Comparison of definitions for the metabolic syndrome in adolescents. The HELENA study

被引:0
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作者
Tine Vanlancker
Emmily Schaubroeck
Krishna Vyncke
Cristina Cadenas-Sanchez
Christina Breidenassel
Marcela González-Gross
Frederic Gottrand
Luis A. Moreno
Laurent Beghin
Denes Molnár
Yannis Manios
Marc J. Gunter
Kurt Widhalm
Catherine Leclercq
Jean Dallongeville
Marcos Ascensión
Anthony Kafatos
Manuel J. Castillo
Stefaan De Henauw
Francisco B. Ortega
Inge Huybrechts
机构
[1] Ghent University,Faculty of Medicine and Health Sciences
[2] Ghent University,Department of Public Health
[3] University of Granada,PROFITH “PROmoting FITness and Health through physical activity” Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences
[4] Universität Bonn,Institut für Ernährungs und Lebensmittelwissenschaften Ernährungphysiologie, Rheinische Friedrich Wilhelms
[5] Technical University of Madrid,ImFINE Research Group, Faculty of Physical Activity and Sport
[6] Instituto de Salud Carlos III (ISCIII),INEF, Department of Health and Human Performance
[7] Université Lille,CIBER: CB12/03/30038 Fisiopatología de la Obesidad y la Nutrición, CIBERobn
[8] Université Lille,Inserm, CHU Lille, U995—LIRIC—Lille Inflammation Research International Center
[9] University of Zaragoza,Inserm, CHU Lille, CIC 1403—Centre d’investigation clinique
[10] University of Zaragoza,GENUD—Growth, Exercise, Nutrition and Development
[11] University of Pécs,School of Health Sciences
[12] Harokopio University,Medical Faculty, Department of Paediatrics
[13] Private Medical University Salzburg,Department of Nutrition and Dietetics, School of Health Science and Education
[14] INRAN (National Research Institute on Food and Nutrition),Department of Paediatrics
[15] Universite Lille Nord de France,Department of Epidemiology and Public Health, U
[16] Spanish National Research Council,744 INSERM, Institut Pasteur de Lille
[17] Metabolism and Nutrition,Food Science and Technology and Nutrition Institute
[18] Immunonutrition Research Group,School of Medicine, Preventive Medicine and Nutrition Unit, Heraklion
[19] University of Crete,Department of Medical Physiology, School of Medicine
[20] Granada University,Department of Biosciences and Nutrition
[21] Karolinska Institutet,undefined
[22] International Agency for Research on Cancer,undefined
来源
关键词
Metabolic risk factors; Insulin resistance; Youth; Metabolic criteria;
D O I
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中图分类号
学科分类号
摘要
Various definitions are used to define metabolic syndrome in adolescents. This study aimed to compare, in terms of prevalence and differences, five frequently used definitions for this population: International Diabetes Federation, National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP) modified by Cook, pediatric American Heart Association (AHA), World Health Organization, and Jolliffe and Janssen. A sample of 1004 adolescents (12.5–17.0 years) from the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study was considered. The components of the definitions (waist circumference/BMI, plasma lipids, glycemia, and blood pressure) were applied, and definitions were compared by using crosstabs, sensitivity, specificity, and kappa coefficient. The prevalence of metabolic syndrome varied from 1.6 to 3.8% depending on the used definitions. Crosstabs comparing the definitions showed the fewest cases being misclassified (having metabolic syndrome or not) between NCEP-ATP and AHA. Analyses for kappa coefficient, sensitivity, and specificity confirmed this finding.
引用
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页码:241 / 252
页数:11
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