Diagnostic Methods of Metabolic Syndrome in Children
-
Shahin Koohmanaee
,
Afagh Hassanzadeh Rad
,
Seyyedeh Forough Jafari
,
Marjaneh Zarkesh
,
Ehsan Kazemnejad Leili
,
Esfandiar Nazari
,
Setila Dalili
Abstract
We aimed to define Metabolic Syndrome (METs) from different viewpoints to determine the most appropriate method that could be used for early METs' diagnosis in general population and treat them immediately. This study was an analytic cross-sectional study which was conducted on 725, twelve year-old-girls and boys from Rasht city in Iran. METs was defined based on 7 different methods. Data were reported by descriptive statistics (number, percent, mean, and standard deviation) and analyzed by Cohen's kappa coefficient correlation and chi-square in SPSS version 19. The highest and lowest percentages of METs were obtained by DE Ferranti (17.5%) and viner et al., (0.8%) methods, respectively. Results showed that viner et al., had the highest degree of agreement with NCEP ATPIII and the lowest with DE Ferranti. Furthermore, De Ferranti showed the highest degree of agreement with NHANESIII and the lowest with Viner et al., According to results, the identification of the cut off points of obesity could help to promote public health care.
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13. Badeli H, Dalili H, Rad AH, Medghalchi A, Dalili S, Koohmanaee S. Birth weight as a cardio metabolic risk factor in Iranian adolescents. Int J Prevent Med 2017;8:72.
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15. Badeli H, Hashemian H, Nazari N, Rad AH. The percentage of error of different weight estimation methods toward actual weight in children admitted to 17 Shahrivar Hospital. Int J Prev Med 2015;6:13.
16. Nedog V, Lobnik E, Lobnik A, Bevc S. Early Detection of Atherosclerosis in Primary School Children. Cardiol Angiol 2014;2:154-62.
17. Dalili S, Mohammadi H, Rezvany SM, Dadashi A, Novin MH, Gholaminejad H, et al. The relationship between blood pressure, anthropometric indices and metabolic profile in adolescents: a cross sectional study. Indian J Pediatr 2014;25:445-9.
18. Dalili S, Rezvani SM, Dalili H, Amiri ZM, Mohammadi H, Medghalchi A, et al. Cardio-metabolic risk factors in Iranian children: where we are and the others? Acta Med Iran 2014;52:831-6.
19. Koohmanaee S, Tabrizi M, Naderi N, Rad AH, Moghaddam KB, Dalili S. Parental Anthropometric Indices and Obesity in Children. Acta Med Iran 2016;54:270-5.
20. Higgins V, Adeli K. Pediatric Metabolic Syndrome: pathophysiology and laboratory assessment. EJIFCC 2017;28:25.
21. Dyrstad SM, Edvardsen E, Hansen BH, Anderssen SA. Waist circumference thresholds and cardiorespiratory fitness. J Sport Health Sci 2019;8:17-22.
22. Association AD. Standards of Medical Care in Diabetes—2017: 178 Summary of Revisions. Diabet Care 2017;40:S4-5.
23. Tailor AM, Peeters PH, Norat T, Vineis P, Romaguera D. An update on the prevalence of the metabolic syndrome in children and adolescents. Int J Pediatr Obes 2010;5:202-13.
24. Ghaemi N, Aghaei Monavar A. Prevalence of Metabolic Syndrome In Children With Overweight. Med J Mashhad Univ Med Sci 2011;53:98-103.
25. Esmaillzadeh A , Mirmiran P, AzadbakhtC, Etemadi A, Azizi F. High prevalence of the metabolic syndrome in Iranian adolescents. Obesity 2006;14:377-82 .
26. Salem Z, Vazirinegad R. Prevalence of obesity and metabolic syndrome in adolescent girls in South East of Iran. Pak J Med Sci 2009;25:196-200.
2. Castro AVB, Kolka CM, Kim SP, Bergman RN. Obesity, insulin resistance and comorbidities? Mechanisms of association. Arq Bras Endocrinol Metabol 2014;58:600-9.
3. Roberts CK, Hevener AL, Barnard RJ. Metabolic syndrome and insulin resistance: underlying causes and modification by exercise training. Compr Physiol 2013;3:1-58.
4. Golshekan K, Badeli H, Rezaieian S, Mohammadpour H, Hassanzadehrad A. Effect of oral ondansetron on decreasing the vomiting associated with acute gastroenteritis in Iranian children. Iranian J Pediatr 2013;23:557.
5. Williams L. Third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III) final report. Circulation 2002;106:3143-421.
6. Cook S, Weitzman M, Auinger P, Nguyen M, Dietz WH. Prevalence of a metabolic syndrome phenotype in adolescents: findings from the third National Health and Nutrition Examination Survey, 1988-1994. Arch Pediatr Adolesc Med 2003;157:821-7.
7. Corona G, Mannucci E, Petrone L, Schulman C, Balercia G, Fisher AD, et al. A comparison of NCEP-ATPIII and IDF metabolic syndrome definitions with relation to metabolic syndrome-associated sexual dysfunction. J Sex Med 2007;4:789-96.
8. Chackrewarthy S, Gunasekera D, Pathmeswaren A, Wijekoon C, Ranawaka U, Kato N, et al. A comparison between revised NCEP ATP III and IDF definitions in diagnosing metabolic syndrome in an urban Sri Lankan population: the Ragama health study. ISRN Endocrinol 2013;2013:320176.
9. De Ferranti S, Gauvreau K, Ludwig D, Neufeld E, Newburger J, Nader R. Prevalence of the metabolic syndrome in American adolescents: Findings from the Third National Health and Nutrition Examination Survey.
ACC Curr J Rev 2005;14:95.
10. Zimmet P, Alberti KGM, Kaufman F, Tajima N, Silink M, Arslanian S, et al. The metabolic syndrome in children and adolescents–an IDF consensus report. Pediatr Diabet 2007;8:299-306.
11. Grundy S. American Heart Association, National Heart, Lung, and Blood Institute. Definition of metabolic syndrome: report of the National Heart, Lung, and Blood Institute/American Heart Association conference on scientific issues related to definition. Circulation 2004;109:433-8.
12. Viner R, Segal T, Lichtarowicz-Krynska E, Hindmarsh 156 P. Prevalence of the insulin resistance syndrome in obesity. Arch Dis Childhood 2005;90:10-4.
13. Badeli H, Dalili H, Rad AH, Medghalchi A, Dalili S, Koohmanaee S. Birth weight as a cardio metabolic risk factor in Iranian adolescents. Int J Prevent Med 2017;8:72.
14. Jacobson MS, Kohn MR. Cardiovascular Risk Factors and Atherosclerosis. A Clinical Handbook in Adolescent Medicine: A Guide for Health Professionals Who Work with Adolescents and Young Adults. New Jersey: World Scientific, 2013:685-96.
15. Badeli H, Hashemian H, Nazari N, Rad AH. The percentage of error of different weight estimation methods toward actual weight in children admitted to 17 Shahrivar Hospital. Int J Prev Med 2015;6:13.
16. Nedog V, Lobnik E, Lobnik A, Bevc S. Early Detection of Atherosclerosis in Primary School Children. Cardiol Angiol 2014;2:154-62.
17. Dalili S, Mohammadi H, Rezvany SM, Dadashi A, Novin MH, Gholaminejad H, et al. The relationship between blood pressure, anthropometric indices and metabolic profile in adolescents: a cross sectional study. Indian J Pediatr 2014;25:445-9.
18. Dalili S, Rezvani SM, Dalili H, Amiri ZM, Mohammadi H, Medghalchi A, et al. Cardio-metabolic risk factors in Iranian children: where we are and the others? Acta Med Iran 2014;52:831-6.
19. Koohmanaee S, Tabrizi M, Naderi N, Rad AH, Moghaddam KB, Dalili S. Parental Anthropometric Indices and Obesity in Children. Acta Med Iran 2016;54:270-5.
20. Higgins V, Adeli K. Pediatric Metabolic Syndrome: pathophysiology and laboratory assessment. EJIFCC 2017;28:25.
21. Dyrstad SM, Edvardsen E, Hansen BH, Anderssen SA. Waist circumference thresholds and cardiorespiratory fitness. J Sport Health Sci 2019;8:17-22.
22. Association AD. Standards of Medical Care in Diabetes—2017: 178 Summary of Revisions. Diabet Care 2017;40:S4-5.
23. Tailor AM, Peeters PH, Norat T, Vineis P, Romaguera D. An update on the prevalence of the metabolic syndrome in children and adolescents. Int J Pediatr Obes 2010;5:202-13.
24. Ghaemi N, Aghaei Monavar A. Prevalence of Metabolic Syndrome In Children With Overweight. Med J Mashhad Univ Med Sci 2011;53:98-103.
25. Esmaillzadeh A , Mirmiran P, AzadbakhtC, Etemadi A, Azizi F. High prevalence of the metabolic syndrome in Iranian adolescents. Obesity 2006;14:377-82 .
26. Salem Z, Vazirinegad R. Prevalence of obesity and metabolic syndrome in adolescent girls in South East of Iran. Pak J Med Sci 2009;25:196-200.
| Files | ||
| Issue | Vol 57, No 2 (2019) | |
| Section | Articles | |
| DOI | https://doi.org/10.18502/acta.v57i2.1768 | |
| Keywords | ||
| Metabolic syndrome Obesity Child | ||
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How to Cite
1.
Koohmanaee S, Hassanzadeh Rad A, Jafari SF, Zarkesh M, Kazemnejad Leili E, Nazari E, Dalili S. Diagnostic Methods of Metabolic Syndrome in Children. Acta Med Iran. 2019;57(2):127-133.
