The importance of weight for height in prediction of metabolic syndrome in obese children and adolescents: impact of gender and puberty

Bayram Özhan; Betül Ersoy

Obez çocuk ve adolesanlarda metabolik sendrom öngörüsünde boya uyan ağırlığın önemi; cinsiyet ve pubertenin etkisi

Year 2017, Volume: 10 Issue: 1, 23 - 32, 01.04.2017

Abstract

Amaç:Obez çocuklar ve ergenlerde, metabolik sendrom tanısının öngörülmesinde bel çevresi, bel-kalça oranı,
bel-boy oranı, ve boya uyan ağırlık gibi antropometrik endekslerin rolünü belirlemek.
Gereç ve yöntem: Bu çalışmaya 6-16 yaş arasındaki toplam 291 obez çocuk ve ergen dahil edildi. Antropometrik
ve biyokimyasal parametreler değerlendirildi. Metabolik sendrom tanısı, Uluslararası Diyabet Federasyonu
kriterlerine göre tanımlandı.
Bulgular: Metabolik sendrom prevalansı % 22,3 (65) idi ve pubertal obez grupta prebupertal gruba göre anlamlı
derecede yüksekti (p = 0.004). Obez çocuklarda ve metabolik sendromlu ergenlerde yüksek bel çevresi ve
bel-boy oranı saptandı (p <0.05). Metabolik sendrom olan obez kızlarda anlamlı olarak yüksek bel-boy oranı
bulundu, ancak obez erkeklerdeki fark anlamlı değildi. Çok değişkenli lojistik regresyon analizinde, obez çocuk
ve ergenlerde boya uyan ağırlık metabolik sendromun belirteci olarak kabul edilebilir saptandı (p <0.05).
Sonuç: Obez çocuklar ve ergenlerde, boya uyan ağırlık metabolik sendrom öngörüsünde iyi bir belirteç olabilir.
Tüm obez çocuklar, ergenlik çağındaki obez çocuklar ve obez kızlar için boya uyan ağırlık için kesme noktası %
136.5, pre-pubertal obez çocuklar için % 139.5, metabolik sendromu öngörmek için kullanılabilir. Antropometrik
parametreler, özellikle boya uyan ağırlık, tüm obez çocuklarda değerlendirilmelidir.

Keywords

boya uyan ağırlık, obezite, çocuklar, antropometrik endeksler, bel çevresi

The importance of weight for height in prediction of metabolic syndrome in obese children and adolescents: impact of gender and puberty

Year 2017, Volume: 10 Issue: 1, 23 - 32, 01.04.2017

Bayram Özhan Betül Ersoy

Abstract

Purpose:To determine the role of anthropometric indices such as waist circumference, waist-to-hip ratio, waist–
height ratio, and weight for height in predicting metabolic syndrome in obese children and adolescents.
Materials and methods: A total of 291 obese children and adolescents aged 6–16 years were included in this
study. Anthropometric and biochemical parameters were evaluated. Metabolic syndrome was defined according
to the International Diabetes Federation criteria.
Results:The prevalence of metabolic syndrome was 22.3% and significantly higher in pubertal obese group
than in pre-pubertal ones (p=0.004). Higher waist circumference and weight for height were found in obese
children and adolescents with metabolic syndrome (p<0.05). Significantly higher weight for height was found in
obese girls with metabolic syndrome but the difference was not significant for obese boys. Multi-variable logistic
regression analysis revealed that weight for height was the most important predictor of metabolic syndrome in
obese children and adolescents except obese boys (p<0.05).
Conclusion: Weight for height may be a better marker predictor of metabolic syndrome in obese children and
adolescents. The cut-off point of weight for height of 136.5% for all obese children, pubertal obese children,
and obese girls, 139.5% for pre-pubertal obese children was proposed to predict for metabolic syndrome.
Anthropometric parameters, particularly weight for height, must be evaluated in all obese children.

Keywords

weight for height, obesity, children, anthropometric indices, waist circumference

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Details

Other ID	JA92MC22UP
Journal Section	Research Article
Authors	Bayram Özhan This is me Betül Ersoy This is me
Publication Date	April 1, 2017
Submission Date	April 1, 2017
Published in Issue	Year 2017 Volume: 10 Issue: 1

Cite

APA	Özhan, B., & Ersoy, B. (2017). The importance of weight for height in prediction of metabolic syndrome in obese children and adolescents: impact of gender and puberty. Pamukkale Medical Journal, 10(1), 23-32.
AMA	Özhan B, Ersoy B. The importance of weight for height in prediction of metabolic syndrome in obese children and adolescents: impact of gender and puberty. Pam Med J. April 2017;10(1):23-32.
Chicago	Özhan, Bayram, and Betül Ersoy. “The Importance of Weight for Height in Prediction of Metabolic Syndrome in Obese Children and Adolescents: Impact of Gender and Puberty”. Pamukkale Medical Journal 10, no. 1 (April 2017): 23-32.
EndNote	Özhan B, Ersoy B (April 1, 2017) The importance of weight for height in prediction of metabolic syndrome in obese children and adolescents: impact of gender and puberty. Pamukkale Medical Journal 10 1 23–32.
IEEE	B. Özhan and B. Ersoy, “The importance of weight for height in prediction of metabolic syndrome in obese children and adolescents: impact of gender and puberty”, Pam Med J, vol. 10, no. 1, pp. 23–32, 2017.
ISNAD	Özhan, Bayram - Ersoy, Betül. “The Importance of Weight for Height in Prediction of Metabolic Syndrome in Obese Children and Adolescents: Impact of Gender and Puberty”. Pamukkale Medical Journal 10/1 (April 2017), 23-32.
JAMA	Özhan B, Ersoy B. The importance of weight for height in prediction of metabolic syndrome in obese children and adolescents: impact of gender and puberty. Pam Med J. 2017;10:23–32.
MLA	Özhan, Bayram and Betül Ersoy. “The Importance of Weight for Height in Prediction of Metabolic Syndrome in Obese Children and Adolescents: Impact of Gender and Puberty”. Pamukkale Medical Journal, vol. 10, no. 1, 2017, pp. 23-32.
Vancouver	Özhan B, Ersoy B. The importance of weight for height in prediction of metabolic syndrome in obese children and adolescents: impact of gender and puberty. Pam Med J. 2017;10(1):23-32.