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A growing problem in childhood and adolescence: Metabolic syndrome and its relationship with physical activity and fitness

Yıl 2023, Cilt: 36 Sayı: 2, 255 - 261, 31.05.2023
https://doi.org/10.5472/marumj.1307990

Öz

Metabolic syndrome (MetS); is defined as a life-threatening endocrinopathy in which systemic disorders such as insulin resistance,
abdominal obesity, glucose intolerance, diabetes mellitus, dyslipidemia, hypertension, and coronary artery disease are combined.
Although, it is generally known as a problem of adults, it emerges as an essential problem in childhood and adolescence. MetS,
closely related to obesity, is increasing due to bad eating habits and sedentary lifestyles. The pathophysiology of MetS has yet to
be elucidated. Therefore, lifestyle changes, especially diet and physical activity, are the cornerstones of MetS treatment. In general,
both physical activity and fitness; appear to be separately and independently associated with metabolic risk factors in children and
adolescents. Although, studies show that activities that increase physical activity levels and improve aerobic fitness cause a decrease in
the risk of MetS; a definitive prescription for exercise has not been established at this time. This review aimed to review the definition,
classification, and factors playing a role in the pathogenesis of MetS, as well as to evaluate the relationship between MetS and physical
activity and aerobic fitness in children.

Kaynakça

  • [1] McMurray RG, Bo Andersen L. The influence of exercise on metabolic syndrome in youth: a review. Am J Lifestyle Med 2010; 4: 176-86. doi:10.1177/155.982.7609351234 [2] Magge SN, Goodman E, Armstrong SC. The metabolic syndrome in children and adolescents: shifting the focus to cardiometabolic risk factor clustering. Pediatrics 2017; 140: e20171603. doi:10.1542/peds.2017-1603 [3] Fornari E, Maffeis C. Treatment of metabolic syndrome in children. Front Endocrinol (Lausanne) 2019; 10: 702. doi:10.3389/fendo.2019.00702 [4] Grundy SM, Cleeman JI, Daniels SR, et al. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute scientific statement. Circulation 2005; 112: 2735-52. doi:10.1161/CIRCULATIONAHA.105.169404 [5] Zimmet P. Magliano D, Matsuzawa Y, Alberti G, Shaw J. The metabolic syndrome: a global public health problem and a new definition. J Atheroscler Thromb 2005; 12: 295-300. doi:10.5551/jat.12.295 [6] Brambilla P, Pozzobon G, Pietrobelli A. Physical activity as the main therapeutic tool for metabolic syndrome in childhood. Int J Obes (Lond) 2011; 35: 16-28. doi:10.1038/ijo.2010.255 [7] da Penha JT, Gazolla FM, de Miranda Carvalho CN, et al. Physical fitness and activity, metabolic profile, adipokines and endothelial function in children. J Pediatr (Rio J) 2019; 95: 531-37. doi:10.1016/j.jped.2018.04.010 [8] Andaki ACR, Tinôco ALA, Mendes EL, Júnior RA, Hills AP, Amorim PRS. Anthropometry and physical activity level in the prediction of metabolic syndrome in children. Public Health Nutr 2014; 17: 2287-94. doi:10.1017/ S136.898.001300253X [9] Bharti A, Kushwaha A. Metabolic syndrome: pathophysiology and consequences. Int J Curr Microbiol App Sci 2020; 9: 3723- 28. doi:10.20546/ijcmas.2020.909.459 [10] Çelebi MM. Metabolic syndrome and physical activity. Turkiye Klinikleri J Sports Med-Special Topics 2015; 1: 13-23. [11] Rochlani Y, Pothineni NV, Kovelamudi S, Mehta JL. Metabolic syndrome: pathophysiology, management, and modulation by natural compounds. Ther Adv Cardiovasc Dis 2017; 11: 215- 25. doi: 10.1177/175.394.4717711379 [12] Bussler S, Penke M, Flemming G, et al. Novel insights in the metabolic syndrome in childhood and adolescence. Horm Res Paediatr 2017; 88: 181-93. doi:10.1159/000479510 [13] Ling J, Robbins LB, Wen F. Interventions to prevent and manage overweight or obesity in preschool children: A systematic review. Int J Nurs Stud 2016; 53: 270-89. doi:10.1016/j.ijnurstu.2015.10.017 [14] Stoner L, Rowlands D, Morrison A, et al. Efficacy of exercise intervention for weight loss in overweight and obese adolescents: meta-analysis and implications. Sports Med 2016; 46: 1737-51. doi:10.1007/s40279.016.0537-6 [15] Watkins K. The State of the World’s Children 2016: A Fair Chance for Every Child: ERIC; 2016. [16] Agirbasli M, Cakir S, Ozme S, Ciliv G. Metabolic syndrome in Turkish children and adolescents. Metabolism 2006; 55: 1002- 06. doi:10.1016/j.metabol.2006.03.009 [17] Steele RM, Brage S, Corder K, Wareham NJ, Ekelund U. Physical activity, cardiorespiratory fitness, and the metabolic syndrome in youth. J Appl Physiol 2008; 105: 342-51. doi:10.1152/japplphysiol.00072.2008 [18] Aycan Z. Çocukluk çağında obezite ve metabolik sendrom. Turkish J Pediatr Dis 2016; 10: 1-1. [19] DuBose KD, McKune AJ, Brophy P, Geyer G, Hickner RC. The relationship between physical activity and the metabolic syndrome score in children. Pediatr Exerc Sci 2015; 27: 364- 71. doi:10.1123/pes.2014-0134 [20] Graf C, Ferrari N. Metabolic syndrome in children and adolescents. Visc Med 2016; 32: 357-62. doi:10.1159/000449268 [21] Tagi VM, Samvelyan S, Chiarelli F. Treatment of metabolic syndrome in children. Horm Res Paediatr 2020; 93: 215-25. doi:10.1159/000510941 [22] Saint-Maurice PF, Kim Y, Welk GJ, Gaesser GA. Kids are not little adults: what MET threshold captures sedentary behavior in children? Eur J Appl Physiol 2016; 116: 29-38. doi:10.1007/ s00421.015.3238-1 [23] McMurray RG, Bangdiwala SI, Harrell JS, Amorim LD. Adolescents with metabolic syndrome have a history of low aerobic fitness and physical activity levels. Dyn Med 2008; 7: 1-6. doi:10.1186/1476-5918-7-5 [24] Kozanoglu E. What do we know about the relationship between hyperuricemia and the metabolic syndrome? Turkish Congress of Rheumatology with international participation 2020: 7. [25] Andersen LB, Riddoch C, Kriemler S, Hills A. Physical activity and cardiovascular risk factors in children. Br J Sports Med 2011; 45: 871-76. doi:10.1136/bjsports-2011-090333 [26] Mendelson M, Michallet AS, Monneret D, et al. Impact of exercise training without caloric restriction on inflammation, insulin resistance and visceral fat mass in obese adolescents. Pediatr Obes 2015; 10: 311-19. doi:10.1111/ijpo.255 [27] Silva DR, Werneck AO, Collings PJ, et al. Physical activity maintenance and metabolic risk in adolescents. J Public Health (Oxf) 2018; 40: 493-500. doi:10.1093/pubmed/fdx077 [28] Amiri P, Jalali-Farahani S, Akbar HM, et al. The effects of a community-based lifestyle intervention on metabolic syndrome and its components in adolescents: findings of a decade follow-up. Metab Syndr Relat Disord 2018; 16: 215-23. doi:10.1089/met.2017.0055 [29] Rognvaldsdottir V, Brychta RJ, Hrafnkelsdottir SM, et al. Less physical activity and more varied and disrupted sleep is associated with a less favorable metabolic profile in adolescents. PloS one 2020; 15: e0229114. doi:10.1371/journal. pone.0229114 [30] Pan Y, Pratt CA. Metabolic syndrome and its association with diet and physical activity in US adolescents. J Am Diet Assoc 2008; 108: 276-86. doi:10.1016/j.jada.2007.10.049 [31] Lee H-S, Jeong W-W, Choi Y-J, et al. Association between physical fitness and cardiometabolic risk of children and adolescents in Korea. Korean J Fam Med 2019; 40: 159. doi:10.4082/kjfm.17.0085 [32] Anderssen SA, Cooper AR, Riddoch C, et al. Low cardiorespiratory fitness is a strong predictor for clustering of cardiovascular disease risk factors in children independent of country, age and sex. Eur J Cardiovasc Prev Rehabil 2007; 14: 526-31. doi:10.1097/HJR.0b013e328011efc1 [33] Oliveira RGd, Guedes DP. Physical activity, cardiorespiratory fitness and metabolic syndrome in adolescents. Revista Brasileira de Medicina do Esporte 2018; 24: 253-57. [34] Martínez-Gómez D, Eisenmann J, Moya J, Gómez-Martínez S, Marcos A, Veiga OL. The role of physical activity and fitness on the metabolic syndrome in adolescents: effect of different scores. The AFINOS Study. J Physiol Biochem 2009; 65: 277- 89. doi:10.1007/BF03180580 [35] Neto AS, de Campos W, Dos Santos GC, Junior OM. Metabolic syndrome risk score and time expended in moderate to vigorous physical activity in adolescents. BMC Pediatr 2014; 14: 1-6. doi:10.1186/1471-2431-14-42 [36] Renninger M, Hansen BH, Steene‐Johannessen J, et al. Associations between accelerometry measured physical activity and sedentary time and the metabolic syndrome: A meta‐analysis of more than 6000 children and adolescents. Pediatr Obes 2020; 15: e12578. doi:10.1111/ijpo.12578 [37] Harris S. Dietary guidelines for Americans: recommendations for the year 2000. Food Australia 2000; 52: 212-14. [38] Committee USDGA. Dietary guidelines for Americans, 2010: US Department of Health and Human Services, US Department of Agriculture; 2010. [39] Ekelund U, Anderssen S, Froberg K, Sardinha LB, Andersen LB, Brage S. Independent associations of physical activity and cardiorespiratory fitness with metabolic risk factors in children: the European youth heart study. Diabetologia 2007; 50: 1832-40. doi:10.1007/s00125.007.0762-5 [40] Andersen LB, Harro M, Sardinha LB, et al. Physical activity and clustered cardiovascular risk in children: a cross-sectional study (The European Youth Heart Study). Lancet 2006; 368: 299-304. doi:10.1016/S0140-6736(06)69075-2 [41] Dias I, Farinatti P, De Souza M, et al. Effects of resistance training on obese adolescents. Med Sci Sports Exerc 2015; 47: 2636-44. doi:10.1249/MSS.000.000.0000000705 [42] Son W-M, Sung K-D, Bharath LP, Choi K-J, Park S-Y. Combined exercise training reduces blood pressure, arterial stiffness, and insulin resistance in obese prehypertensive adolescent girls. Clin Exp Hypertens 2017; 39: 546-52. doi:10. 1080/10641.963.2017.1288742 [43] Marson EC, Delevatti RS, Prado AKG, Netto N, Kruel LFM. Effects of aerobic, resistance, and combined exercise training on insulin resistance markers in overweight or obese children and adolescents: A systematic review and meta-analysis. Prev Med 2016; 93: 211-18. doi:10.1016/j.ypmed.2016.10.020 [44] Calcaterra V, Zuccotti G. Physical exercise as a nonpharmacological intervention for attenuating obesity related complications in children and adolescents. Int J Environ Res Public Health 2022; 19: 5046. doi: 10.3390/ijerph19095046 [45] Cadenas-Sanchez C, Ruiz JR, Labayen I, et al. Prevalence of metabolically healthy but overweight/obese phenotype and its association with sedentary time, physical activity, and fitness. J Adolesc Health 2017; 61: 107-14. doi:10.1016/j. jadohealth.2017.01.018 [46] Peplies J, Börnhorst C, Günther K, et al. Longitudinal associations of lifestyle factors and weight status with insulin resistance (HOMA-IR) in preadolescent children: the large prospective cohort study IDEFICS. Int J Behav Nutr Phys Act 2016; 13: 1-12. doi:10.1186/s12966.016.0424-4 [47] Broadney MM, Belcher BR, Ghane N, et al. Effects of interrupting daily sedentary behavior on children’s glucose metabolism: A 6-day randomized controlled trial. Pediatr Diabetes 2022; 23: 1567-78. doi: 10.1111/pedi.13430 [48] Carson V, Hunter S, Kuzik N, et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth: an update. Appl Physiol Nutr Metab 2016; 41: 240-65. doi:10.1139/apnm-2015-0630 [49] Reilly JJ, Armstrong J, Dorosty AR, et al. Early life risk factors for obesity in childhood: cohort study. Bmj 2005; 330: 1357. doi:10.1136/bmj.38470.670903.E0 [50] Yılmazbaş P, Gökçay G. Childhood Obesity and Prevention. J Child 2018; 18: 103-12. doi:10.5222/j.child.2018.59389
Yıl 2023, Cilt: 36 Sayı: 2, 255 - 261, 31.05.2023
https://doi.org/10.5472/marumj.1307990

Öz

Kaynakça

  • [1] McMurray RG, Bo Andersen L. The influence of exercise on metabolic syndrome in youth: a review. Am J Lifestyle Med 2010; 4: 176-86. doi:10.1177/155.982.7609351234 [2] Magge SN, Goodman E, Armstrong SC. The metabolic syndrome in children and adolescents: shifting the focus to cardiometabolic risk factor clustering. Pediatrics 2017; 140: e20171603. doi:10.1542/peds.2017-1603 [3] Fornari E, Maffeis C. Treatment of metabolic syndrome in children. Front Endocrinol (Lausanne) 2019; 10: 702. doi:10.3389/fendo.2019.00702 [4] Grundy SM, Cleeman JI, Daniels SR, et al. Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute scientific statement. Circulation 2005; 112: 2735-52. doi:10.1161/CIRCULATIONAHA.105.169404 [5] Zimmet P. Magliano D, Matsuzawa Y, Alberti G, Shaw J. The metabolic syndrome: a global public health problem and a new definition. J Atheroscler Thromb 2005; 12: 295-300. doi:10.5551/jat.12.295 [6] Brambilla P, Pozzobon G, Pietrobelli A. Physical activity as the main therapeutic tool for metabolic syndrome in childhood. Int J Obes (Lond) 2011; 35: 16-28. doi:10.1038/ijo.2010.255 [7] da Penha JT, Gazolla FM, de Miranda Carvalho CN, et al. Physical fitness and activity, metabolic profile, adipokines and endothelial function in children. J Pediatr (Rio J) 2019; 95: 531-37. doi:10.1016/j.jped.2018.04.010 [8] Andaki ACR, Tinôco ALA, Mendes EL, Júnior RA, Hills AP, Amorim PRS. Anthropometry and physical activity level in the prediction of metabolic syndrome in children. Public Health Nutr 2014; 17: 2287-94. doi:10.1017/ S136.898.001300253X [9] Bharti A, Kushwaha A. Metabolic syndrome: pathophysiology and consequences. Int J Curr Microbiol App Sci 2020; 9: 3723- 28. doi:10.20546/ijcmas.2020.909.459 [10] Çelebi MM. Metabolic syndrome and physical activity. Turkiye Klinikleri J Sports Med-Special Topics 2015; 1: 13-23. [11] Rochlani Y, Pothineni NV, Kovelamudi S, Mehta JL. Metabolic syndrome: pathophysiology, management, and modulation by natural compounds. Ther Adv Cardiovasc Dis 2017; 11: 215- 25. doi: 10.1177/175.394.4717711379 [12] Bussler S, Penke M, Flemming G, et al. Novel insights in the metabolic syndrome in childhood and adolescence. Horm Res Paediatr 2017; 88: 181-93. doi:10.1159/000479510 [13] Ling J, Robbins LB, Wen F. Interventions to prevent and manage overweight or obesity in preschool children: A systematic review. Int J Nurs Stud 2016; 53: 270-89. doi:10.1016/j.ijnurstu.2015.10.017 [14] Stoner L, Rowlands D, Morrison A, et al. Efficacy of exercise intervention for weight loss in overweight and obese adolescents: meta-analysis and implications. Sports Med 2016; 46: 1737-51. doi:10.1007/s40279.016.0537-6 [15] Watkins K. The State of the World’s Children 2016: A Fair Chance for Every Child: ERIC; 2016. [16] Agirbasli M, Cakir S, Ozme S, Ciliv G. Metabolic syndrome in Turkish children and adolescents. Metabolism 2006; 55: 1002- 06. doi:10.1016/j.metabol.2006.03.009 [17] Steele RM, Brage S, Corder K, Wareham NJ, Ekelund U. Physical activity, cardiorespiratory fitness, and the metabolic syndrome in youth. J Appl Physiol 2008; 105: 342-51. doi:10.1152/japplphysiol.00072.2008 [18] Aycan Z. Çocukluk çağında obezite ve metabolik sendrom. Turkish J Pediatr Dis 2016; 10: 1-1. [19] DuBose KD, McKune AJ, Brophy P, Geyer G, Hickner RC. The relationship between physical activity and the metabolic syndrome score in children. Pediatr Exerc Sci 2015; 27: 364- 71. doi:10.1123/pes.2014-0134 [20] Graf C, Ferrari N. Metabolic syndrome in children and adolescents. Visc Med 2016; 32: 357-62. doi:10.1159/000449268 [21] Tagi VM, Samvelyan S, Chiarelli F. Treatment of metabolic syndrome in children. Horm Res Paediatr 2020; 93: 215-25. doi:10.1159/000510941 [22] Saint-Maurice PF, Kim Y, Welk GJ, Gaesser GA. Kids are not little adults: what MET threshold captures sedentary behavior in children? Eur J Appl Physiol 2016; 116: 29-38. doi:10.1007/ s00421.015.3238-1 [23] McMurray RG, Bangdiwala SI, Harrell JS, Amorim LD. Adolescents with metabolic syndrome have a history of low aerobic fitness and physical activity levels. Dyn Med 2008; 7: 1-6. doi:10.1186/1476-5918-7-5 [24] Kozanoglu E. What do we know about the relationship between hyperuricemia and the metabolic syndrome? Turkish Congress of Rheumatology with international participation 2020: 7. [25] Andersen LB, Riddoch C, Kriemler S, Hills A. Physical activity and cardiovascular risk factors in children. Br J Sports Med 2011; 45: 871-76. doi:10.1136/bjsports-2011-090333 [26] Mendelson M, Michallet AS, Monneret D, et al. Impact of exercise training without caloric restriction on inflammation, insulin resistance and visceral fat mass in obese adolescents. Pediatr Obes 2015; 10: 311-19. doi:10.1111/ijpo.255 [27] Silva DR, Werneck AO, Collings PJ, et al. Physical activity maintenance and metabolic risk in adolescents. J Public Health (Oxf) 2018; 40: 493-500. doi:10.1093/pubmed/fdx077 [28] Amiri P, Jalali-Farahani S, Akbar HM, et al. The effects of a community-based lifestyle intervention on metabolic syndrome and its components in adolescents: findings of a decade follow-up. Metab Syndr Relat Disord 2018; 16: 215-23. doi:10.1089/met.2017.0055 [29] Rognvaldsdottir V, Brychta RJ, Hrafnkelsdottir SM, et al. Less physical activity and more varied and disrupted sleep is associated with a less favorable metabolic profile in adolescents. PloS one 2020; 15: e0229114. doi:10.1371/journal. pone.0229114 [30] Pan Y, Pratt CA. Metabolic syndrome and its association with diet and physical activity in US adolescents. J Am Diet Assoc 2008; 108: 276-86. doi:10.1016/j.jada.2007.10.049 [31] Lee H-S, Jeong W-W, Choi Y-J, et al. Association between physical fitness and cardiometabolic risk of children and adolescents in Korea. Korean J Fam Med 2019; 40: 159. doi:10.4082/kjfm.17.0085 [32] Anderssen SA, Cooper AR, Riddoch C, et al. Low cardiorespiratory fitness is a strong predictor for clustering of cardiovascular disease risk factors in children independent of country, age and sex. Eur J Cardiovasc Prev Rehabil 2007; 14: 526-31. doi:10.1097/HJR.0b013e328011efc1 [33] Oliveira RGd, Guedes DP. Physical activity, cardiorespiratory fitness and metabolic syndrome in adolescents. Revista Brasileira de Medicina do Esporte 2018; 24: 253-57. [34] Martínez-Gómez D, Eisenmann J, Moya J, Gómez-Martínez S, Marcos A, Veiga OL. The role of physical activity and fitness on the metabolic syndrome in adolescents: effect of different scores. The AFINOS Study. J Physiol Biochem 2009; 65: 277- 89. doi:10.1007/BF03180580 [35] Neto AS, de Campos W, Dos Santos GC, Junior OM. Metabolic syndrome risk score and time expended in moderate to vigorous physical activity in adolescents. BMC Pediatr 2014; 14: 1-6. doi:10.1186/1471-2431-14-42 [36] Renninger M, Hansen BH, Steene‐Johannessen J, et al. Associations between accelerometry measured physical activity and sedentary time and the metabolic syndrome: A meta‐analysis of more than 6000 children and adolescents. Pediatr Obes 2020; 15: e12578. doi:10.1111/ijpo.12578 [37] Harris S. Dietary guidelines for Americans: recommendations for the year 2000. Food Australia 2000; 52: 212-14. [38] Committee USDGA. Dietary guidelines for Americans, 2010: US Department of Health and Human Services, US Department of Agriculture; 2010. [39] Ekelund U, Anderssen S, Froberg K, Sardinha LB, Andersen LB, Brage S. Independent associations of physical activity and cardiorespiratory fitness with metabolic risk factors in children: the European youth heart study. Diabetologia 2007; 50: 1832-40. doi:10.1007/s00125.007.0762-5 [40] Andersen LB, Harro M, Sardinha LB, et al. Physical activity and clustered cardiovascular risk in children: a cross-sectional study (The European Youth Heart Study). Lancet 2006; 368: 299-304. doi:10.1016/S0140-6736(06)69075-2 [41] Dias I, Farinatti P, De Souza M, et al. Effects of resistance training on obese adolescents. Med Sci Sports Exerc 2015; 47: 2636-44. doi:10.1249/MSS.000.000.0000000705 [42] Son W-M, Sung K-D, Bharath LP, Choi K-J, Park S-Y. Combined exercise training reduces blood pressure, arterial stiffness, and insulin resistance in obese prehypertensive adolescent girls. Clin Exp Hypertens 2017; 39: 546-52. doi:10. 1080/10641.963.2017.1288742 [43] Marson EC, Delevatti RS, Prado AKG, Netto N, Kruel LFM. Effects of aerobic, resistance, and combined exercise training on insulin resistance markers in overweight or obese children and adolescents: A systematic review and meta-analysis. Prev Med 2016; 93: 211-18. doi:10.1016/j.ypmed.2016.10.020 [44] Calcaterra V, Zuccotti G. Physical exercise as a nonpharmacological intervention for attenuating obesity related complications in children and adolescents. Int J Environ Res Public Health 2022; 19: 5046. doi: 10.3390/ijerph19095046 [45] Cadenas-Sanchez C, Ruiz JR, Labayen I, et al. Prevalence of metabolically healthy but overweight/obese phenotype and its association with sedentary time, physical activity, and fitness. J Adolesc Health 2017; 61: 107-14. doi:10.1016/j. jadohealth.2017.01.018 [46] Peplies J, Börnhorst C, Günther K, et al. Longitudinal associations of lifestyle factors and weight status with insulin resistance (HOMA-IR) in preadolescent children: the large prospective cohort study IDEFICS. Int J Behav Nutr Phys Act 2016; 13: 1-12. doi:10.1186/s12966.016.0424-4 [47] Broadney MM, Belcher BR, Ghane N, et al. Effects of interrupting daily sedentary behavior on children’s glucose metabolism: A 6-day randomized controlled trial. Pediatr Diabetes 2022; 23: 1567-78. doi: 10.1111/pedi.13430 [48] Carson V, Hunter S, Kuzik N, et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth: an update. Appl Physiol Nutr Metab 2016; 41: 240-65. doi:10.1139/apnm-2015-0630 [49] Reilly JJ, Armstrong J, Dorosty AR, et al. Early life risk factors for obesity in childhood: cohort study. Bmj 2005; 330: 1357. doi:10.1136/bmj.38470.670903.E0 [50] Yılmazbaş P, Gökçay G. Childhood Obesity and Prevention. J Child 2018; 18: 103-12. doi:10.5222/j.child.2018.59389
Toplam 1 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Klinik Tıp Bilimleri
Bölüm Review Article
Yazarlar

Adnan Barutcu Bu kişi benim 0000-0001-8930-1122

Ceren Ornek Bu kişi benim 0000-0003-3330-3959

Erkan Kozanoglu Bu kişi benim 0000-0002-0167-3384

Yayımlanma Tarihi 31 Mayıs 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 36 Sayı: 2

Kaynak Göster

APA Barutcu, A., Ornek, C., & Kozanoglu, E. (2023). A growing problem in childhood and adolescence: Metabolic syndrome and its relationship with physical activity and fitness. Marmara Medical Journal, 36(2), 255-261. https://doi.org/10.5472/marumj.1307990
AMA Barutcu A, Ornek C, Kozanoglu E. A growing problem in childhood and adolescence: Metabolic syndrome and its relationship with physical activity and fitness. Marmara Med J. Mayıs 2023;36(2):255-261. doi:10.5472/marumj.1307990
Chicago Barutcu, Adnan, Ceren Ornek, ve Erkan Kozanoglu. “A Growing Problem in Childhood and Adolescence: Metabolic Syndrome and Its Relationship With Physical Activity and Fitness”. Marmara Medical Journal 36, sy. 2 (Mayıs 2023): 255-61. https://doi.org/10.5472/marumj.1307990.
EndNote Barutcu A, Ornek C, Kozanoglu E (01 Mayıs 2023) A growing problem in childhood and adolescence: Metabolic syndrome and its relationship with physical activity and fitness. Marmara Medical Journal 36 2 255–261.
IEEE A. Barutcu, C. Ornek, ve E. Kozanoglu, “A growing problem in childhood and adolescence: Metabolic syndrome and its relationship with physical activity and fitness”, Marmara Med J, c. 36, sy. 2, ss. 255–261, 2023, doi: 10.5472/marumj.1307990.
ISNAD Barutcu, Adnan vd. “A Growing Problem in Childhood and Adolescence: Metabolic Syndrome and Its Relationship With Physical Activity and Fitness”. Marmara Medical Journal 36/2 (Mayıs 2023), 255-261. https://doi.org/10.5472/marumj.1307990.
JAMA Barutcu A, Ornek C, Kozanoglu E. A growing problem in childhood and adolescence: Metabolic syndrome and its relationship with physical activity and fitness. Marmara Med J. 2023;36:255–261.
MLA Barutcu, Adnan vd. “A Growing Problem in Childhood and Adolescence: Metabolic Syndrome and Its Relationship With Physical Activity and Fitness”. Marmara Medical Journal, c. 36, sy. 2, 2023, ss. 255-61, doi:10.5472/marumj.1307990.
Vancouver Barutcu A, Ornek C, Kozanoglu E. A growing problem in childhood and adolescence: Metabolic syndrome and its relationship with physical activity and fitness. Marmara Med J. 2023;36(2):255-61.