engleski

Predictive value of overweight in early detection of metabolic syndrome in schoolchildren

Background and Aims: Prevalence of metabolic syndrome among children and adolescents ranges from 0 to 33%, depending on the weight status. The aim of the study was to determine predictive value of overweight in early school age in detection of metabolic syndrome in adolescence. Methods: A longitudinal study included 447 respondents (46.1%) of initial cohort from a representative sample of first-grade students of elementary school year 2003/2004. Data were obtained by survey, anthropometry and laboratory blood testing. International Diabetes Federation criteria were used to diagnose metabolic syndrome. Data was analyzed using descriptive statistics, univariate and multivariate logistic regressions. Results: The analysis included 447 respondents (223 boys) aged 17 to 19 years. The prevalence of metabolic syndrome among adolescents was 2.5%, and it was highest in the group of obese adolescents (eight of 25), in the group of overweight it was three of 67. In the group of normal weight and underweight metabolic syndrome was not determined. According to the weight status in early school age, the highest prevalence of metabolic syndrome was found among those who were obese (four of 21) ; followed by overweight (three of 45), and in group of normally weighed was 1.1%. Childhood overweight, obesity, hypertension, and sense of irritability were significant predictors of metabolic syndrome in adolescence. Conclusions: Overweight and obesity during early school age are predictors of developing metabolic syndrome during adolescence. School Health Service could detect children with risk factors and refer them to laboratory tests for early detection of metabolic syndrome.

adolescents, metabolic syndrome x, overweight, obesity

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