Metabolic syndrome is a group of cardiovascular risk factors, including obesity, hypertension, prediabetes, and reduced HDL (“good”) cholesterol. Because it is difficult to know when a child is at risk for metabolic syndrome, some doctors fear that children may not be properly diagnosed as a result. The February 2008 issue of The Journal of Pediatrics focuses on this issue by publishing a series of articles in an attempt to work toward a cohesive definition of metabolic syndrome in children.
Five articles of the series were completed by researchers from the Pediatric Metabolic Syndrome Working Group (PMSWG), a team of researchers from various institutions across the United States. The members of the PMSWG explored the potential for a unified and cohesive definition for metabolic syndrome. The researchers evaluated how current definitions relate to the number of children diagnosed with metabolic syndrome. They found that because of the variety of definitions used by pediatricians, it is difficult to estimate the prevalence of the syndrome among children and adolescents. Additionally, the researchers looked at how well each metabolic risk factor predicts future health issues. According to Dr. Terry Huang, “these papers represent summaries of the current state of knowledge for factors related to metabolic syndrome.” By gathering this information, the PMSWG hopes to provide a frame of reference for pediatricians working with metabolic syndrome.
Dr. John Morrison and colleagues from Cincinnati Children’s Medical Center, Cincinnati Jewish Hospital, and Maryland Medical Research Institute collected data from a 25-30 year study concerning cardiovascular risk factors. They found that metabolic syndrome in children may have a direct link to type 2 diabetes in adulthood.
In a related article, Dr. Claudio Maffeis and colleagues from The Obesity Study Group of the Italian Society of Pediatric Endocrinology and Diabetology used body mass index (BMI), waist circumference, and weight to height ratios to determine obesity in a group of 974 children. They found that evaluating waist circumference and weight to height ratio measurements may be more accurate in determining metabolic risk than using body mass index alone.
These articles demonstrate that symptoms of adult metabolic syndrome begin in childhood and may be directly related to obesity. They also illustrate the need for a clear definition of metabolic syndrome in children. According to Dr. Reginald Washington, “once this definition exists, medical providers who care for children will know what to look for in order to identify children who are at risk to develop adult metabolic syndrome.” Such a definition could lead to better treatment of childhood metabolic syndrome, which could positively impact the growing obesity epidemic.These studies are reported in the following:
•“Metabolic Syndrome Rates in United States Adolescents, from the National Health and Nutrition Examination Survey, 1999-2002” by Stephen Cook, MD, Peggy Auinger, MS, Chaoyang Li, MD, PhD, and Earl S. Ford, MD, MPH
•“Examining Metabolic Syndrome Definitions in Overweight Hispanic Youth: A Focus on Insulin Resistance” by Gabriel Q. Shaibi, PhD, PT, and Michael I. Goran, PhD
•“Comparison of Different Definitions of Pediatric Metabolic Syndrome: Relation to Abdominal Adiposity, Insulin Resistance, Adiponectin, and Inflammatory Biomarkers” by SoJung Lee, PhD, Fida Bacha, MD, Neslihan Gungor, MD, and Silva Arslanian, MD
•“Defining the Metabolic Syndrome in Children and Adolescents: Will the Real Definition Please Stand Up?” by Earl S. Ford, MD, MPH, and Chaoyang Li, MD, PhD
•“Sensitivity, Specificity, and Predictive Values of Pediatric Metabolic Syndrome Components in Relation to Adult Metabolic Syndrome: The Princeton LRC Follow-up Study” by Terry T-K Huang, PhD, MPH, Tonya R. Nansel, PhD, Allen R. Belsheim, MA, and John A. Morrison, PhD
•“Childhood Obesity Predicts Adult Metabolic Syndrome: The Fels Longitudinal Study” by Shumei S. Sun, PhD, Ruohong Liang, MS, Terry T-K Huang, PhD, MPH, Stephen R. Daniels, MD, PhD, Silva Arslanian, MD, Kiang Liu, PhD, Gilman D. Grave, MD, and Roger M. Siervogel, PhD
•“Metabolic Syndrome in Childhood Predicts Adult Metabolic Syndrome and Type 2 Diabetes Mellitus 25 to 30 Years Later” by John A. Morrison, PhD, Lisa Aronson Friedman, ScM, Ping Wang, PhD, and Charles J. Glueck, MD
•“Waist-to-Height Ratio, a Useful Index to Identify High Metabolic Risk in Overweight Children” by Claudio Maffeis, MD, Claudia Banzato, MD, and Giorgio Talamini, MD, on behalf of The Obesity Study Group of The Italian Society of Pediatric Endocrinology and Diabetology.
The articles appear in The Journal of Pediatrics, Volume 152 Number 2 (February 2008), published by Elsevier.
Brigid Huey | alfa
Discovery shows promise for treating Huntington's Disease
05.08.2020 | Ecole Polytechnique Fédérale de Lausanne
Carbon monoxide improves endurance performance
05.08.2020 | Universität Bayreuth
Scientists at the Fraunhofer Institute for Laser Technology ILT have come up with a striking new addition to contact stamping technologies in the ERDF research project ScanCut. In collaboration with industry partners from North Rhine-Westphalia, the Aachen-based team of researchers developed a hybrid manufacturing process for the laser cutting of thin-walled metal strips. This new process makes it possible to fabricate even the tiniest details of contact parts in an eco-friendly, high-precision and efficient manner.
Plug connectors are tiny and, at first glance, unremarkable – yet modern vehicles would be unable to function without them. Several thousand plug connectors...
An international research team has found a new approach that may be able to reduce bone loss in osteoporosis and maintain bone health.
Osteoporosis is the most common age-related bone disease which affects hundreds of millions of individuals worldwide. It is estimated that one in three women...
Traditional single-cell sequencing methods help to reveal insights about cellular differences and functions - but they do this with static snapshots only...
“Core-shell” clusters pave the way for new efficient nanomaterials that make catalysts, magnetic and laser sensors or measuring devices for detecting electromagnetic radiation more efficient.
Whether in innovative high-tech materials, more powerful computer chips, pharmaceuticals or in the field of renewable energies, nanoparticles – smallest...
An international research team with Prof. Cornelia Denz from the Institute of Applied Physics at the University of Münster develop for the first time light fields using caustics that do not change during propagation. With the new method, the physicists cleverly exploit light structures that can be seen in rainbows or when light is transmitted through drinking glasses.
Modern applications as high resolution microsopy or micro- or nanoscale material processing require customized laser beams that do not change during...
23.07.2020 | Event News
21.07.2020 | Event News
07.07.2020 | Event News
06.08.2020 | Earth Sciences
06.08.2020 | Power and Electrical Engineering
06.08.2020 | Life Sciences