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 7 publications

(4 citation statements)

References 27 publications

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“…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%

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

Fernández-Aparicio

Perona

González‐Jiménez

2020

Eur J Clin Investigation

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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.

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Section: Discussionmentioning

confidence: 73%

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

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“…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.

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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.

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“…The MetS prevalence was low (2•6 %) and could be explained by the MetS definition proposed by the IDF, which requires the presence of high waist circumference to classify the individuals as the MetS patients (79) . In a small study performed with adolescents (n 241) from public and private schools in a Brazilian city (80) , the MetS prevalence ranged from 1•7 % (95 % CI 0•0, 3•3), using the IDF definition, to 17•4 % (95 % CI 12•6, 22•3), using a definition based on the National Cholesterol Education Program-Adult Treatment Panel III criteria, modified for children and adolescents (81) . Another study (82) , enrolling adolescents (n 1004) from the Healthy Lifestyle in Europe by Nutrition in Adolescence study, compared the prevalence of the MetS using different definitions for this population.…”

Section: Discussionmentioning

confidence: 99%

Selenium intake is not associated with the metabolic syndrome in Brazilian adolescents: an analysis of the Study of Cardiovascular Risk Factors in Adolescents

et al. 2021

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Selenium acts reducing cellular inflammation and lipid peroxides; therefore, its association with cardiovascular diseases and metabolic syndrome (MetS) has been studied. We aimed to investigate the association between selenium intake and MetS/its parameters (high waist circumference, hyperglycemia, high blood pressure, high triglycerides, and low HDL-c) in Brazilian adolescents between 12-17 years old. This research is part of the Study of Cardiovascular Risks in Adolescents (ERICA), a Brazilian nationwide school-based study with regional and national relevance. We assessed: 1) socio-demographic data (sex, age, type of school, and maternal education) using a self-administered questionnaire; 2) dietary intake using a 24h recall applied for the whole sample and a second one applied to a subsample to allow within-person variability adjustment; 3) anthropometric data (weight, height, waist circumference) and blood pressure using standardized procedures; 4) biochemical analyses (fasting glucose, triglycerides, and HDL-c). Logistic regression was applied, basing the analysis on a theoretical model. Median Se intake was 98.3µg/day. Hypertension and hyperglycemia were more prevalent among boys, while a high waist circumference was more frequent in girls, and low HDL-c levels were higher among private school students. The prevalence of MetS was 2.6%. No association between MetS/its parameters and Se intake was found. This lack of association could be due to an adequate Se intake in the studied population.

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

Cited by 7 publications

References 27 publications

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

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

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

Selenium intake is not associated with the metabolic syndrome in Brazilian adolescents: an analysis of the Study of Cardiovascular Risk Factors in Adolescents

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