Metabolic syndrome in obese adolescents: what is enough?

Sewaybricker, Letícia Espósito; Antônio, Maria Ângela R. G. M.; Mendes, Ronaldo Lopes Rodrigues; Filho, Antônio de Azevedo Barros; Zambon, Mariana Porto

doi:10.1590/s0104-42302013000100013

Cited by 6 publications

(3 citation statements)

References 44 publications

(52 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Quanto ao perfil lipídico, o TG foi a única variável em que o valor do ponto de corte difere em todos os critérios diagnósticos, revelando resultados diversos dos demais, observando hipertrigliceridemia em 16,1%, 21,1% e 4,2%, de acordo Cook (7) , Ferranti (8) e IDF (9) respectivamente. Um estudo realizado com crianças e adolescentes na região Nordeste do Brasil verificou dados semelhantes quanto aos triglicerídeos, obtendo 20,81% (24) .…”

Section: Discussionunclassified

“…Ao realizar a análise de concordância entre pares, o maior valor encontrado neste estudo foi entre IDF e Cook com 98,3% (Kappa = 0,618; p = 0,000), já o menor foi encontrado entre IDF e Ferranti com 91,4% (Kappa = 0,228; p = 0,000). Esses valores diferem do estudo realizado na Universidade Estadual de Campinas, que obteve a maior concordância entre Cook e Ferranti com 67,9%, ao passo que corrobora a menor, exibida entre Ferranti e IDF com 35,5% (24) .…”

Section: Discussionunclassified

See 1 more Smart Citation

Metabolic syndrome in adolescents: comparison between three different diagnostic criteria / Síndrome metabólica em adolescentes: comparação entre três diferentes critérios diagnósticos / Síndrome metabólico en adolescentes...

Silva¹,

Guimarães²,

Silva³

et al. 2020

Rev Enferm UFPI

View full text Add to dashboard Cite

Objetivo: verificar a diferença na proporção de adolescentes com síndrome metabólica, identificada por três diferentes critérios diagnósticos. Metodologia: estudo descritivo e transversal, realizado com 716 adolescentes de 10 a 19 anos, de escolas municipais e estaduais da cidade de Picos, Piauí. Para a coleta de dados utilizou-se um instrumento para verificação de dados socioeconômicos, antropométricos, bioquímicos e da pressão arterial. A síndrome metabólica foi definida por três critérios diagnósticos diferentes: International Diabetes Federation (IDF), Cook e Ferranti. Para a análise da diferença entre as médias utilizou-se o teste t, e o coeficiente Kappa para a concordância entre os critérios. Resultados: A síndrome foi observada em 3,1, 8,5 e 1,4 % dos adolescentes, de acordo com as definições de Cook, Ferranti, e da International Diabetes Federation, respectivamente. Na verificação dos critérios em pares a concordância entre: IDF e Cook foi 98,3% (Kappa = 0,618; p = 0,000); IDF e Ferranti foi 91,4% (Kappa = 0,228; p = 0,000); Cook e Ferranti foi 92,9% (Kappa = 0,425; p = 0,000). Conclusão: Foi possível observar considerável diferença entre os critérios para o diagnóstico, sugerindo pouca prevalência da síndrome por falta de consenso dos critérios diagnósticos em adolescentes.Descritores: Síndrome Metabólica. Diagnóstico. Grupos Diagnósticos Relacionados. Adolescente.

show abstract

Section: Discussionunclassified

Metabolic syndrome in adolescents: comparison between three different diagnostic criteria / Síndrome metabólica em adolescentes: comparação entre três diferentes critérios diagnósticos / Síndrome metabólico en adolescentes...

Silva¹,

Guimarães²,

Silva³

et al. 2020

Rev Enferm UFPI

View full text Add to dashboard Cite

show abstract

“…The main reasons for the heterogeneity of criteria are the changes in growth and development during childhood and adolescence, resulting in cut-off points with no set values, particularly regarding blood pressure, lipids, and waist circumference 9 10 , 11 The divergence is such that some studies have shown MS prevalence between 20 and 300% in the same sample 12 13 …”

Section: Introductionmentioning

confidence: 99%

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

Guilherme

Nascimento

Fernandes

et al. 2019

Rev. paul. pediatr.

View full text Add to dashboard Cite

Objective: To investigate the difference in the proportion of students with metabolic syndrome, diagnosed according to different criteria.Methods: The sample consisted of 241 students (136 boys and 105 girls) aged 10 to 14 years, from public and private schools in Paranavaí, Paraná. We used three distinct diagnostic criteria for metabolic syndrome, considering the presence of at least three of the following risk factors: increased waist circumference, hypertension, fasting hyperglycemia, low HDL-C, and elevated triglycerides.Results: The prevalence of metabolic syndrome found was 1.7% (confidence interval of 95% - 95%CI 0-3.3) for the IDF criterion; 3.3% (95%CI 1.0-5.6) for Cook; and 17.4% (95%CI 12.6-22.3) for Ferranti. Analyzing the criteria in pairs, the agreement between IDF and Cook was 97.5% (k=0.95); between IDF and Ferranti, 83.4% (k=0.67); and between Cook and Ferranti, 85.9% (k=0.72). Onlyone student (0.4%) was diagnosed with metabolic syndrome solely by the IDF criterion, while 34 (14.1%) were diagnosed exclusively by Ferranti. The comparison of the three criteria showed that Ferranti presented the highest proportion of metabolic syndrome (p<0.001), and Cook had a greater proportion than IDF (p<0.001).Conclusions: We found a significant difference in the proportion of metabolic syndrome in the three criteria. The choice of which criterion to use can compromise not only the percentage of metabolic syndrome prevalence but also interfere in strategies of intervention and prevention in children and adolescents with and without metabolic syndrome, respectively.

show abstract

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

Metabolic syndrome in obese adolescents: what is enough?

Abstract: The WHO criteria does not seem to be adequate for adolescents. IDF and ATP III criteria had an excellent agreement. Puberty and triglycerides were associated with MS.

Cited by 6 publications

References 44 publications

Metabolic syndrome in adolescents: comparison between three different diagnostic criteria / Síndrome metabólica em adolescentes: comparação entre três diferentes critérios diagnósticos / Síndrome metabólico en adolescentes...

Metabolic syndrome in adolescents: comparison between three different diagnostic criteria / Síndrome metabólica em adolescentes: comparação entre três diferentes critérios diagnósticos / Síndrome metabólico en adolescentes...

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

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

Contact Info

Product

Resources

About