Prevalence of Metabolic Syndrome in Urban Colombian Adolescents Aged 10-16 Years Using Three Different Pediatric Definitions

Suárez-Ortegón, Milton Fabian; Ramírez‐Vélez, Robinson; Mosquera, Mildrey; Méndez, Fabián; Plata, Cecilia Aguilar-de

doi:10.1093/tropej/fms054

Cited by 23 publications

(20 citation statements)

References 15 publications

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“…In doing so, we found that the prevalence of MetS in obese children has a wide variation; in Greek children is 7.7%, in Colombian is 11.7% [27,29], in Chinese and Spanish obese children is 27.6 and 19.6% respectively [30,31], and in another study on Mexican obese children the prevalence was 20% [32]. Notwithstanding the same IDF definition of MetS, variation could be explained by the differences in the environment in which the children live.…”

Section: Discussionmentioning

confidence: 99%

Adiponectin in eutrophic and obese children as a biomarker to predict metabolic syndrome and each of its components

et al. 2013

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BackgroundObesity is associated with the rise of noncommunicable diseases worldwide. The pathophysiology behind this disease involves the increase of adipose tissue, being inversely related to adiponectin, but directly related to insulin resistance and metabolic syndrome (MetS). Therefore, this study aimed to determine the relationship between adiponectin levels with each component of MetS in eutrophic and obese Mexican children.MethodsA cross sectional study was conducted in 190 school-age children classified as obese and 196 classified as eutrophic. Adiponectin, glucose, insulin, high density lipoprotein cholesterol (HDL-C) and triglycerides were determined from a fasting blood sample. Height, weight, waist circumference, systolic and diastolic blood pressures (BP) were measured; MetS was evaluated with the IDF definition. The study groups were divided according to tertiles of adiponectin, using the higher concentration as a reference. Linear regression analysis was used to assess the association between adiponectin and components of the MetS. Finally, stepwise forward multiple logistic regression analysis controlling for age, gender, basal HOMA-IR values and BMI was performed to determine the odds ratio of developing MetS according to adiponectin tertiles.ResultsAnthropometric and metabolic measurements were statistically different between eutrophic and obese children with and without MetS (P <0.001). The prevalence of MetS in obese populations was 13%. Adiponectin concentrations were 15.5 ± 6.1, 12.0 ± 4.8, 12.4 ± 4.9 and 9.4 ± 2.8 μg/mL for eutrophic and obese subjects, obese without MetS, and obese with MetS, respectively (P <0.001). Obese children with low values of adiponectin exhibited a higher frequency of MetS components: abdominal obesity, 49%; high systolic BP, 3%; high diastolic BP, 2%; impaired fasting glucose, 17%; hypertriglyceridemia, 31%; and low HDL-C values, 42%. Adjusted odds ratio of presenting MetS according to adiponectin categories was 10.9 (95% CI 2.05; 48.16) when the first tertile was compared with the third.ConclusionIn this sample of eutrophic and obese Mexican children we found that adiponectin concentrations and MetS components have an inversely proportional relationship, which supports the idea that this hormone could be a biomarker for identifying individuals with risk of developing MetS.

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Section: Discussionmentioning

confidence: 99%

Adiponectin in eutrophic and obese children as a biomarker to predict metabolic syndrome and each of its components

et al. 2013

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“…The higher the CMRI value, the higher the cardiovascular risk. All cut-off values were based on data that were obtained from schoolchildren internationally (Chan et al, 2015; Cruz et al, 2004; Suárez-Ortegón et al, 2012). …”

Section: Methodsmentioning

confidence: 99%

Construct validity and test–retest reliability of the International Fitness Scale (IFIS) in Colombian children and adolescents aged 9–17.9 years: the FUPRECOL study

Ramírez‐Vélez

Cruz-Salazar

Martinez

et al. 2017

PeerJ

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BackgroundThere is a lack of instruments and studies written in Spanish evaluating physical fitness, impeding the determination of the current status of this important health indicator in the Latin population, especially in Colombia. The aim of the study was two-fold: to examine the validity of the International Fitness Scale (IFIS) with a population-based sample of schoolchildren from Bogota, Colombia and to examine the reliability of the IFIS with children and adolescents from Engativa, Colombia.MethodsThe sample comprised 1,873 Colombian youths (54.5% girls) aged 9–17.9 years. We measured their adiposity markers (waist-to-height ratio, skinfold thickness, percentage of body fat and body mass index), blood pressure, lipids profile, fasting glucose, and physical fitness level (self-reported and measured). A validated cardiometabolic risk index score was also used. An age- and sex-matched subsample of 229 schoolchildren who were not originally included in the sample completed the IFIS twice for reliability purposes.ResultsOur data suggest that both measured and self-reported overall physical fitness levels were inversely associated with percentage of body fat indicators and the cardiometabolic risk index score. Overall, schoolchildren who self-reported “good” or “very good” fitness had better measured fitness levels than those who reported “very poor/poor” fitness (all p < 0.001). The test-retest reliability of the IFIS items was also good, with an average weighted kappa of 0.811.DiscussionOur findings suggest that self-reported fitness, as assessed by the IFIS, is a valid, reliable, and health-related measure. Furthermore, it can be a good alternative for future use in large studies with Latin schoolchildren from Colombia.

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“…(29) . Estudios realizados en adolescentes de Venezuela y Colombia encontraron prevalencias de 2,2 (7) y 2,5% (30) , respectivamente. Al igual que en universitarios, la hiperglicemia es poco frecuente, mientras que la hipertrigliceridemia y el bajo nivel de C-HDL se presentan en una importante proporción, pero en forma aislada.…”

Section: Discussionunclassified

“…Al igual que en universitarios, la hiperglicemia es poco frecuente, mientras que la hipertrigliceridemia y el bajo nivel de C-HDL se presentan en una importante proporción, pero en forma aislada. La baja frecuencia de hiperglicemia en adolescentes, ha sido reportada en los Estados Unidos (punto de corte para glicemia=110 mg/dL) (31) , mientras que en adolescentes de Brasil (29) y Venezuela (7) usando un corte de 100 mg/L la prevalencia de hiperglicemia fue ligeramente mayor (4,1 y 3,6% respectivamente); en los estudios referidos la hiperglicemia fue el componente de SM menos frecuente (7,29,30) .…”

Section: Discussionunclassified

Frecuencia de síndrome metabólico en residentes de una región andina del Perú

Ninatanta-Ortiz

Núñez-Zambrano

Flores

et al. 2016

Rev Peru Med Exp Salud Publica

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Prevalence of Metabolic Syndrome in Urban Colombian Adolescents Aged 10-16 Years Using Three Different Pediatric Definitions

Cited by 23 publications

References 15 publications

Adiponectin in eutrophic and obese children as a biomarker to predict metabolic syndrome and each of its components

Adiponectin in eutrophic and obese children as a biomarker to predict metabolic syndrome and each of its components

Construct validity and test–retest reliability of the International Fitness Scale (IFIS) in Colombian children and adolescents aged 9–17.9 years: the FUPRECOL study

Frecuencia de síndrome metabólico en residentes de una región andina del Perú

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