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Glob Pediatr Health. 2017 Sep 8;4:2333794X17729303. doi: 10.1177/2333794X17729303. eCollection 2017.

Obesity Cardiometabolic Comorbidity Prevalence in Children in a Rural Weight-Management Program.

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Eastern Maine Medical Center, Cutler Health Center, Orono, ME, USA.
Eastern Maine Medical Center, Clinical Research Center, Bangor, ME, USA.


This descriptive study examines the prevalence of obesity-related cardiometabolic (CM) risk factors using CM laboratory metrics, in 3 to 19 year olds presenting to a rural American Academy of Pediatrics stage 3 multidisciplinary weight management clinic based on gender, age ranges, and obesity classes. From 2009 to 2016, 382 children (body mass index ≥85th percentile) enrolled. Multiple logistic regression determined the effects of age, gender, or obesity class on CM risk factors. Odds of elevated insulin were more significant in 15 to 19 year olds than in 3 to 5 year olds, or in 6 to 11 year olds. Obesity class III had higher odds than class II, class I, and overweight in having elevated insulin; twice likely than class II for having low high-density lipoprotein; and twice as likely than class I for high triglycerides. Adolescents and obesity class III categories have significant CM risk but the burden in younger and less severe obesity cohorts cannot be underestimated.


adolescent medicine; endocrinology; gastroenterology; general pediatrics; medical education; pediatric obesity

Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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