Prevalencia de algunos componentes del síndrome metabólico en escolares y adolescentes con sobrepeso y obesidad. Hallazgos del estudio de factores de riesgo para enfermedad cardiovascular en escolares y adolescentes

Rosmery Arias A.; Gloria María Agudelo Ochoa

doi:10.17533/udea.penh.9339

Authors

Rosmery Arias A. Universidad de Antioquia
Gloria María Agudelo Ochoa Universidad de Antioquia

DOI:

https://doi.org/10.17533/udea.penh.9339

Keywords:

metabolic syndrome, children, adolescents, overweight, obesity

Abstract

Increasing prevalence of overweight and obesity in children and adolescents increases the risk of metabolic syndrome. Objective: to describe the prevalence of several components of metabolic syndrome in children and adolescents with overweight and obesity as compared with a control group. Methodology: It was a cross-sectional descriptive study derived from the study “Factores de riesgo cardiovascular en escolares y adolescentes de la ciudad de Medellín, Colombia, 2003”. As components of the metabolic syndrome were considered: triglycerides ≥110 mg/dL, cHDL ≤40 mg/dL, pre-prandial glucose ≥100 mg/dL, and arterial blood pressure ≥ percentile 90 (mm Hg). Results: The final sample included three groups: 121 obese, 240 overweighted and 361 people as control. Triglycerides as well as systolic and diastolic blood pressure were significantly lower in control group than the others, while cHDL was significantly higher in this group compared with the others. Prevalence of presence of at least one of the component of the metabolic syndrome showed a positive trend with regard to the Body Mass Index, consequently, children and adolescents obese had a higher prevalence of at least three or more components of metabolic syndrome. Conclusion: overweight and obesity are associated with a higher prevalence of metabolic syndrome. However, children and adolescents with normal Body Mass Index showed to have both risk factors and alteration of some components of metabolic syndrome rendering them more susceptible to develop the syndrome.

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Author Biographies

Rosmery Arias A., Universidad de Antioquia

Bacterióloga, Magíster en Problemas Sociales. Profesora Escuela de Microbiología. Universidad de Antioquia.

Gloria María Agudelo Ochoa, Universidad de Antioquia

Nutricionista Dietista, Magíster en Nutrición Clínica. Profesora Escuela de Nutrición y Dietética. Grupo de Investigación en Alimentación y Nutrición Humana. Universidad de Antioquia.

References

Sachiko T. The complexities of obesity. J Am Diet. 2005; 105:S9.

Grundy SM. Metabolic syndrome: a growing clinical challenge. Medscape Cardiol. 2004;8:1-12.

Carr MC. The emergence of the metabolic syndrome with menopause. J Clin Endocrinol Metab. 2003;88:2404-11.

Toto R, Sowers J, Janerson K. A debate on the metabolic syndrome: evolving challenges and controversies. En:

http://www.medscape.com/vieprogram/4479_index. [Fecha de acceso 30 de octubre de 2005]

Wilson P, Grundy S. The metabolic syndrome. practical guide to origins and treatment: Part 1. Circulation. 2003:108:1422-5.

Cook S, Weitzman M, Auinger P, NguyenM, Dietz W. Prevalence of a metablic syndrome phenotype in adolescents. Arch Pediatr Adolesc Med. 2003;157:821-7.

Botero JF. Estudio de prevalencia del síndrome metabólico en El Retiro Antioquia, Colombia 2002. (En prensa)

Aschner P. El síndrome metabólico puesto al día. En: http://www.directoriomedico.org. [Fecha de acceso 15 de septiembre de 2005]

Botero JF, Jaramillo N. Síndrome metabólico. En: factores de riesgo cardiovascular, mitos y realidades. Medellin: Editorial Marín Vieco Ltda; 2004; p. 205-27.

James PT, Rugby N, Leach R. The obesity epidemic, metabolic syndrome and future prevention strategies. Eur J Cardiovasc Prevention. 2004;11:3-8.

Uscátegui RM, Álvarez MC, Laguado I, Soler W, Martínez L, Arias R, et al. Factores de riesgo cardiovascular en adolescentes de Medellín Colombia. Ann Ped. 2003; 58: 411-7.

Antioquia. Gobernación, MANA (Plan de Mejoramiento Alimentario y Nutricional de Antioquia) y Universidad de Antioquia. Perfil alimentario y nutricional de los hogares del departamento de Antioquia. Medellín: 2005. 12v.

Grundy SM, Hansen B, Smith S, Cleeman J, Kahn R. Clinical management of metabolic syndrome. Report of the American Heart Association/National Heart, Lung, and Blood Institute/American Diabetes Association Conference on Scientific Issue Related to Management. Circulation. 2004;109:551-6.

Weiss R, Dziura J, Burgert T, Tamborlane W, Taksali S, Yeckel C, et al. Obesity and the metabolic syndrome in children and adolescents. N Engl J Med. 2004;350:2362-74.

Laaksonen D. Role of physical exercise, fitness and aerobic training in tipe 1 diabetic and aerobic training in type 1 diabetic and healthy men in relation to the lipid profile, lipid peroxidation and the metabolic syndrome. J Sports Sci & Med. 2003;2(Sup 1):1-65.

Minehira K, Tappy L. Dietary and lifestyle interventions in the management of the metabolic syndrome: present status and future perspective. Eur J Clin Nutr. 2002;56:1264-9.

Weber M. Hypertension, the metabolic syndrome, and the risk of developing diabetes: is it time to change the guidelines? J Clin Hypertens. 2004;6:425-7.

Holt S. Expert analysis of the health applicatons. Low carbs and syndrome X. Part I. En: https://www.betternutrition.com. [Fecha de acceso: septiembre 15 de 2005]

Harmel AP, Berger D. Clinical Implications of the metabolic syndrome. In: 18th International Diabetes Federation Congress. August 24-29, 2003, Paris.

Vega G. Results of expert meetings: obesity and cardiovascular disease; obesity, the metabolic syndrome and cardiovascula disease. Am Heart J. 2001;142:1108-16.

Berglund L, Hyson D. Cholesterol absorption and the mebalic syndrome. a new look at an old area. Aterioescler Thromb Vasc Biol. 2003;23:1314-6.

Simonen P, Gylling H, Howoard A, Miettinen T. Introducing a new component of the metabolic syndrome: low cholesterol absorption. Am J Clin Nutr. 2000;72:82-8.

Grundy SM. Cholesterol Gallstones: a fellow traveler with metabolic syndrome? Am J Clin Nutr. 2004;80:1-2.

Grundy SM. Inflammation, metabolic syndrome, and diet responsiveness. Circulation. 2003;108:126-8.

Lym Y, Rajala M. Hiperglicemia induced production of acute phase reactants in adipose tissue. J Biol Chem. 2001;276:4277-83.

Blackburn G, Bevis L. The obesity epidemic: prevention and treatment of the metabolic syndrome. http://www.medscape.com/viewprogram/2015_pnt. [Fecha de acceso 24 de septiembre de 2005].

National Cholesterol Education Program. Detection, evaluation, and trearment of high blood choleserol in adults (Adult Trearment Panel III) Final Report. NIH Pblication Nº 02-5215, 2002.

Report of a WHO Consultations. In: Alwan A, King H, eds. Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: Diagnosis and classification of diabetes mellitus. Geneva: World Health Organization; 1999; p. 1-59.

Chi C, Wang Y, Wilson D, Robinson T. Definition of metabolic syndrome in preadelecent girls. J Pediatr. 2006;148:788-92.

De Ferranti SD, Gauvreau K, Ludwing DS, Neufeld EJ, Nweburger JW, Nader R. Prevalence of the metabolic syndrome in american adolescents: findings form the Third National Health and Nutrition Examination Survey. Circulation. 2004;110:2494-7.

Atabek ME, Pirgon O, Kurtoglu S. Prevalence of metabolic syndrome in obese Turkish children and adolescents. Diab Res Clin Prac. 2005:1-7.

National Cholesterol Education Panel. Report the Expert Panel on Blood Cholesterol Levels in Children and Adolescents. Bethesda: National Institutes of Health; 1991 (NIH Publication Nº 91-2732)

International Diabetes Federation (IDF). The IDF consensus worldwide definition of the metabolic syndrome. http://www.medscape.com/viewprogram/504382# [Fecha de acceso 25 de junio de 2005]

Grundy S, Cleeman J, Daniela S, Donato K, Eckel R, Franklin B, et al. AHA/NHLBI Scientific Statement. Diagnosis and management of the metabolic syndrome. http://wwww.circulationaha.org [Fecha de acceso 18 de octubre de 2005]

Albeti KG, Zimmet PZ. Definition, diagnosis and classification of diabetes mellitus and its complications. Part I: diagnosis and classification diabetes mellitus provisional report of a WHO consultation. Diabetes Med. 1998;15:539-53.

Must A, Dallal GE, Dietz WH. Reference data for obesity: 85th and 95th percentiles of body mass index (wt/ht2) - a correction. Am J Clin Nutr. 1991;54:773.

Agudelo GM, Restrepo S. Síndrome metabólico. I: Acuerdos y desacuerdos en su definición y diagnóstico. Perspect Nutr Humana. 2005;14:77-97.

Rodriguez M, Salazar B, Violante R, Guerrero F. Metabolic síndrome among children and adolescents aged 10-18 years. Diab Care. 2004:27:2516-7.

McGillis R, Massey L, Armstrong J, Mills P, Short P. Metabolic syndrome in a multiethnic sample of school children: implications for the pediatric nurse. J Pediatric Nurs. 2007;22:43-58.

Halley E, Borges G, Talavera J, Orozco R, Vargas-Alemán C, Huitrón-Bravo G, et al. Body mass index and the prevalence of metabolic syndrome among children and adolescents in two Mexican populations. J Adolesc Health. 2007;40:521-6.

Duncan G, Sierra M, Zhou X Syndrome phenotype among US. adolescents, 1999-2000. Diabetes Care. 2004;27:2443-1004.

Csábi G, Torok K, Jeges S, Molnár D. Presence of metabolic cardiosvascular syndrome in obese children. Eur J Pediatr. 2000;159:91-4.

Holt Stephen. Expert analysis of the health applicatons. Low carbs and syndrome X. Part I. En: 43. Holt Stephen. Expert analysis of the health applicatons. Low carbs and syndrome X. Part I. En:43. Holt Stephen. Expert analysis of the health applicatons. Low carbs and syndrome X. Part I. En: https://www.betternutrition.com. [Fecha de acceso: septiembre 15 de 2005].

González A. Consenso mexicano sobre el tratamiento integral del síndrome metabólico. Rev Mex Cardiol. 2002;13:4-30.

Li Ch, Lin J, Lee S, Tseng R. Associations between the metabolic syndrome and its components, watching television and physical activity. Public Health. 007;121:83-91.

Tucker LA, Fridman GM. Television viewing and obesity in adult males. Am J Public Health. 1989;79:516–8.

Tucker LA, Bagwell M. Television viewing and obesity in adult females. Am J Public Health. 1991;81:908–11.

OMS. Informe sobre la salud en el mundo 2002: reducir los riesgos y promover una vida sana. Ginebra; 2002.

Kavey RE. Daniela SR, Lauer RM. American Hearth Association guidelines for primary prevention of atherosclerotic cardiovascular disease beginning in childhood. Circulation. 2003;107:1562-6.

Halley E, Borges G, Talavera J, Orozco R, Vargas C, Huitrón G, et al. Body mass index and prevalence of metabolic syndrome among children and adolescents in two Mexicans populations. J Adolesc Health. 2007;40:521-6.

Agirbasli M, Fakir S, Ozme S, Ciliv G. Metabolic syndrome in Turhish children and adolescents. Metabol Clin Exper. 2006;55:1002-6.

Rodriguez M, Salazar B, Violante R, Guerrero F. Metabolic syndrome among children and adolescents aged 10-18 years. Diabetes Care. 2004:27:2516-7.

Merino M, Reiff A, Moura A, Valeria G. Insulin resistance in Brazilian adolescent girls: association with overweight and metabolic disorder. Diabetes Res Clin Pract. 2006;74:183-8.

Mikkola I, Keinanen S, Laakso M, Jokelainen J, Harkonen P, Meyer-Rochow V, et al. Metabolic syndrome in connection with IBM in young Finnish male adults. Diab Res Clin Pract. 2006.doi:10.1016/j.diabres.2006.09.019.

Perichart O, Balas M, Schiffman E, Barbato A, Vadillo F. Obesity increases metabolit syndrome risk factors in school-aged children from an urban school in Mexico. J Am Diet Assoc. 2007;107:81. https://www.betternutrition.com. [Fecha de acceso: septiembre 15 de 2005].