Síndrome metabólico en escolares y adolescentes de la ciudad de Mérida-Venezuela: comparación de resultados utilizando valores de referencia locales e internacionales (estudio CREDEFAR)

Reyes, Marjorie; Mederico, Maracelly; Valeri, Mariela Paoli de; Briceño, Yajaira; Zerpa, Yajaira; Gómez‐Pérez, Roald; Camacho, Nolis; Martínez, José Luis; Valeri, Lenín; Arata-Bellabarba, Gabriela

doi:10.1016/j.endonu.2014.03.009

Cited by 9 publications

(4 citation statements)

References 39 publications

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“…Similar to the present results, Turkish students aged 10-17 years had a MetS prevalence of 2.2% (1.5-3.1) [28]. Among schoolchildren and adolescents from Mérida (Mexico) aged 9-18 years, the prevalence of MetS was 2.2% and 1.8% according to the percentiles obtained by Cook-Merida and Cook-USA, respectively [29]. In Guatemalan children (aged 8-13 years) from public and private schools, the MetS prevalence was 2.0% with no significant difference between boys and girls [30].…”

Section: Discussionsupporting

confidence: 76%

“…On the other hand, fasting blood glucose level according to WHO criteria may fail to detect patients at increased risk for this individual parameter. Finally, the criteria for high blood pressure should be evaluated with caution, since WHO and NCEP use figures for the percentiles, while the IDF criteria apply absolute values for defining the condition [29,36].…”

Section: Discussionmentioning

confidence: 99%

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Frequência de síndrome metabólica em crianças e adolescentes de escolas públicas de Divinópolis, Minas Gerais, Brasil, conforme três critérios diagnósticos internacionais

Granjeiro

Silva²,

Santos³

et al. 2016

Sci Med

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Aims:To assess the frequency of metabolic syndrome in children and adolescents according to three international diagnostic criteria determining the level of agreement between these different criteria. Methods: Waist circumference, blood pressure, blood glucose, high-density lipoprotein cholesterol, and serum triglycerides were evaluated in students from public schools of different regions of Divinópolis, MG, Brazil. Children and adolescents aged between 10 and 17 years were selected. Criteria adapted from the World Health Organization (WHO), National Cholesterol Education Program -Adult Treatment Panel III (NCEP/ATPIII), and International Diabetes Federation (IDF) were used for the diagnosis of metabolic syndrome. The kappa coefficient was used to evaluate the level of agreement among the three criteria. Results: The study evaluated 202 students (86 boys and 116 girls). The frequency of metabolic syndrome was 1.16% for boys and none of the girls presented with metabolic syndrome, according to WHO criteria. According to the NCEP/ATPIII and IDF criteria, metabolic syndrome was not detected in the studied sample. Low blood levels of high-density lipoprotein cholesterol was the most frequent metabolic alteration in all teenagers according to the NCEP/ATPIII and IDF criteria, while body mass index was the most frequent one according to WHO criteria. The level of agreement for one altered parameter was poor when comparing WHO and NCEP/ATP/III, moderate when comparing WHO and IDF and high when comparing the NCEP/ATP/III and IDF criteria. Conclusions: Significant differences between the frequencies of individual metabolic syndrome parameters were found in the studied sample of children and adolescents, depending on the criteria used. According to WHO criteria, metabolic syndrome was found at a low frequency and only in boys, while the NCEP/ATPIII and IDF criteria did not diagnose metabolic syndrome. The present findings suggest the need to reach a consensus on the cut-off points for risk factors and a single diagnostic definition of metabolic syndrome in children and adolescents.KEY WORDS: metabolic syndrome X; child; adolescent. RESUMOObjetivos: Avaliar a frequência de síndrome metabólica em crianças e adolescentes de acordo com três critérios diagnósticos internacionais, determinando o grau de concordância entre esses diferentes critérios. Métodos: Circunferência da cintura, pressão arterial, glicemia, colesterol ligado à lipoproteína de alta densidade e triglicérides séricos foram avaliados em alunos de escolas públicas de diferentes regiões de Divinópolis, MG, Brasil. Foram selecionadas crianças e adolescentes entre 10 e 17 anos de idade. Critérios adaptados da Organização Mundial da Saúde (OMS), National Cholesterol Education Program, Adult Treatment Panel III (NCEP/ATP III) e da Federação Internacional de Diabetes (IDF) foram utilizados para o diagnóstico da síndrome metabólica. O coeficiente kappa foi utilizado para avaliar o grau de concordância entre os três critérios. Resultados: O estudo avaliou 202 ...

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Section: Discussionsupporting

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Frequência de síndrome metabólica em crianças e adolescentes de escolas públicas de Divinópolis, Minas Gerais, Brasil, conforme três critérios diagnósticos internacionais

Granjeiro

Silva²,

Santos³

et al. 2016

Sci Med

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“…Another study conducted on 1200 adolescents aged 12 to 17 years in the state of Santa Cruz do Sul in Brazil estimated a kappa of 0.53 15 . A kappa of 0.39 was estimated in 851 adolescents aged 10 to 18 years in the city of Medellín in Colombia 10 ; while a kappa of 0.28 was estimated in 916 children and adolescents aged 9 to 18 years in the city of Mérida in Venezuela, 29 . Among the studies in Europe, one conducted on 379 Spanish adolescents aged 12 to 16.9 years found a kappa of 0.82 30 .…”

Section: Discussionmentioning

confidence: 98%

“…Otro estudio realizado en 1200 adolescentes de 12 a 17 años del estado de Santa Cruz do Sul en Brasil estimó un kappa de 0,53 15 . En 851 adolescentes entre 10 a 18 años de la ciudad de Medellín en Colombia se estimó un kappa de 0,39 10 ; mientras que en 916 niños y adolescentes de 9 a 18 años de la ciudad de Mérida en Venezuela se estimó un kappa de 0,28 29 . Entre los estudios en Europa, uno realizado en 379 adolescentes españoles de 12 a 16,9 años encontró un kappa de 0,82 30 .…”

Section: Discussionunclassified

Concordancia entre cinco criterios de síndrome metabólico en adolescentes de una zona altoandina del Perú

Romaní-Romaní,

Pachacama Ramírez,

Pichihua Grandez

et al. 2023

Rev Peru Med Exp Salud Publica

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Objetivo. Determinar la concordancia entre cinco criterios diagnósticos de síndrome metabólico (SM) entre adolescentes residentes de una zona altoandina del Perú. Materiales y métodos. Se realizó un estudio transversal con datos secundarios de un estudio de intervención en dos escuelas públicas en el año 2019. Participaron 397 adolescentes que residen en la ciudad de Cajamarca ubicada en la región andina del Perú. Se aplicaron cinco criterios diagnósticos: Third Adult Treatment Panel (ATP-III) modificados por Cook, de la Federación Internacional de Diabetes (IDF), de la American Heart Association (AHA), de Ferranti, y de la Organización Mundial de Salud (OMS). Se estimaron las prevalencias puntuales y de intervalo con los cinco criterios. Se estimó el coeficiente de concordancia de Kappa con su respectivo intervalo de confianza al 95% (IC 95%). Resultados. El criterio de Ferranti identificó un 17,1% (IC 95%: 13,4 a 20,8) de adolescentes con SM, seguido del criterio de la ATP-III con 4,3% (IC 95%: 2,3 a 6,3); los demás criterios identificaron una menor frecuencia. La mejorconcordancia fue encontrada entre los criterios de la AHA y la ATP-III (k = 0,905), los criterios de la OMS e IDF tuvieron un coeficiente de 0,628. Los cinco criterios coincidieron en clasificar como SM a seis adolescentes (1,5%). Conclusiones. Los criterios de la AHA y la ATP-III modificados por Cook tuvieron una concordancia casi perfecta, que se mantuvo en ambos sexos. Los criterios ATP-III, de Ferranti, IDF, AHA y OMS concuerdan en menos del 2% en identificar SM en el mismo grupo de adolescentes.

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Anthropometric Indices to Evaluate Nutritional Status and Health Risk of Schoolchildren and Adolescents

Moreno Macías,

Arias Gastélum,

Magaña Gómez

2023

Human Growth and Nutrition in Latin American and Caribbean Countries

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Síndrome metabólico en escolares y adolescentes de la ciudad de Mérida-Venezuela: comparación de resultados utilizando valores de referencia locales e internacionales (estudio CREDEFAR)

Cited by 9 publications

References 39 publications

Frequência de síndrome metabólica em crianças e adolescentes de escolas públicas de Divinópolis, Minas Gerais, Brasil, conforme três critérios diagnósticos internacionais

Frequência de síndrome metabólica em crianças e adolescentes de escolas públicas de Divinópolis, Minas Gerais, Brasil, conforme três critérios diagnósticos internacionais

Concordancia entre cinco criterios de síndrome metabólico en adolescentes de una zona altoandina del Perú

Anthropometric Indices to Evaluate Nutritional Status and Health Risk of Schoolchildren and Adolescents

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