Ethnic differences in metabolic syndrome among overweight and obese children and adolescents: the Oslo Adiposity Intervention Study

被引:33
|
作者
Kolsgaard, Magnhild L. Pollestad [1 ]
Andersen, Lene Frost [2 ]
Tonstad, Serena [2 ,3 ]
Brunborg, Cathrine [4 ]
Wangensteen, Teresia [5 ,6 ]
Joner, Geir [1 ,7 ]
机构
[1] Ullevaal Univ Hosp, Dept Pediat, N-0407 Oslo, Norway
[2] Univ Oslo, Dept Nutr, Inst Basic Med Sci, Oslo, Norway
[3] Ullevaal Univ Hosp, Dept Prevent Cardiol, N-0407 Oslo, Norway
[4] Ullevaal Univ Hosp, Clin Res Ctr, N-0407 Oslo, Norway
[5] Ullevaal Univ Hosp, Dept Med Genet, N-0407 Oslo, Norway
[6] Univ Oslo, Inst Med Genet, Oslo 3, Norway
[7] Univ Oslo, Inst Hlth Management & Hlth Econ, Oslo, Norway
关键词
Adolescents; Children; Ethnic differences; Metabolic syndrome; Obesity;
D O I
10.1111/j.1651-2227.2008.00955.x
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Aim: Are there differences in the prevalence of metabolic syndrome between obese and overweight Norwegian and immigrant children and adolescents? Methods: Two hundred and three overweight and obese Norwegian, Pakistani, Tamil and Turkish patients aged 6-17 years living in Norway were included. Metabolic syndrome was defined as the presence of at least three abnormal values of waist circumference, blood pressure, fasting triglycerides, fasting glucose and HDL cholesterol. Results: The prevalence of metabolic syndrome was significantly higher among the immigrant compared to Norwegian subjects when adjusted for age, gender and BMI-Z-score (20.8 vs. 30.6%; OR = 2.2, 95% CI = 1.05-4.77). The prevalence of metabolic syndrome increased with increasing severity of obesity and reached 50% in severely obese immigrants and 30% in severely obese Norwegians. Among the overweight subjects metabolic syndrome prevalence was 23.5% among immigrants and 19.4% among Norwegians. Conclusion: Metabolic syndrome was found more frequently among children and adolescents with Middle Eastern and South Asian origins than Norwegians. Differences were found even after adjustment for age, sex and degree of obesity. This suggests that ethnic minorities may have an increased sensitivity to adiposity and need more aggressive prevention and treatment than their Norwegian counterparts.
引用
收藏
页码:1557 / 1563
页数:7
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