Metabolic syndrome rates in United States adolescents, from the National Health and Nutrition Examination Survey, 1999-2002

被引：239
作者：
Cook, Stephen [1 ]
Auingfr, Peggy [1 ]
Li, Chaoyang [2 ]
Ford, Earl S. [2 ]
机构：
[1] Univ Rochester, Sch Med & Dent, Dept Pediat, Div Gen Pediat & Strong Childrens Res Ctr, Rochester, NY 14642 USA
[2] Ctr Dis Control & Prevent, Natl Ctr Chron Dis Prevent & Hlth Promot, Div Diabet, Atlanta, GA USA
来源：
JOURNAL OF PEDIATRICS | 2008年 / 152卷 / 02期
基金：
美国国家卫生研究院;
关键词：
D O I：
10.1016/j.jpeds.2007.06.004
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
Objective To report the prevalence rates of the metabolic syndrome in a nationally representative sample of adolescents in the United States using 4 previously reported definitions of the syndrome. Study design Data from 12- to 19-year-old adolescents included in the National Health and Nutrition Examination Survey from 1999 to 2002 (NHATNES 99-02) were analyzed by cross-sectional methods, by using 4 definitions of the metabolic syndrome previously applied to adolescents. Results In NHANES 99-02, the prevalence of the metabolic syndrome in all teens varied from 2.0% to 9.4% of teens ill the United States, depending oil the definition used. In obese teens, these prevalence rates varied from 12.4% to 44.2%. In the group of obese teens, application of tire definition by Cruz produced a metabolic syndrome prevalence rate of 12.4%; that of Caprio produced a rate of 14.1%. However, none of the normal weight or overweight teens met either definition. Application of the definition by Cook produced a prevalence rate of 7.8% in overweight teens and 44% in obese teens. The adult definition of metabolic syndrome produced a prevalence rate of 16% in overweight teens and 26% in obese teens. Conclusions In the period between 1999 and 2002, the prevalence rate of metabolic syndrome varied from just >9% to as low as 2% of adoleseents overall. Different definitions of metabolic syndrome generated prevalence rates in obese adolescents that varied widely from 12% to 44%. For this syndrome to be a useful construct, a more standardized set of criteria may be needed.
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页码：165 / 170
页数：6
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