Factors associated with the metabolic syndrome in a national sample of youths: CASPIAN study

被引:77
作者
Kelishadi, Roya [1 ]
Gouya, Mohammad Mehdi [2 ]
Adeli, Khosrow [3 ]
Ardalan, Gelayol [2 ]
Gheiratmand, Riaz [4 ]
Majdzadeh, Reza [5 ,6 ]
Mahmoud-Arabi, Minou Sadat [2 ]
Delavari, Alireza [2 ]
Riazi, Mohammad Mehdi [2 ]
Barekati, Hamed [2 ]
Motaghian, Molouk [4 ]
Shariatinejad, Keivan [1 ]
Heshmat, Ramin [5 ,6 ]
机构
[1] Isfahan Univ Med Sci, WHO Collaborating Ctr EMR, Isfahan Cardiovasc Res Ctr, Prevent Paediat Cardiol Dept, Esfahan, Iran
[2] Minist Hlth, Tehran, Iran
[3] Univ Toronto, Hosp Sick Children, Dept Clin Biochem, Toronto, ON M5G 1X8, Canada
[4] Minist Educ, Tehran, Iran
[5] Univ Tehran Med Sci, Sch Publ Hlth, Dept Epidemiol & Biostat, Tehran, Iran
[6] Univ Tehran Med Sci, Publ Hlth Res Inst, Tehran, Iran
关键词
metabolic syndrome; children; birth weight; nutrition; physical activity;
D O I
10.1016/j.numecd.2007.02.014
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background and aim: To date, research on the influence of environmental factors on metabolic syndrome (MS) among youths is limited. This study was conducted to investigate for the first time the association of these factors with MS in a large national, representative sample of children from a non-Western population. Methods and results: The study population comprised of 4811 students (2248 boys and 2563 girls) aged 6-18 years, living in six different provinces in Iran. MS, defined based on criteria analogous to those of the Adult Treatment Panel III, was detected in 14.1% of participants. A birth weight of > 4000 g in boys and < 2500 g in girls increased the risk of having the MS [OR, 95% CI: 1.4 (1.007, 2.05) and 1.2 (1.1, 1.4), respectively]. Poorly educated parents and a positive parental history of chronic disease were other risks factors associated with MS. Low levels of physical activity significantly increased the risk of having MS [boys: 1.3 (1.1, 1.7); girls: 1.4 (1.2, 1.6)]. The risk of MS increased in-line with the consumption of solid hydrogenated fat [boys: 1.2 (1.07, 1.3); girls, 1.3 (1.1, 1.5)] and bread made with white flour [boys: 1.6 (1.3, 2.1); girls, 1.4 (1.1, 1.7)]. In contrast, an increased frequency of consumption of fruits and vegetable, as well as dairy products decreased the risk of having MS. Conclusion: Considering the effect of modifiable lifestyle habits and birth weight on MS in youths, urgent public health approaches should be directed towards primordial and primary prevention of this rapidly growing problem. (C) 2007 Elsevier B.V. All rights reserved.
引用
收藏
页码:461 / 470
页数:10
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