Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi

Metabolic syndrome in obese children and adolescents.

PMID 23700872


To investigate the risk factors for metabolic syndrome (MS) in children and adolescents. Investigation conducted in the interval October 2010 - June 2011 in 3103 school children aged 7-18 years. After body weight, height, waist circumference, and blood pressure were measured, 262 school children were found to be obese, of which 120 agreed to testing for defining the metabolic syndrome: triglycerides (TG), cholesterol, HDL and LDL cholesterol, blood glucose, insulinemia, OGTT (oral glucose tolerance test), SGOT, SGPT, urea, creatinine, and ESR. Using IDF 2009 modified criteria, the prevalence of MS in the study series was 55.8%. The most common criteria for defining MS were: TG > or = 95th percentile, BP > or = 95th percentile, and blood glucose > or = 100mg/dl. Applying IDF 2009 criteria, 55.8% of the obese subjects presented 3-5 criteria, thus meeting the diagnostic criteria for MS in children.