The Prevalence of the Metabolic Syndrome in Korean Children and Adolescents: Comparisons of the Criteria of Cook et al., Cruz and Goran, and Ferranti et al.
1
조회
0
다운로드
16
인용
0
참고문헌
키워드
초록
Purpose: Although the metabolic syndrome (MS), which can lead to the development of cardiovascular disease (CVD) or diabetes mellitus (DM), is increasing in children and adolescents, no unified criteria have been established, and little attention has been paid to its occurrence in Korean children and adolescents. In this study, we compared the prevalence of the MS in Korean children and adolescents using the criteria which were modified for children and adolescents by Cook et al., Cruz and Goran, and Ferranti et al. Materials and Methods: The study population was a nationwide representative sample of 3,431 children and adolescents (1,828 boys and 1,603 girls) from the 2001 Korean National Health and Nutrition Examination Survey (KNHANES), who were aged 10-19 years (mean 14.1±2.8), underwent a physical examination, and fasted for 8 hours before collecting blood samples. Results: The rates of the MS were 6.1, 5.3, and 14.0% according to the criteria of Cruz and Goran, Cook et al., and Ferranti et al., respectively, and the agreement rate of the three sets of criteria was 88.7%. Conclusion: Unified criteria for the MS and a strategy for reducing obesity in children and adolescents will be necessary to prevent the occurrence of this syndrome.
Abstract
Purpose: Although the metabolic syndrome (MS), which can lead to the development of cardiovascular disease (CVD) or diabetes mellitus (DM), is increasing in children and adolescents, no unified criteria have been established, and little attention has been paid to its occurrence in Korean children and adolescents. In this study, we compared the prevalence of the MS in Korean children and adolescents using the criteria which were modified for children and adolescents by Cook et al., Cruz and Goran, and Ferranti et al. Materials and Methods: The study population was a nationwide representative sample of 3,431 children and adolescents (1,828 boys and 1,603 girls) from the 2001 Korean National Health and Nutrition Examination Survey (KNHANES), who were aged 10-19 years (mean 14.1±2.8), underwent a physical examination, and fasted for 8 hours before collecting blood samples. Results: The rates of the MS were 6.1, 5.3, and 14.0% according to the criteria of Cruz and Goran, Cook et al., and Ferranti et al., respectively, and the agreement rate of the three sets of criteria was 88.7%. Conclusion: Unified criteria for the MS and a strategy for reducing obesity in children and adolescents will be necessary to prevent the occurrence of this syndrome.
참고문헌 (22)
- Bitsori M, "Dysmetabolic syndrome in childhood and adolescence", Acta Paediatr, 94, pp.995~1005 (2005)
- Eckel RH, "The metabolic syndrome", Lancet, 365, pp.1415~1428 (2005)
- Ford ES, "Increasing prevalence of the metabolic syndrome among u.s. Adults", Diabetes Care, 27, pp.2444~2449 (2004)
- National Cholesterol Education Program (NCEP, "highlights of the report of the Expert Panel on Blood Cholesterol Levels in Children and Adolescents", Pediatrics, 89, pp.495~501 (1992)
- Lim S, "Changes in the characteristics of metabolic syndrome in Korea over the period 1998-2001 as determined by Korean National Health and Nutrition Examination Surveys", Diabetes Care, 28, pp.1810~1812 (2005)
- Cook S, "Prevalence of a metabolic syndrome phenotype in adolescents: findings from the third National Health and Nutrition Examination Survey, 1988-1994", Arch Pediatr Adolesc Med, 157, pp.821~827 (2003)
- Cruz ML, "The metabolic syndrome in children and adolescents", Curr Diab Rep, 4, pp.53~62 (2004)
- de Ferranti SD, "Prevalence of the metabolic syndrome in American adolescents: findings from the Third National Health and Nutrition Examination Survey", Circulation, 110, pp.2494~2497 (2004)
- Sung EJ, "A metabolic syndrome phenotype in Korean children and adolescents: prevalence and change in characteristics over the period 1998-2001", 학사, pp.2005
- 장진하, "소아비만증에서 대사 증후군의 유병률", 소아과, 47(11), pp.1149~1156 (2004), 대한소아과학회
- Park HS, "Relation between elevated serum alanine aminotransferase and metabolic syndrome in Korean adolescents", Am J Clin Nutr, 82, pp.1046~1051 (2005)
- Lambert M, "Insulin resistance syndrome in a representative sample of children and adolescents from Quebec, Canada", Int J Obes Relat Metab Disord, 28, pp.833~841 (2004)
- Csábi G, "Presence of metabolic cardiovascular syndrome in obese children", Eur J Pediatr, 159, pp.91~94 (2000)
- "The Third Korea National Health and Nutrition Examination Survey (KNHANES III), 2005 - Health Examination - (accessed December 19, 2006/URL:"[URL]
- Korean Pediatric Association, "The Body development standard in children and adolescents 1998. Contract No.: HMP-96-M-1-1002. Sponsored by the '96 Good Health R&D Project, Ministry of Health and Welfare, R.O.K" (1999), Guangmoon Press
- Thompson FE, "Dietary assessment resource manual", J Nutr, 124(11), pp.2245s~2317s (1994)
- Park HS, "The metabolic syndrome and associated lifestyle factors among South Korean adults", Int J Epidemiol, 33, pp.328~336 (2004)
- Duncan GE, "Prevalence and trends of a metabolic syndrome phenotype among u.s. Adolescents, 1999-2000", Diabetes Care, 27, pp.2438~2443 (2004)
- Cruz ML, "Unique effect ofvisceral fat on insulin sensitivity in obese Hispanic children with a family history of type 2 diabetes", Diabetes Care, 25, pp.1631~1636 (2002)
- "IDF consensus worldwide definition of the metabolic syndrome (accessed July 18, 2006)/URL:"[URL]
- Expert Committee on the Diagnosis and Classification of Diabetes Mellitus, "American Diabetes Association: clinical practice recommendations 2002", Diabetes Care, 25(1), pp.S1~S147 (2002)
- Wei JN, "National surveillance for type 2 diabetes mellitus in Taiwanese children", JAMA, 290, pp.1345~1350 (2003)