Is Metabolic Syndrome Useful for Identifying Youths with Obesity at Risk for NAFLD?
The definition of metabolic syndrome (MetS) in childhood is controversial. Recently, a modified version of the International Diabetes Federation (IDF) definition was proposed using reference data from an international population for high waist circumference (WC) and blood pressure (BP), while the fi...
Ausführliche Beschreibung
Autor*in: |
Procolo Di Bonito [verfasserIn] Anna Di Sessa [verfasserIn] Maria Rosaria Licenziati [verfasserIn] Domenico Corica [verfasserIn] Malgorzata Wasniewska [verfasserIn] Giuseppina Rosaria Umano [verfasserIn] Anita Morandi [verfasserIn] Claudio Maffeis [verfasserIn] Maria Felicia Faienza [verfasserIn] Enza Mozzillo [verfasserIn] Valeria Calcaterra [verfasserIn] Francesca Franco [verfasserIn] Giulio Maltoni [verfasserIn] Giuliana Valerio [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
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2023 |
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Übergeordnetes Werk: |
In: Children - MDPI AG, 2014, 10(2023), 2, p 233 |
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Übergeordnetes Werk: |
volume:10 ; year:2023 ; number:2, p 233 |
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DOI / URN: |
10.3390/children10020233 |
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Katalog-ID: |
DOAJ080982999 |
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10.3390/children10020233 doi (DE-627)DOAJ080982999 (DE-599)DOAJd91dad36a44a451e85681493a8ac75ff DE-627 ger DE-627 rakwb eng RJ1-570 Procolo Di Bonito verfasserin aut Is Metabolic Syndrome Useful for Identifying Youths with Obesity at Risk for NAFLD? 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The definition of metabolic syndrome (MetS) in childhood is controversial. Recently, a modified version of the International Diabetes Federation (IDF) definition was proposed using reference data from an international population for high waist circumference (WC) and blood pressure (BP), while the fixed cutoffs for lipids and glucose were not changed. We analyzed MetS prevalence using this modified definition (MetS-IDF<sub<m</sub<) and its association with non-alcoholic fatty liver disease (NAFLD) in 1057 youths (age 6–17 years) with overweight/obesity (OW/OB). A comparison with another modified definition of MetS according to the Adult Treatment Panel III (MetS-ATPIII<sub<m</sub<) was performed. The prevalence of MetS-IDF<sub<m</sub< was 27.8% and 28.9% by MetS-ATPIII<sub<m</sub<. The Odds (95% Confidence Intervals) of NAFLD was 2.70 (1.30–5.60) (<i<p</i< = 0.008) for high WC, 1.68 (1.25–2.26)(<i<p</i< = 0.001) for MetS, 1.54 (1.12–2.11)(<i<p</i< = 0.007) for low HDL-Cholesterol, 1.49 (1.04–2.13)(<i<p</i< = 0.032) for high triglycerides and 1.37 (1.03–1.82)(<i<p</i< = 0.033) for high BP. No substantial difference was found in the prevalence of MetS-IDF<sub<m</sub< and frequency of NAFLD compared to Mets-ATPIII<sub<m</sub< definition. Our data demonstrate that one third of youths with OW/OB have MetS, whichever was the criterion. Neither definition was superior to some of their components in identifying youths with OW/OB at risk for NAFLD. metabolic syndrome non-alcoholic fatty liver disease pediatric obesity insulin-resistance abdominal obesity Pediatrics Anna Di Sessa verfasserin aut Maria Rosaria Licenziati verfasserin aut Domenico Corica verfasserin aut Malgorzata Wasniewska verfasserin aut Giuseppina Rosaria Umano verfasserin aut Anita Morandi verfasserin aut Claudio Maffeis verfasserin aut Maria Felicia Faienza verfasserin aut Enza Mozzillo verfasserin aut Valeria Calcaterra verfasserin aut Francesca Franco verfasserin aut Giulio Maltoni verfasserin aut Giuliana Valerio verfasserin aut In Children MDPI AG, 2014 10(2023), 2, p 233 (DE-627)768093007 (DE-600)2732685-8 22279067 nnns volume:10 year:2023 number:2, p 233 https://doi.org/10.3390/children10020233 kostenfrei https://doaj.org/article/d91dad36a44a451e85681493a8ac75ff kostenfrei https://www.mdpi.com/2227-9067/10/2/233 kostenfrei https://doaj.org/toc/2227-9067 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2023 2, p 233 |
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10.3390/children10020233 doi (DE-627)DOAJ080982999 (DE-599)DOAJd91dad36a44a451e85681493a8ac75ff DE-627 ger DE-627 rakwb eng RJ1-570 Procolo Di Bonito verfasserin aut Is Metabolic Syndrome Useful for Identifying Youths with Obesity at Risk for NAFLD? 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The definition of metabolic syndrome (MetS) in childhood is controversial. Recently, a modified version of the International Diabetes Federation (IDF) definition was proposed using reference data from an international population for high waist circumference (WC) and blood pressure (BP), while the fixed cutoffs for lipids and glucose were not changed. We analyzed MetS prevalence using this modified definition (MetS-IDF<sub<m</sub<) and its association with non-alcoholic fatty liver disease (NAFLD) in 1057 youths (age 6–17 years) with overweight/obesity (OW/OB). A comparison with another modified definition of MetS according to the Adult Treatment Panel III (MetS-ATPIII<sub<m</sub<) was performed. The prevalence of MetS-IDF<sub<m</sub< was 27.8% and 28.9% by MetS-ATPIII<sub<m</sub<. The Odds (95% Confidence Intervals) of NAFLD was 2.70 (1.30–5.60) (<i<p</i< = 0.008) for high WC, 1.68 (1.25–2.26)(<i<p</i< = 0.001) for MetS, 1.54 (1.12–2.11)(<i<p</i< = 0.007) for low HDL-Cholesterol, 1.49 (1.04–2.13)(<i<p</i< = 0.032) for high triglycerides and 1.37 (1.03–1.82)(<i<p</i< = 0.033) for high BP. No substantial difference was found in the prevalence of MetS-IDF<sub<m</sub< and frequency of NAFLD compared to Mets-ATPIII<sub<m</sub< definition. Our data demonstrate that one third of youths with OW/OB have MetS, whichever was the criterion. Neither definition was superior to some of their components in identifying youths with OW/OB at risk for NAFLD. metabolic syndrome non-alcoholic fatty liver disease pediatric obesity insulin-resistance abdominal obesity Pediatrics Anna Di Sessa verfasserin aut Maria Rosaria Licenziati verfasserin aut Domenico Corica verfasserin aut Malgorzata Wasniewska verfasserin aut Giuseppina Rosaria Umano verfasserin aut Anita Morandi verfasserin aut Claudio Maffeis verfasserin aut Maria Felicia Faienza verfasserin aut Enza Mozzillo verfasserin aut Valeria Calcaterra verfasserin aut Francesca Franco verfasserin aut Giulio Maltoni verfasserin aut Giuliana Valerio verfasserin aut In Children MDPI AG, 2014 10(2023), 2, p 233 (DE-627)768093007 (DE-600)2732685-8 22279067 nnns volume:10 year:2023 number:2, p 233 https://doi.org/10.3390/children10020233 kostenfrei https://doaj.org/article/d91dad36a44a451e85681493a8ac75ff kostenfrei https://www.mdpi.com/2227-9067/10/2/233 kostenfrei https://doaj.org/toc/2227-9067 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2023 2, p 233 |
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10.3390/children10020233 doi (DE-627)DOAJ080982999 (DE-599)DOAJd91dad36a44a451e85681493a8ac75ff DE-627 ger DE-627 rakwb eng RJ1-570 Procolo Di Bonito verfasserin aut Is Metabolic Syndrome Useful for Identifying Youths with Obesity at Risk for NAFLD? 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The definition of metabolic syndrome (MetS) in childhood is controversial. Recently, a modified version of the International Diabetes Federation (IDF) definition was proposed using reference data from an international population for high waist circumference (WC) and blood pressure (BP), while the fixed cutoffs for lipids and glucose were not changed. We analyzed MetS prevalence using this modified definition (MetS-IDF<sub<m</sub<) and its association with non-alcoholic fatty liver disease (NAFLD) in 1057 youths (age 6–17 years) with overweight/obesity (OW/OB). A comparison with another modified definition of MetS according to the Adult Treatment Panel III (MetS-ATPIII<sub<m</sub<) was performed. The prevalence of MetS-IDF<sub<m</sub< was 27.8% and 28.9% by MetS-ATPIII<sub<m</sub<. The Odds (95% Confidence Intervals) of NAFLD was 2.70 (1.30–5.60) (<i<p</i< = 0.008) for high WC, 1.68 (1.25–2.26)(<i<p</i< = 0.001) for MetS, 1.54 (1.12–2.11)(<i<p</i< = 0.007) for low HDL-Cholesterol, 1.49 (1.04–2.13)(<i<p</i< = 0.032) for high triglycerides and 1.37 (1.03–1.82)(<i<p</i< = 0.033) for high BP. No substantial difference was found in the prevalence of MetS-IDF<sub<m</sub< and frequency of NAFLD compared to Mets-ATPIII<sub<m</sub< definition. Our data demonstrate that one third of youths with OW/OB have MetS, whichever was the criterion. Neither definition was superior to some of their components in identifying youths with OW/OB at risk for NAFLD. metabolic syndrome non-alcoholic fatty liver disease pediatric obesity insulin-resistance abdominal obesity Pediatrics Anna Di Sessa verfasserin aut Maria Rosaria Licenziati verfasserin aut Domenico Corica verfasserin aut Malgorzata Wasniewska verfasserin aut Giuseppina Rosaria Umano verfasserin aut Anita Morandi verfasserin aut Claudio Maffeis verfasserin aut Maria Felicia Faienza verfasserin aut Enza Mozzillo verfasserin aut Valeria Calcaterra verfasserin aut Francesca Franco verfasserin aut Giulio Maltoni verfasserin aut Giuliana Valerio verfasserin aut In Children MDPI AG, 2014 10(2023), 2, p 233 (DE-627)768093007 (DE-600)2732685-8 22279067 nnns volume:10 year:2023 number:2, p 233 https://doi.org/10.3390/children10020233 kostenfrei https://doaj.org/article/d91dad36a44a451e85681493a8ac75ff kostenfrei https://www.mdpi.com/2227-9067/10/2/233 kostenfrei https://doaj.org/toc/2227-9067 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2023 2, p 233 |
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10.3390/children10020233 doi (DE-627)DOAJ080982999 (DE-599)DOAJd91dad36a44a451e85681493a8ac75ff DE-627 ger DE-627 rakwb eng RJ1-570 Procolo Di Bonito verfasserin aut Is Metabolic Syndrome Useful for Identifying Youths with Obesity at Risk for NAFLD? 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The definition of metabolic syndrome (MetS) in childhood is controversial. Recently, a modified version of the International Diabetes Federation (IDF) definition was proposed using reference data from an international population for high waist circumference (WC) and blood pressure (BP), while the fixed cutoffs for lipids and glucose were not changed. We analyzed MetS prevalence using this modified definition (MetS-IDF<sub<m</sub<) and its association with non-alcoholic fatty liver disease (NAFLD) in 1057 youths (age 6–17 years) with overweight/obesity (OW/OB). A comparison with another modified definition of MetS according to the Adult Treatment Panel III (MetS-ATPIII<sub<m</sub<) was performed. The prevalence of MetS-IDF<sub<m</sub< was 27.8% and 28.9% by MetS-ATPIII<sub<m</sub<. The Odds (95% Confidence Intervals) of NAFLD was 2.70 (1.30–5.60) (<i<p</i< = 0.008) for high WC, 1.68 (1.25–2.26)(<i<p</i< = 0.001) for MetS, 1.54 (1.12–2.11)(<i<p</i< = 0.007) for low HDL-Cholesterol, 1.49 (1.04–2.13)(<i<p</i< = 0.032) for high triglycerides and 1.37 (1.03–1.82)(<i<p</i< = 0.033) for high BP. No substantial difference was found in the prevalence of MetS-IDF<sub<m</sub< and frequency of NAFLD compared to Mets-ATPIII<sub<m</sub< definition. Our data demonstrate that one third of youths with OW/OB have MetS, whichever was the criterion. Neither definition was superior to some of their components in identifying youths with OW/OB at risk for NAFLD. metabolic syndrome non-alcoholic fatty liver disease pediatric obesity insulin-resistance abdominal obesity Pediatrics Anna Di Sessa verfasserin aut Maria Rosaria Licenziati verfasserin aut Domenico Corica verfasserin aut Malgorzata Wasniewska verfasserin aut Giuseppina Rosaria Umano verfasserin aut Anita Morandi verfasserin aut Claudio Maffeis verfasserin aut Maria Felicia Faienza verfasserin aut Enza Mozzillo verfasserin aut Valeria Calcaterra verfasserin aut Francesca Franco verfasserin aut Giulio Maltoni verfasserin aut Giuliana Valerio verfasserin aut In Children MDPI AG, 2014 10(2023), 2, p 233 (DE-627)768093007 (DE-600)2732685-8 22279067 nnns volume:10 year:2023 number:2, p 233 https://doi.org/10.3390/children10020233 kostenfrei https://doaj.org/article/d91dad36a44a451e85681493a8ac75ff kostenfrei https://www.mdpi.com/2227-9067/10/2/233 kostenfrei https://doaj.org/toc/2227-9067 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2023 2, p 233 |
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10.3390/children10020233 doi (DE-627)DOAJ080982999 (DE-599)DOAJd91dad36a44a451e85681493a8ac75ff DE-627 ger DE-627 rakwb eng RJ1-570 Procolo Di Bonito verfasserin aut Is Metabolic Syndrome Useful for Identifying Youths with Obesity at Risk for NAFLD? 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier The definition of metabolic syndrome (MetS) in childhood is controversial. Recently, a modified version of the International Diabetes Federation (IDF) definition was proposed using reference data from an international population for high waist circumference (WC) and blood pressure (BP), while the fixed cutoffs for lipids and glucose were not changed. We analyzed MetS prevalence using this modified definition (MetS-IDF<sub<m</sub<) and its association with non-alcoholic fatty liver disease (NAFLD) in 1057 youths (age 6–17 years) with overweight/obesity (OW/OB). A comparison with another modified definition of MetS according to the Adult Treatment Panel III (MetS-ATPIII<sub<m</sub<) was performed. The prevalence of MetS-IDF<sub<m</sub< was 27.8% and 28.9% by MetS-ATPIII<sub<m</sub<. The Odds (95% Confidence Intervals) of NAFLD was 2.70 (1.30–5.60) (<i<p</i< = 0.008) for high WC, 1.68 (1.25–2.26)(<i<p</i< = 0.001) for MetS, 1.54 (1.12–2.11)(<i<p</i< = 0.007) for low HDL-Cholesterol, 1.49 (1.04–2.13)(<i<p</i< = 0.032) for high triglycerides and 1.37 (1.03–1.82)(<i<p</i< = 0.033) for high BP. No substantial difference was found in the prevalence of MetS-IDF<sub<m</sub< and frequency of NAFLD compared to Mets-ATPIII<sub<m</sub< definition. Our data demonstrate that one third of youths with OW/OB have MetS, whichever was the criterion. Neither definition was superior to some of their components in identifying youths with OW/OB at risk for NAFLD. metabolic syndrome non-alcoholic fatty liver disease pediatric obesity insulin-resistance abdominal obesity Pediatrics Anna Di Sessa verfasserin aut Maria Rosaria Licenziati verfasserin aut Domenico Corica verfasserin aut Malgorzata Wasniewska verfasserin aut Giuseppina Rosaria Umano verfasserin aut Anita Morandi verfasserin aut Claudio Maffeis verfasserin aut Maria Felicia Faienza verfasserin aut Enza Mozzillo verfasserin aut Valeria Calcaterra verfasserin aut Francesca Franco verfasserin aut Giulio Maltoni verfasserin aut Giuliana Valerio verfasserin aut In Children MDPI AG, 2014 10(2023), 2, p 233 (DE-627)768093007 (DE-600)2732685-8 22279067 nnns volume:10 year:2023 number:2, p 233 https://doi.org/10.3390/children10020233 kostenfrei https://doaj.org/article/d91dad36a44a451e85681493a8ac75ff kostenfrei https://www.mdpi.com/2227-9067/10/2/233 kostenfrei https://doaj.org/toc/2227-9067 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2023 2, p 233 |
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Is Metabolic Syndrome Useful for Identifying Youths with Obesity at Risk for NAFLD? |
abstract |
The definition of metabolic syndrome (MetS) in childhood is controversial. Recently, a modified version of the International Diabetes Federation (IDF) definition was proposed using reference data from an international population for high waist circumference (WC) and blood pressure (BP), while the fixed cutoffs for lipids and glucose were not changed. We analyzed MetS prevalence using this modified definition (MetS-IDF<sub<m</sub<) and its association with non-alcoholic fatty liver disease (NAFLD) in 1057 youths (age 6–17 years) with overweight/obesity (OW/OB). A comparison with another modified definition of MetS according to the Adult Treatment Panel III (MetS-ATPIII<sub<m</sub<) was performed. The prevalence of MetS-IDF<sub<m</sub< was 27.8% and 28.9% by MetS-ATPIII<sub<m</sub<. The Odds (95% Confidence Intervals) of NAFLD was 2.70 (1.30–5.60) (<i<p</i< = 0.008) for high WC, 1.68 (1.25–2.26)(<i<p</i< = 0.001) for MetS, 1.54 (1.12–2.11)(<i<p</i< = 0.007) for low HDL-Cholesterol, 1.49 (1.04–2.13)(<i<p</i< = 0.032) for high triglycerides and 1.37 (1.03–1.82)(<i<p</i< = 0.033) for high BP. No substantial difference was found in the prevalence of MetS-IDF<sub<m</sub< and frequency of NAFLD compared to Mets-ATPIII<sub<m</sub< definition. Our data demonstrate that one third of youths with OW/OB have MetS, whichever was the criterion. Neither definition was superior to some of their components in identifying youths with OW/OB at risk for NAFLD. |
abstractGer |
The definition of metabolic syndrome (MetS) in childhood is controversial. Recently, a modified version of the International Diabetes Federation (IDF) definition was proposed using reference data from an international population for high waist circumference (WC) and blood pressure (BP), while the fixed cutoffs for lipids and glucose were not changed. We analyzed MetS prevalence using this modified definition (MetS-IDF<sub<m</sub<) and its association with non-alcoholic fatty liver disease (NAFLD) in 1057 youths (age 6–17 years) with overweight/obesity (OW/OB). A comparison with another modified definition of MetS according to the Adult Treatment Panel III (MetS-ATPIII<sub<m</sub<) was performed. The prevalence of MetS-IDF<sub<m</sub< was 27.8% and 28.9% by MetS-ATPIII<sub<m</sub<. The Odds (95% Confidence Intervals) of NAFLD was 2.70 (1.30–5.60) (<i<p</i< = 0.008) for high WC, 1.68 (1.25–2.26)(<i<p</i< = 0.001) for MetS, 1.54 (1.12–2.11)(<i<p</i< = 0.007) for low HDL-Cholesterol, 1.49 (1.04–2.13)(<i<p</i< = 0.032) for high triglycerides and 1.37 (1.03–1.82)(<i<p</i< = 0.033) for high BP. No substantial difference was found in the prevalence of MetS-IDF<sub<m</sub< and frequency of NAFLD compared to Mets-ATPIII<sub<m</sub< definition. Our data demonstrate that one third of youths with OW/OB have MetS, whichever was the criterion. Neither definition was superior to some of their components in identifying youths with OW/OB at risk for NAFLD. |
abstract_unstemmed |
The definition of metabolic syndrome (MetS) in childhood is controversial. Recently, a modified version of the International Diabetes Federation (IDF) definition was proposed using reference data from an international population for high waist circumference (WC) and blood pressure (BP), while the fixed cutoffs for lipids and glucose were not changed. We analyzed MetS prevalence using this modified definition (MetS-IDF<sub<m</sub<) and its association with non-alcoholic fatty liver disease (NAFLD) in 1057 youths (age 6–17 years) with overweight/obesity (OW/OB). A comparison with another modified definition of MetS according to the Adult Treatment Panel III (MetS-ATPIII<sub<m</sub<) was performed. The prevalence of MetS-IDF<sub<m</sub< was 27.8% and 28.9% by MetS-ATPIII<sub<m</sub<. The Odds (95% Confidence Intervals) of NAFLD was 2.70 (1.30–5.60) (<i<p</i< = 0.008) for high WC, 1.68 (1.25–2.26)(<i<p</i< = 0.001) for MetS, 1.54 (1.12–2.11)(<i<p</i< = 0.007) for low HDL-Cholesterol, 1.49 (1.04–2.13)(<i<p</i< = 0.032) for high triglycerides and 1.37 (1.03–1.82)(<i<p</i< = 0.033) for high BP. No substantial difference was found in the prevalence of MetS-IDF<sub<m</sub< and frequency of NAFLD compared to Mets-ATPIII<sub<m</sub< definition. Our data demonstrate that one third of youths with OW/OB have MetS, whichever was the criterion. Neither definition was superior to some of their components in identifying youths with OW/OB at risk for NAFLD. |
collection_details |
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container_issue |
2, p 233 |
title_short |
Is Metabolic Syndrome Useful for Identifying Youths with Obesity at Risk for NAFLD? |
url |
https://doi.org/10.3390/children10020233 https://doaj.org/article/d91dad36a44a451e85681493a8ac75ff https://www.mdpi.com/2227-9067/10/2/233 https://doaj.org/toc/2227-9067 |
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Anna Di Sessa Maria Rosaria Licenziati Domenico Corica Malgorzata Wasniewska Giuseppina Rosaria Umano Anita Morandi Claudio Maffeis Maria Felicia Faienza Enza Mozzillo Valeria Calcaterra Francesca Franco Giulio Maltoni Giuliana Valerio |
author2Str |
Anna Di Sessa Maria Rosaria Licenziati Domenico Corica Malgorzata Wasniewska Giuseppina Rosaria Umano Anita Morandi Claudio Maffeis Maria Felicia Faienza Enza Mozzillo Valeria Calcaterra Francesca Franco Giulio Maltoni Giuliana Valerio |
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doi_str |
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up_date |
2024-07-03T17:38:13.306Z |
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