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Arch Pediatr Adolesc Med. 2009 Apr;163(4):371-7. doi: 10.1001/archpediatrics.2009.3.

Prevalence of risk factors for metabolic syndrome in adolescents: National Health and Nutrition Examination Survey (NHANES), 2001-2006.

Author information

1
Pennington Biomedical Research Center, 6400 Perkins Road, Baton Rouge, LA 70808, USA. william.johnson@pbrc.edu

Abstract

OBJECTIVE:

To investigate the prevalence of distinct combinations of components of the metabolic syndrome among adolescents.

DESIGN:

A complex, multistage, stratified geographic area design for collecting representative data from the noninstitutionalized US population.

SETTING:

The NHANES, an ongoing surveillance of the nation's health conducted by the Centers for Disease Control and Prevention.

PARTICIPANTS:

Two thousand four hundred fifty-six Hispanic, white, and black adolescents aged 12 to 19 years observed in the 2001-2002, 2003-2004, and 2005-2006 NHANES data releases.

MAIN OUTCOME MEASURES:

Metabolic syndrome was defined as having 3 or more disorders in the following measurements: waist circumference, blood pressure, fasting triglycerides, high-density lipoprotein serum cholesterol, and glucose.

RESULTS:

About half of the participants had at least 1 disordered measurement, with an overall metabolic syndrome prevalence of 8.6% (95% confidence interval, 6.5%-10.6%). Prevalence was higher in males (10.8%) than females (6.1%), and in Hispanic (11.2%) and white (8.9%) individuals than in black individuals (4.0%). In black females, there was a high prevalence of a large waist circumference (23.3%), but no component of metabolic syndrome dominated its diagnosis in black adolescents of either sex. A large waist circumference and high fasting triglyceride and low high-density lipoprotein serum cholesterol concentrations were salient factors in Hispanic and white adolescents of both sexes; high glucose concentrations were prominent among Hispanic and white males.

CONCLUSION:

The low prevalence of metabolic syndrome in black adolescents, in parallel with uniformly low prevalence of all 5 risk factors among those with metabolic syndrome, portend ethnic disparities in the time table for early onset of cardiometabolic disorders.

PMID:
19349567
DOI:
10.1001/archpediatrics.2009.3
[Indexed for MEDLINE]

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