The Relationship between Lifestyle and Metabolic Syndrome in Obese Children and Adolescents / 대한소아소화기영양학회지

ABSTRACT

PURPOSE: To assess the relationship between lifestyle and metabolic syndrome in obese children and adolescents. METHODS: We retrospectively reviewed the medical records and laboratory results of 109 subjects (7~15 years of age) who visited our pediatric obesity clinic between January 2004 and December 2007. They completed the parent- and self-report questionnaire developed by the Committee on Nutrition of the Korean Pediatric Society to assess lifestyle. The metabolic syndrome was defined as having 3 or more of the following metabolic risk factors obesity, hypertension, serum triglycerides > or =110 mg/dL, HDL-cholesterol or =110 mg/dL, and insulin > or =20 micronIU/mL. RESULTS: All subjects had at least 1 risk factor (obesity). Sixty-three percent of subjects had 2 or more risk factors, 32% of subjects had 3 or more risk factors, and 10% had 4 or more metabolic risk factors. Hypertriglyceridemia (36%), hypertension (32%), hyperinsulinemia (24%), and HDL-hypocholesterolemia (20%) were observed. Fasting blood glucose levels were normal in all subjects. Hypertension was significantly associated with an unbalanced diet and hyperinsulinemia was significantly associated with parental obesity (p or =3 hours/day were at a risk of metabolic syndrome (odds ratio, 4.8; 95% CI, 1.2~18.8). CONCLUSION: Lifestyle, such as eating late, no preference for exercise, and TV watching > or =3 hours/day, were related to metabolic syndrome in obese children and adolescents.