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J Trop Pediatr. 2014 Oct;60(5):377-85. doi: 10.1093/tropej/fmu033. Epub 2014 Jul 17.

Generalized or abdominal obesity: which one better identifies cardiometabolic risk factors among children and adolescents? The CASPIAN III study.

Author information

1
Non-communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, 1599666615, Iran Department of Nutrition, College of Food Sciences and Technology, Science and Research branch, Islamic Azad University, Tehran, Iran.
2
Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
3
Pediatrics Department, Child Growth and Development Research Center, and Faculty of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
4
Department of Youths, Adolescents & School Health, Bureau of Population, Family and School Health, Ministry of Health and Medical Education, Tehran, Iran.
5
Hospital Management Research Center, Iran University of Medical Science, Tehran, Iran.
6
Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
7
Department of Medical Emergencies, Qom University of Medical Sciences, Qom, Iran.
8
Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, 1599666615, Iran.
9
Non-communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, 1599666615, Iran Department of Public Health, Alborz University of Medical Sciences, Karaj, Iran mqorbani1379@yahoo.com.

Abstract

OBJECTIVES:

We investigated the association of generalized and abdominal obesity with cardiometabolic risk factors in children and adolescents.

METHODS:

Data were obtained from a surveillance system entitled CASPIAN-III study in school students aged 10-18 years in Iran. Data of subjects with normal body mass index (BMI) or above (BMI ≥ 5th percentile) were analyzed. The associations of obesity with cardiometabolic risk factors were tested using logistic regression models.

RESULTS:

In the sample of 4641 children and adolescents, overweight/obese children were more likely to have metabolic syndrome and cardiometabolic risk factors compared with their normal weight counterparts. Among these parameters, elevated TG had the strongest association with degree of obesity (overweight: OR = 2.28 [95% CI 1.59-3.26]; obesity: OR = 5.63 [95% CI 4.27,7.43]). Combined generalized and abdominal obesity increased the risk of high blood pressure, elevated triglyceride and total cholesterol.

CONCLUSIONS:

Combined type of generalized and abdominal obesity is a predictor of cardiometabolic risk factors.

KEYWORDS:

Iran; abdominal obesity; cardiometabolic risk; children; generalized obesity; metabolic syndrome

PMID:
25037734
DOI:
10.1093/tropej/fmu033
[Indexed for MEDLINE]
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