Fernandes, Carlos Alexandre Molena; Guilherme, Vânia Renata; Santos, Stevan Ricardo dos; Elias, Rui Gonçalves Marques; Rinaldi, Wilson

doi:10.1590/1984-0462/;2019;37;3;00007

Cited by 9 publications

(22 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…One study for 2010; 17 two studies for each of 2011, 18,19 2013, 20,21 2016, 22,23 and 2017; 24,25 and three studies for 2018 [26][27][28] and 2019 [29][30][31] were retrieved. 23 Data from this study were extracted by Brazilian regions to determine the combined prevalence of MS in this meta-analysis.…”

Section: Resultsmentioning

confidence: 99%

Prevalence of metabolic syndrome and its components in Brazilian adolescents: a systematic review and meta-analysis

Paiva

Filho

Oliveira

et al. 2023

Rev. paul. pediatr.

View full text Add to dashboard Cite

Objective: To determine the prevalence of metabolic syndrome (MS) and its components among Brazilian adolescents. Data source: Databases, such as LILACS, MEDLINE, and SciELO, were searched for original cross-sectional studies published between 2010 and 2021. The inclusion criteria were determined based on the mnemonic CoCoPop — Condition, Context, and Population: studies determining the prevalence of MS and its components (condition) in the general population of Brazilian adolescents, female and male (population), enrolled in public or private schools in rural or urban areas (context). Reviews, editorials, and articles that did not directly relate to the prevalence of MS or that included non-adolescent age groups or groups with specific health conditions (obesity/overweight and others) were excluded. Data synthesis: A total of 15 studies, including 43,227 adolescents, were identified. MS prevalence (95% confidence interval [95%CI]) was 2.9% (2.65–3.18) and 2.4% (1.90–2.90) (p<0.001) in males and females, respectively, by using the International Diabetes Federation (IDF) criteria. There was a significant difference in MS prevalence among Brazilian regions (Q=24.7; p<0.001). The lowest MS prevalence (95%CI) was determined for North Region of Brazil, 1.8% (1.52–2.13), and the highest for Northeast Region of Brazil, 2.9% (2.62–3.23). Regarding MS components, a higher prevalence (95%CI) was found for low high-density lipoprotein (HDL), 22.1% (12.49–36.17), followed by abdominal obesity, 11.0% (8.05–14.94), and arterial hypertension, 10.3% (7.84–13.48). Conclusions: This study allowed the determination of the prevalence of MS and the MS components in Brazilian adolescents, highlighting relevant aspects to be addressed on public health management.

show abstract

Section: Resultsmentioning

confidence: 99%

Prevalence of metabolic syndrome and its components in Brazilian adolescents: a systematic review and meta-analysis

Paiva

Filho

Oliveira

et al. 2023

Rev. paul. pediatr.

View full text Add to dashboard Cite

show abstract

“…In Table 3, the 26 selected studies are shown in which various criteria were used for the diagnosis of MetS in children under 13 years of age since 2015. In the case of the most well-known criteria such as NCEP ATP III, its application was found in seven studies [13][14][15][16][17][18][19] representing 26.92%; while in relation to IDF criteria, they were identified in nine articles [17][18][19][20][21][22][23][24][25] equivalent to 34.61% of the included studies. However, since 2015 there has been an increase in the use of more specific criteria for children, such as Cook et al 's criteria, the most used by researchers in this review present in 11 studies 18,19,[23][24][25][26][27][28][29][30][31] representing 42.31%; and de Ferranti's criteria in six investigations 18,19,24,25,32,33 representing 23.08%.…”

Section: Resultsmentioning

confidence: 99%

Criteria in the Diagnosis of Metabolic Syndrome in Children: A Scoping Review

Díaz-Ortega,

Yupari-Azabache,

Caballero Vidal

et al. 2023

DMSO

View full text Add to dashboard Cite

Currently, there is no consensus on the criteria for identifying metabolic syndrome in children, as observed in the diversity of research developed. For this reason, a scoping review was developed in this work, in order to compare the criteria for the diagnosis of metabolic syndrome (MetS) applied in children, described in observational, descriptive cross-sectional studies. The databases PubMed, Scopus, Web of Science and the search engine Google Scholar were used. The search terms "metabolic syndrome", "cardiometabolic syndrome", "child", "children" and "childhood" were considered, as well as the names of organizations or authors proposing identification criteria for MetS to establish search relationships using the Boolean connectors "AND" and "OR". Likewise, two reviewers carried out the evaluation and selection of articles, of which 26 articles were included in which children aged 6 to 12 participated. It was found that the most commonly used criteria for identifying MetS since 2015 are those of Cook et al, IDF, NCEP ATPIII, and De Ferranti et al, in that order. Specific criteria, such as those proposed by Cook et al, are being chosen to enhance the accuracy of identifying MetS in children. The most common risk factors in children with MetS are abdominal circumference and BMI, followed by triglycerides, HDL, blood pressure, and blood glucose. The prevalence of MetS in children varies according to the criteria used, being higher with De Ferranti et al.

show abstract

“…Tavares Giannini et al 34 also reported confirmed a low kappa value ( κ = .48) for the agreement between the IDF and Ferranti et al 9 criteria. However, the study carried out by Guilherme et al 4 in Brazilian adolescents reported good agreement between the IDF criteria with the criteria proposed by Cook et al 6 and Ferranti et al, 9 κ = .950 and κ = .670, respectively. This variability on the degree of agreement in the aforementioned studies was also observed in the study by Peña‐Espinoza et al, 27 where kappa values were .700 and .353 between the IDF criteria and the criteria of Cook et al 6 and De Ferranti et al, 9 respectively.…”

Section: Discussionmentioning

confidence: 73%

“…On the other hand, the prevalence of MetS in adolescence in many studies is rather divergent, mainly due to the absence of specifically established criteria for its use in non‐adult populations. This situation often involves adapting criteria to define MetS in adults to be used in adolescents 4 . This is the case of the criteria established by the National Cholesterol Education Program ‐ Adult Treatment Panel III, 5 modified by Cook et al, 6 Weiss et al, 7 Duncan et al, 8 and de Ferranti et al 9 The criteria defined by the International Diabetes Federation (IDF) 10 necessarily include the presence of abdominal obesity for the diagnosis of MetS.…”

Section: Introductionmentioning

confidence: 99%

Concordance among diagnostic criteria for metabolic syndrome is inconsistent in Spanish adolescents

Fernández-Aparicio

Perona

González‐Jiménez

2020

Eur J Clin Investigation

View full text Add to dashboard Cite

Background The metabolic syndrome (MetS), although more frequent in adults, is a growing health problem in adolescent population. There are different criteria for the diagnosis, however without a consensus of which is the best to be used in this population. The heterogeneity of the different diagnostic criteria makes it necessary to carry out more studies that analyse the degree of agreement among these criteria. The present study was aimed to evaluate the agreement between different criteria for diagnosis of MetS in adolescents. Materials and methods A cross‐sectional study was performed on 981 adolescents (13.2 ± 1.2 years) randomly recruited from 18 schools in south‐east Spain. MetS was diagnosed by eight different criteria. Results The criteria proposed by the IDF showed the highest mean values for WC and systolic blood pressure in boys and girls with MetS, and the lowest for glucose and triglycerides in boys. Depending on the diagnostic criteria used, the prevalence of MetS cases in boys ranged from 5.5% to 14.9%, while in girls varied from 3.4% to 32.6%. Both in boys and girls, the criteria proposed by the IDF was the less concordant with the other suggested criteria, while those proposed by Duncan et al, Rodriguez‐Moran et al and Cruz and Goran, were very concordant among each other. However, in girls, concordance values were not as high as those found for boys. Conclusion The variability observed in the agreement among the existing criteria suggests the need to validate uniform criteria for the diagnosis of MetS in adolescents.

show abstract

Comparison of Different Criteria in the Prevalence of Metabolic Syndrome in Students From Paranavaí, Paraná

Cited by 9 publications

References 27 publications

Prevalence of metabolic syndrome and its components in Brazilian adolescents: a systematic review and meta-analysis

Prevalence of metabolic syndrome and its components in Brazilian adolescents: a systematic review and meta-analysis

Criteria in the Diagnosis of Metabolic Syndrome in Children: A Scoping Review

Concordance among diagnostic criteria for metabolic syndrome is inconsistent in Spanish adolescents

Contact Info

Product

Resources

About