Respuesta al comentario a nuestro artículo titulado: «Asociación del síndrome metabólico con bajo peso al nacimiento, consumo de dietas hipercalóricas y acantosis nigricans en escolares y adolescentes con sobrepeso y obesidad» / Reply to the comment to our article titled: «Association of metabolic syndrome with low birth weight of birth, intake hypercaloric diets and acanthosis nigricans in childhood and teens with overweight and obesity»

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Association of metabolic syndrome with low birth weight, intake of high-calorie diets and acanthosis nigricans in children and adolescents with overweight and obesity. / Asociación del síndrome metabólico con bajo peso al nacimiento, consumo de dietas hipercalóricas y acantosis nigricans en escolares y adolescentes con sobrepeso y obesidad.

OBJECTIVE: The theory of fetal programming suggests that low birth weight (LBW) predisposes to greater food intake and increases the chance of overweight and obesity, which are in turn associated to conditions such as metabolic syndrome (MS) and acanthosis nigricans. The study objective was to ascertain whether an association exists between MS, LBW, intake of high-calorie diets, and acanthosis nigricans in children and adolescents with overweight or obesity. MATERIAL AND METHODS: A case-control was conducted on 100 children who attended the overweight and obesity outpatient clinic of the OPD Hospital Civil de Guadalajara "Fray Antonio Alcalde". Subjects were stratified in groups with and without MS based on the criteria of the International Diabetes Federation for children aged less than 16 years. Data on LBW, intake of high-calorie diets for 24-hour dietary recalls (average 2 days a week), and acanthosis nigricans (Simone criteria) were obtained by questioning the parents. Frequencies and logistic regression were calculated using SPSS version 22. RESULTS: The results show that 82% of children and adolescents were obese and 18% overweight, and 73% had MS. MS was associated to LBW (OR: 4.83 [95% CI: 1.9-12.47]), high-calorie diets (OR:136.8 [95% CI: 7.7-2434]), and acanthosis nigricans (OR: 1872 [95% CI: 112.9-31028]). CONCLUSIONS: In children and adolescents with overweight and obesity, LBW, high-calorie diets, and acanthosis nigricans are associated to a higher probability of MS.

Asociación del síndrome metabólico con bajo peso al nacimiento, consumo de dietas hipercalóricas y acantosis nigricans en escolares y adolescentes con sobrepeso y obesidad / Association of metabolic syndrome with low birth weight, intake of high-calorie diets and acanthosis nigricans in children and adolescents with overweight and obesity

Objetivo: La teoría de la programación fetal sostiene que el bajo peso al nacimiento (BPN) predispone a mayor ingesta alimentaria e incrementa las probabilidades de sobrepeso y obesidad, y estas a su vez de alteraciones como síndrome metabólico (SM) y acantosis nigricans. Nuestro objetivo fue estudiar la existencia de asociación entre el SM, el BPN, el consumo de dieta hipercalórica y la acantosis nigricans, en escolares y adolescentes con sobrepeso y obesidad. Material y métodos: Se realizó un estudio de casos y control en 100 menores que acudían a la consulta de sobrepeso y obesidad del OPD Hospital Civil de Guadalajara, «Fray Antonio Alcalde»; se categorizaron con y sin SM con los criterios de la Federación Internacional de Diabetes para menores de 16 años. Se obtuvo por interrogatorio a los padres y menores, el BPN, el consumo de dietas hipercalóricas (promedio de 2 días/semana del recordatorio de 24h) y la acantosis nigricans (criterios de Simone). Las frecuencias y la regresión logística se calcularon con SPSS versión 22. Resultados: Los resultados muestran que el 82% de los menores presentaron obesidad, el 18% sobrepeso y el 73% SM. El SM se asoció con BPN (OR: 4,83 [IC 95%: 1,9-12,47]), dieta hipercalórica (OR: 136,8 [IC 95%: 7,7-2434]) y acantosis nigricans (OR: 1872 [IC 95%: 112,9-31028]). Conclusiones: En escolares y adolescentes con sobrepeso y obesidad se encontró que el BPN, la dieta hipercalórica y la acantosis nigricans representan mayor probabilidad de SM (AU)

Objective: The theory of fetal programming suggests that low birth weight (LBW) predisposes to greater food intake and increases the chance of overweight and obesity, which are in turn associated to conditions such as metabolic syndrome (MS) and acanthosis nigricans. The study objective was to ascertain whether an association exists between MS, LBW, intake of high-calorie diets, and acanthosis nigricans in children and adolescents with overweight or obesity. Material and methods: A case-control was conducted on 100 children who attended the overweight and obesity outpatient clinic of the OPD Hospital Civil de Guadalajara 'Fray Antonio Alcalde'. Subjects were stratified in groups with and without MS based on the criteria of the International Diabetes Federation for children aged less than 16 years. Data on LBW, intake of high-calorie diets for 24-hour dietary recalls (average 2 days a week), and acanthosis nigricans (Simone criteria) were obtained by questioning the parents. Frequencies and logistic regression were calculated using SPSS version 22. Results: The results show that 82% of children and adolescents were obese and 18% overweight, and 73% had MS. MS was associated to LBW (OR: 4.83 [95% CI: 1.9-12.47]), high-calorie diets (OR:136.8 [95% CI: 7.7-2434]), and acanthosis nigricans (OR: 1872 [95% CI: 112.9-31028]). Conclusions: In children and adolescents with overweight and obesity, LBW, high-calorie diets, and acanthosis nigricans are associated to a higher probability of MS (AU)