The Metabolic Syndrome in Obese Children

Yom, Hye Won; Shin, Jee Seon; Lee, Hyun Joo; Park, So Eun; Jo, Su Jin; Seo, Jung Won

doi:10.5223/kjpgn.2004.7.2.228

Cited by 7 publications

(2 citation statements)

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“…It is known that obesity in children and adolescents is related to high prevalence of metabolic complications 19-21. In 2004 Chang, et al22 reported that the prevalence of MS in children and adolescents was 37.5% (boys: 38.7%, girls: 35.2%) by the corrected criteria of NCEP ATP III.…”

Section: Discussionmentioning

confidence: 99%

“…It is known that obesity in children and adolescents is related to high prevalence of metabolic complications. 19 - 21 In 2004 Chang, et al 22 reported that the prevalence of MS in children and adolescents was 37.5% (boys: 38.7%, girls: 35.2%) by the corrected criteria of NCEP ATP III. Considering that the prevalence of obesity in children and adolescents in the United States is 28.7%, we believe the time, method and criteria of the study is critical in Korea.…”

Section: Discussionmentioning

confidence: 99%

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Association of Visceral Fat and Risk Factors for Metabolic Syndrome in Children and Adolescents

Kwon

Jang

et al. 2011

Yonsei Med J

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PurposeVisceral fat (VF) is closely associated with many metabolic risk factors and is also known to be a strong predictive factor for severe metabolic complications in adults. But there are only a few studies concerning the association of VF and risk factors for metabolic syndrome (MS) in children and adolescents. In our study, we emphasized the association of VF [measured by VF computed tomography (VFCT)] and risk factors for metabolic syndrome in children and adolescents.Materials and MethodsThe subjects were outpatients aged 6 to 18 years who underwent VFCT in the family medicine of The Catholic University of Korea from January 2005 to August 2009. There were 82 patients in total (42 children, 40 adolescents). Height, weight, blood pressure (BP), blood tests, body composition analysis and VF were measured. The three groups were also classified by metabolic score.ResultsIn children, only high density lipoprotein cholesterol (HDL-C) showed a statistically significant difference, while in adolescents, triglyceride, HDL-C, BP, body mass index (BMI), waist circumference (WC) and VFA showed statistically significant differences. In terms of VFA, fasting glucose, BP, BMI, basal metabolic rate (BMR) and WC showed statistically significant differences. BMI showed a statistically significant difference in terms of BP, BMR, WC, VFA and HDL-C.ConclusionThere is a need to acknowledge the statistically significant associations of VF and risk factors for MS in children and adolescents. Screening tests for BP, cholesterol, fasting glucose and WC should be given in clinics for children and adolescents so that MS can be detected and its risk factors treated early.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Association of Visceral Fat and Risk Factors for Metabolic Syndrome in Children and Adolescents

Kwon

Jang

et al. 2011

Yonsei Med J

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Assessment of modifiable lifestyle factors for obese children and adolescents through questionnaires

et al. 2008

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Obesity in children and adolescents

Seo

2009

Korean J Pediatr

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Childhood obesity has rapidly increased in Korea during the past 20-30 years. Approximately 1 of 10 children and adolescents is obese. Appropriate prevention and intervention measures urgently need. Obesity prevention starts early in life, i.e., obesity prevention and education begins during the period of fetal development in utero. Behavioral changes are the most positively reflected during pregnancy. Infants should be fed breast milk, and inculcated with healthy eating and behavioral habits during infancy to ultimately establish a healthy lifestyle in children. For achieving a lifestyle and behavior that successfully allow children to overcome obesity, although individual motivation is important, active support of parents and family members is also imperative. Health care providers should also make an effort to actively prevent obesity and take necessary intervention actions. Although the efforts of individuals, family, and healthy care providers are important to prevent the rapid increase in obesity, primary prevention should be encouraged at a higher level. Schools should specifically aim at improving nutrition and physical activity by allocating times for healthy eating, playing, and physical education. Moreover, local communities should provide support by funding for safe recreational environments, such as playgrounds and walking tracks. Public health strategies in community and national policies, such as city planning, food marketing, and advertisements, are required for primary prevention of obesity. (Korean J Pediatr 2009;52:1311-1320

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The Metabolic Syndrome in Obese Children

Cited by 7 publications

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Association of Visceral Fat and Risk Factors for Metabolic Syndrome in Children and Adolescents

Association of Visceral Fat and Risk Factors for Metabolic Syndrome in Children and Adolescents

Assessment of modifiable lifestyle factors for obese children and adolescents through questionnaires

Obesity in children and adolescents

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