Prevalence of Metabolic Syndrome and Associated Risk Factors Among Korean Adolescents

Abstract

The aim of this study was to estimate the prevalence of metabolic syndrome (MS) and to identify the associated risk factors of MS among Korean adolescents. A total of 606 adolescents aged 12 to 18 years from the third Korea National Health and Nutrition Examination Survey (KNHNES) in 2005 participated in a community-based and cross-sectional survey through face-to-face interviews. The authors defined pediatric MS using the modified National Cholesterol Educational Program–Adult Treatment Panel III. The overall weighted prevalence of MS in Korean adolescents was 13.0% (15.4% boys, 10.0% girls). In multivariate logistic regression analysis, boys, adolescents with body mass index (BMI) greater than the 85th percentile, and adolescents who watched TV for more than 2 hours per day were significantly more likely to have MS. These findings suggest that lifestyle modification focusing on weight control by increasing physical activity is important for the prevention of MS in adolescents.

Keywords

adolescent lifestyle metabolic syndrome prevalence sedentary activities health promotion

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References

Morrison

Friedman

Gray-McCuire

. Metabolic syndrome in childhood predicts adult cardiovascular disease 25 years later: the Princeton Lipid Research Clinics Follow-up Study. Pediatrics. 2007;120:340-345.

Seo

Lee

. The prevalence of the metabolic syndrome in Korean children and adolescents: comparisons of the criteria of Cook et al., Cruz and Goran, and Ferranti et al. Yonsei Med J. 2008; 49:563-572.

Dubose

Stewart

Charbonneau

Mayo

Donnelly

. Prevalence of the metabolic syndrome in elementary school children. Acta Paediatrica. 2006;95:1005-1011.

Misra

Khurana

Vikram

Goel

Wasir

. Metabolic syndrome in children: current issues and South Asian perspective. Nutrition. 2007;23:895-910.

Mirhosseini

Yusoff

NAM

Parizadeh

SMR

Mobarhen

Shakery

. Prevalence of the metabolic syndrome and its influencing factors among adolescents girls in Mashhad, Iran. Asia Pac J Clin Nutr. 2009;18:131-136.

Kim

Park

Kim

. Prevalence of the metabolic syndrome in Korean adolescents aged 12-19 years from the Korean National Health and Nutrition Examination Survey 1998 and 2001. Diabetes Res Clin Pract. 2007;75:111-114.

Weiss

Dziura

Burgert

. Obesity and the metabolic syndrome in children and adolescents. N Engl J Med. 2004;350:2362-2374.

El-Bayoumy

Shady

Lofty

. Prevalence of obesity among adolescents (10 to 14 years) in Kuwait. Asia Pac J Public Health. 2009;21:153-159.

Cruz

Goran

. The metabolic syndrome in children and adolescents. Curr Diab Rep. 2004;4: 53-62.

10.

Park

. Epidemiology of the metabolic syndrome among Korean children and adolescents. Korean J Pediatr. 2008;51:564-568.

11.

Gordon-Larsen

McMurray

Popkin

. Determinants of adolescent physical activity and inactivity patterns. Pediatrics. 2000;105:e83.

12.

Zaini

Lim

Low

Harun

. Factors affecting nutritional status of Malaysian primary school children. Asia Pac J Public Health. 2005;17:71-80.

13.

Park

Cho

Choi

Kim

. The metabolic syndrome and associated lifestyle factors among South Korean adults. Int J Epidemiol. 2004;33:328-336.

14.

Seo

Seong

Sohn

Han

Kim

. Prevalence of the metabolic syndrome in Korean children and adolescents: Korea National Health and Nutrition Survey 2001. J Korean Acad Fam Med. 2006;27:798-806.

15.

Cook

Weitzman

Auinger

Nguyen

Dietz

. Prevalence of metabolic syndrome phenotype in adolescents: findings from the third National Health and Nutrition Examination Survey, 1988-1994. Arch Pediatr Adolesc Med. 2003;157:821-827.

16.

de Ferranti

Gauvreau

Ludwig

Neufeld

Newburger

Rifai

. Prevalence of the metabolic syndrome in American adolescents: findings from the third National Health and Nutrition Examination Survey. Circulation. 2004;110:2494-2497.

17.

Son

Kim

Choi

. The relationship between physical activity and clustering of metabolic abnormalities in children. J Prev Med Public Health. 2008;41:427-433.

18.

Ozaki

Qiao

Wong

GWK

. Overweight, family history of diabetes and attending schools of lower academic grading are independent predictors for metabolic syndrome in Hong Kong Chinese adolescents. Arch Dis Child. 2007;92:224-228.

19.

Chang

Kim

Choi

Cheong

Kim

. Prevalence of metabolic syndrome in obese children. Korean J Pediatr. 2004;47:1149-1156.

20.

Eisenmann

Bartee

Wang

. Physical activity, TV viewing, and weight in U.S. youth: 1999 Youth Risk Behavior Survey. Obes Res. 2002;10:379-385.

21.

Vandewater

Shim

Caplovitz

. Linking obesity and activity level with children’s television and video game use. J Adolesc. 2004;27:71-85.