Patterns of Change in Cardiometabolic Risk Factors Associated with the Metabolic Syndrome among Children and Adolescents: The Fels Longitudinal Study - 09/08/11
, Earl S. Ford, MD, MPH a, Terry T.-K. Huang, PhD, MPH b, Shumei S. Sun, PhD c, Elizabeth Goodman, MD d
Reprint requests: Chaoyang Li, MD, PhD, Centers for Disease Control and Prevention, 4770 Buford Highway, MS K66, Atlanta, GAAbstract |
Objectives |
To examine the patterns of change in cardiometabolic risk factors associated with the metabolic syndrome in children and adolescents between the ages of 8 to 19 years.
Study Design |
Data of children and adolescents who participated in the Fels Longitudinal Study were analyzed. Body mass index, waist circumference, fasting insulin, fasting glucose, triglycerides, high-density lipoprotein cholesterol, systolic blood pressure, and diastolic blood pressure were assessed annually with a standardized protocol.
Results |
The proportion of participants having at least 1 change between states of high and normal risk ranged from of 11.0% for body mass index to 30.4% for triglycerides. Youth in the high-risk category at baseline had a higher proportion having changed their status for all risk factors (all P < .05) except waist circumference compared with those in the normal-risk category. There were significant time effects for all risk factors (all P < .01) except fasting glucose and triglyceride levels in metric scores, but insignificant time effects for all risk factors in Z-scores in growth curve analyses.
Conclusions |
The cardiometabolic risk factors associated with the MetS were relatively stable among white children and adolescents in the normal risk category. Changes in status were common if the risk factor was elevated.
Le texte complet de cet article est disponible en PDF.Mots-clés : BMI, DBP, HDL, MetS, SBP
Plan
| The findings and conclusions in this report are those of the author(s) and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Contents of this paper do not necessarily represent the views or policies of the National Institutes of Health. |
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| Please see the Author Disclosure section at the end of this article. |
Vol 155 - N° 3
P. S5.e9-S5.e16 - septembre 2009 Retour au numéro
Article précédent
- Stability of the Factor Structure of the Metabolic Syndrome across Pubertal Development: Confirmatory Factor Analyses of Three Alternative Models
- Elizabeth Goodman, Chaoyang Li, Yu-Kang Tu, Earl Ford, Shumei S. Sun, Terry T.-K. Huang
- Childhood Predictors of the Metabolic Syndrome in Middle-Aged Adults: The Muscatine Study
- Trudy L. Burns, Elena M. Letuchy, Richard Paulos, John Witt
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