Prevalence of metabolic syndrome in children aged 5-9 years from southwest colombia: a cross-sectional study

Suárez‐Ortegón, Milton Fabian; Plata, Cecilia Aguilar-de

doi:10.1007/s12519-016-0008-z

Cited by 20 publications

(18 citation statements)

References 43 publications

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“…Overweight and obesity were identified in this study as the CMRFs with greater prevalence in children (26.47%), which is consistent with Suarez et al, with 18% prevalence in a 5-9-yearsold population (17). The abdominal and general obesity represents an increase of cardiometabolic risk profile in infant population, which directly implies the cardiovascular happenings and diabetes mellitus type II in adulthood (8,9,28).…”

Section: Discussionsupporting

confidence: 89%

Waist-To-Height Ratio and its relation with cardiometabolic risk factors in children from Bucaramanga, Colombia.

Delgado¹,

Urrego²,

Quintero-Lesmes

2017

Nutr Hosp

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Gamboa-Delgado EM, Domínguez-Urrego CL, Quintero-Lesmes DC. Waist-to-height ratio and its relation with cardiometabolic risk factors in children from Bucaramanga, Colombia. Nutr Hosp 2017;34:1338- Child. Metabolic syndrome X. Waistheight ratio. Palabras clave:Niño. Síndrome X metabólico. Índice cintura-talla. ResumenIntroducción: en la actualidad, el índice de cintura-talla (ICT) ha emergido como un indicador práctico y útil en la detección del riesgo cardiometabólico en población infantil y adolescente. Objetivo: evaluar la asociación entre el índice de cintura-talla y los factores de riesgo cardiometabólicos (FRCM) en una cohorte de niños de Bucaramanga, Colombia. Metodología: estudio de corte transversal analítico anidado en una cohorte poblacional. Población infantil entre 6-10 años de Bucaramanga (n = 1.282). Variables dependientes: hipertensión arterial, pre-hipertensión arterial, sobrepeso/obesidad, glucosa alterada, resistencia a la insulina, y dislipidemia. Principal variable independiente: índice cintura-talla. La asociación entre variables dependientes y las independientes fue evaluada mediante modelos de regresión binomial. Resultados: el 9,77% de los niños presentó un índice cintura-talla de riesgo (IC 95%: 8,19% a 11,52%). Al ajustar por edad, sexo, nivel socio económico y actividad física, el índice cintura-talla de riesgo resultó asociado significativamente con menores niveles de HDL y mayores niveles de triglicéridos, resistencia a la insulina, hipertensión arterial y prehipertensión (RP = 2,46 IC 95%: 1,70 a 3,55, p = 0,000, RP = 2,24 IC 95%: 1,50 a 3,35, p = 0,000, RP = 9,39 IC 95%: 5,40 a 16,30, p = 0,000, RP = 8,03 IC 95%: 2,01 a 32,07, p = 0,003 y RP = 2,67 IC 95%: 1,60 a 4,47, p = 0,000, respectivamente). Conclusión: los niños con un índice de cintura-talla de riesgo presentaron mayor probabilidad de desarrollar niveles elevados de presión arterial y triglicéridos, resistencia a la insulina y menores niveles de HDL. AbstractBackground: Currently, the waist-to-height ratio (WHtR) has emerged as a practical and useful indicator for identifying cardiometabolic risk in child and adolescent population. Objective: To evaluate the association between the WHtR and cardiometabolic risk factors (CMRFs) in a cohort of children in Bucaramanga, Colombia. Methods: Analytical cross-sectional study. Child population between 6-10 years old from Bucaramanga (n = 1,282). Dependent variables: hypertension, pre-hypertension, overweight/obesity, impaired glucose, insulin resistance and dyslipidemia. Main independent variable: waist-toheight ratio. The association between dependent and independent variables was evaluated using binomial regression models. Results: 9.77% of the children presented a WHtR of risk (95% CI: 8.19% to 11.52%). After adjustment for age, sex, socioeconomic status and physical activity, the WHtR of risk was significantly associated with lower HDL levels and higher levels of triglycerides, insulin resistance, hypertension and pre-hypertension (PR = 2.46 95% CI :1.70 a 3.55, p = 0.000, PR = ...

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Section: Discussionsupporting

confidence: 89%

Waist-To-Height Ratio and its relation with cardiometabolic risk factors in children from Bucaramanga, Colombia.

Delgado¹,

Urrego²,

Quintero-Lesmes

2017

Nutr Hosp

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“…However, it is difficult to contrast the prevalence of MetS because modified and non-standard definitions have been used and no globally accepted set of criteria exist for defining MetS in the pediatric/adolescent population. The prevalence of MetS in children and adolescents, based on the National Cholesterol Education Program's Adult Treatment Panel 3 definition, tends to give higher prevalences and has been reported to vary from 4.2% to 18.6%, and in a similarly aged population (7-9 years old) to our study it was 15.8% (23,24,25,26). This increased prevalence highlights the importance of early diagnose of MetS in childhood, to prevent the progression from obesity to insulin resistance, cardiovascular disease, and type 2 diabetes.…”

Section: Discussionmentioning

confidence: 38%

Association of Total and High Molecular Weight Adiponectin with Components of Metabolic Syndrome in Mexican Children

Gomez¹,

Moreno-Mascareño²,

Angulo-Rojo³

et al. 2020

Jcrpe

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Childhood obesity linked to metabolic alterations, tend to appear simultaneously with altered adipocytokines, suggesting a role in pathogenetic development. Low circulating level of total and high molecular weight (HMW) adiponectin have been associated with components of the metabolic syndrome (MetS) and could represent an independent risk factor with potential use as a biomarker. To examine the prevalence of MetS in Mexican school children and to investigate the association of total and HMW adiponectin levels with biochemical parameters related to MetS. Methods: The study included a population of boys and girls, from 8 to 11 years old. Anthropometric and biochemical parameters were evaluated according to weight and MetS status. A correlation analysis was fitted to establish an association between adiponectin concentrations and metabolic indicators. Results: One-hundred and fifty five children participated (59.4% females) from 8-11 years of age. The prevalence of MetS was of 10.3%. Impaired biochemical parameters, including total and HMW adiponectin, were associated with obesity. The adiponectin level was significantly lower in MetS than in non-MetS subjects (4.5 vs. 5.4 μg/mL). Total-but not HMW adiponectin concentration was negatively correlated with blood pressure, fasting insulin, fasting blood sugar and Homeostatic Model Assessment for Insulin Resistance. Conclusion: In young children, the total adiponectin level is associated with impaired biochemical parameters of carbohydrate metabolism and could be an excellent early predictor of metabolic complications.

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“…The definition of metabolic syndrome was based on the Latin American Diabetes Association consensus, which also corresponds to the International Diabetes Federation criteria of Europe. 11 This includes abdominal obesity (which means waist circumference of ≥94 cm in men and ≥88 cm in women) and two of the following criteria:…”

Section: Definition Of Operational Termsmentioning

confidence: 99%

“…A prevalence of 9% has been reported in 494 children aged between 5 and 9 years, and it was associated with age and low socioeconomic level. 11 In 129 Colombian adults who worked as drivers, a prevalence of 49.6% was found, which was associated with low levels of weekly physical activity. 12 Specifically, in Medellin, Colombia, only one study was found with a prevalence of 20-24%, which was conducted with 271 women who attended a clinic in 2002.…”

Section: Introductionmentioning

confidence: 99%

<p>Prevalence of Metabolic Syndrome and Its Association with Sociodemographic Characteristics in Participants of a Public Chronic Disease Control Program in Medellin, Colombia, in 2018</p>

Higuita-Gutiérrez

Quiroz

Cardona‐Arias

2020

DMSO

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Background: Metabolic syndrome has increased to epidemic levels in low-and middleincome countries. The knowledge on metabolic syndrome and its related diseases constitutes a clinical, epidemiological, and economic challenge of great relevance. The frequency of metabolic syndrome may vary between populations depending on age, sex, lifestyle, and culture; however, in Colombia, there is only little research, and the available studies focus on small populations that do not allow estimating their prevalence and distribution in different sociodemographic groups. We aimed to estimate the prevalence of metabolic syndrome and its association with sociodemographic characteristics in participants attending public chronic disease control programs in Medellin, Colombia, in the year 2018. Methods: We conducted a cross-sectional study in all patients who participated in a public chronic disease control program. Involved in this study were 68,288 individuals who attended at 10 hospital units and were strategically distributed in the city. The diagnostic criteria of the metabolic syndrome and its components were based on the consensus of the Latin American Diabetes Association. The data on age, sex, blood pressure, weight, height, physical activity, medications, lipid profile, and glycemic and glycosylated hemoglobin levels were obtained for clinical records. The prevalence, Pearson's chi-square test, prevalence ratios (Kato-Katz method), and odds ratios (Woolf method) were estimated with 95% confidence intervals. A multivariate adjustment model was used with a logistic regression model to identify potential confounders using Epidat 4.2 and SPSS ® 25.0. Results: The prevalence of the syndrome was 35.4%, with abdominal obesity in 82.3% individuals, hypertension in 48.6%, glucose intolerance in 25.5%, and hypertriglyceridemia in 22%. The prevalence of the syndrome exhibited statistical differences according to the area of residence. It was 15% higher in women; 31% and 59% higher in young and older adults, respectively, than in individuals aged <25 years; 11% and 13% higher in the illiterate population and population with primary studies than in individuals with higher education; and approximately 200 times higher than those who are sedentary. Conclusion: A high prevalence of the syndrome and its constitutive factors in the study population demonstrated the importance of controlling it and increasing community-based prevention strategies, prioritizing the identified groups that are at the highest risk.

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Prevalence of metabolic syndrome in children aged 5-9 years from southwest colombia: a cross-sectional study

Abstract: This study showed disturbing figures regarding cardiometabolic risk in the children based on comparisons with studies in adolescents. Further studies are needed to confirm the utility of the de Ferranti Mets definition in children.

Cited by 20 publications

References 43 publications

Waist-To-Height Ratio and its relation with cardiometabolic risk factors in children from Bucaramanga, Colombia.

Waist-To-Height Ratio and its relation with cardiometabolic risk factors in children from Bucaramanga, Colombia.

Association of Total and High Molecular Weight Adiponectin with Components of Metabolic Syndrome in Mexican Children

<p>Prevalence of Metabolic Syndrome and Its Association with Sociodemographic Characteristics in Participants of a Public Chronic Disease Control Program in Medellin, Colombia, in 2018</p>

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