Prevalence of metabolic syndrome and its correlated factors among children and adolescents of Ahvaz aged 10 – 19

Abstract

BackgroundPopulation-based studies for prevalence of metabolic syndrome (M.S) in children and adolescents are relatively rare. The aim of this study was to assess the Prevalence of M.S and correlated factors among children and adolescents aged 10 to 19 years in Ahvaz.MethodsIn this descriptive-analytical population- based study, 2246 children and adolescents, 10–19 years old (1113 male and 1133 female) in Ahvaz, were evaluated. Anthropometry, biochemical measurement and blood pressure (BP) were assessed. Modified ATP III criteria 2005 were used for M.S. definition. Center for disease and Control preventions (CDC) percentile were applied to define cut off points of waist circumference and BP.ResultsPrevalence of M.S. was 9% (95% CI: 8-10%) with prevalence in male 11% (95% CI: 10-12%) and female 7% (95% CI 6-8%). Among individuals with M.S, triglyceride (TG) and decreased high density lipoprotein (HDL) cholesterol levels were the most common components (33.5% and 24.1%, respectively). Prevalence of M.S was higher in overweight persons comparing to participants with at risk and normal weight group (in male: 24.1%, 14.3% and 9.9% respectively P = 0.0001), (in female: 22.6%, 18.3% and 4.5% respectively P = 0.0001). Among the correlated factors of M.S age (P = 0.0006), sex and BMI (P = 0.0001) had significant differences between subjects with and without M.S. whereas there was no significant difference between two groups in ethnicity, history of breast fed, birth weight neonatal ICU admission, maternal history(GDM, gestational HTN, Parity) and family history of HTN, obesity and DM (P > 0.05).ConclusionThis study shows high prevalence of M.S in Children and Adolescents in south west of Iran (Ahvaz) especially in overweight persons.

Metabolic syndrome and its risk factors among middle aged population of Iran, a population based study

“…Although in the study conducted by Rashidi et al, (2014) the variables such as age, sex and BMI were reported as factors affecting the risk of MS, but the prevalence of the MS was lower in women than men [29]. Considering what was above mentioned and according to the difference between the results of some studies conducted about the risk factors for MS, and increasing prevalence of noncommunicable diseases in recent years, as well as considering the fact that current estimates of the prevalence of MS in Iran-in the form of non-communicable diseases surveillance systemhave been conducted with a sample size that is suitable for the whole country and does not identify related risk factors, this study aimed at better understanding the prevalence of MS and its related risk factors in the middle-age population.…”

“…In some studies, the prevalence of this syndrome has been reported in women higher than in men [2,28,19,21,12], which is consistent with the results of the present study. However, in some studies, the prevalence of MS was higher in men than in women [24,25,29].…”

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

“…Similar to these studies, Pitangueira et al [31] noted low levels of HDL-c in 58.2% of students from Recôncavo Baiano. Iranian children and adolescents aged 10 to 19 years showed an HDL-c prevalence of 24.1%, according to the modified NCEP/ATPIII criteria, and there were no differences between boys and girls [33]. Low concentrations of HDL-c may also be related to high physical inactivity [34], a lifestyle factor identified in our study (33%).…”

Comparison of the Clinical and Biochemical Profile of Metabolic Syndrome Between Obese Children Below and Above 10 Years Old Attending Paediatric Clinic Hospital Universiti Sains Malaysia from 2006 to 2015

“…This is consistent with the findings of other studies that reported prevalence rates of metabolic syndrome ranging from 26.9 to 38.6% among obese children and adolescents, despite varied diagnostic criteria. 20,21 Compared to other criteria which employed percentile values, the IDF diagnostic criteria for metabolic syndrome set higher cutoff values. A comparison of 3 diagnostic criteria for metabolic syndrome done by Sangun et al reported similar proportions of metabolic syndrome (31 to 39%) among obese children and adolescents.…”