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Prevalence of Metabolic Syndrome and Metabolic Abnormalities in Korea Children and Adolescents and Nutrient intakes -Using 2008 the Korea National Health and Nutrition Examination Survey-

아동.청소년의 대사증후군 및 대사이상 지표의 분포와 영양소 섭취 -2008 국민건강영양조사 자료 이용-

  • Nam, Hang-Me (Department of Food and Nutrition, Keimyung University) ;
  • Choi, Mi-Ja (Department of Food and Nutrition, Keimyung University)
  • 남행미 (계명대학교 식품영양학과) ;
  • 최미자 (계명대학교 식품영양학과)
  • Received : 2013.12.13
  • Accepted : 2014.03.14
  • Published : 2014.04.30

Abstract

Objectives: The purpose of this study was to estimate the prevalence of metabolic syndrome (MS), metabolic abnormalities, and nutrient intakes in Korea children and adolescents using the Korea National Health and Nutrition Examination Survey from 2008. Methods: A sample of 838 children and adolescent males (n=442) and females (n=396) aged 10-18 was used from the 2008 Korea National Health and Nutrition Examination survey. The diagnosis of the metabolic syndrome subjects was adapted from modified National Cholesterol Education Program-Adult Treatment Panel III by Ford. To compare nutrient intakes, we used a judgment sampling. The first group was composed of all children and adolescents (n=46) with MS. The second one along with the first group had children and adolescents with the same age, sex, and body mass index (BMI) but without MS (n=46). The control group like the first two had children and adolescents with same sex and same age but with normal BMI and without MS (n=46). Results: In this randomized controlled controlled trial, the prevalence of the metabolic syndrome was 5.8%. The risk factors was associated with the MS were abdominal obesity 9.4%, hypertriglyceridemia 25.0%, low HDL-cholesterol 10.3%, hypertension 23.4%, and hyperglycemia 7.1%. Among metabolic abnormalities, blood pressure was significantly affected by sex, age and obesity. On the other hand, HDL-cholesterol, triglycerides, and waist circumference were directly linked to obesity. There were no significant differences in nutrient intakes among the three groups. Conclusions: The prevalence of MS was higher in children (10-11 years old) than in adolescents (12-18 years old). There was a difference in hypertension among risk factors by gender, and there were no significant differences in nutrient intakes.

Keywords

References

  1. Ambrosini GL, Huang RC, Mori TA, Hands BP, O'Sullivan TA, Klerk NH, Beilin LJ, Oddy WH (2010): Dietary patterns and markers for the metabolic syndrome in Australian adolescents. Nutr Metab Cardiovasc Dis 20(4): 274-283 https://doi.org/10.1016/j.numecd.2009.03.024
  2. Casazza K, Dulin-Keita A, Gower BA, Fernandez JR (2009): Differential influence of diet and physical activity on components of metabolic syndrome in a multiethnic sample of children. J Am Diet Assoc 109(2): 236-244 https://doi.org/10.1016/j.jada.2008.10.054
  3. Chang JH, Kim DH, Kim HS, Choi IK, Cheong MY, Kin DK (2004): Prevalence of metabolic syndrome in obese children. Korean J Pediatr 47(11): 1149-1156
  4. Chen W, Xu J, Srinivasan SR, Berenson GS, Li S (2005): Metabolic syndrome variables at low levels in childhood are beneficially associated with adulthood cardiovascular risk. Diabetes Care 28(1): 138-143 https://doi.org/10.2337/diacare.28.1.138
  5. Cho YG, Song HG, Kang JH (2009): Prevalence of the metabolic syndrome in Korean children and adolescents according to the international diabetes federation definition in children and adolescents. Korean J Fam Med 30(4): 261-268 https://doi.org/10.4082/kjfm.2009.30.4.261
  6. Choi MK, Jun YS, Bae YJ, Sung CJ (2007): A study on nutrient intakes and blood parameters of adult men and women with metabolic syndrome. J Korean Soc Food Sci Nutr 36(3): 311-317 https://doi.org/10.3746/jkfn.2007.36.3.311
  7. Cook S, Weitzman M, Auinger P, Nguyen M, Dietsz WH (2003): Prevalence of a metabolic syndrome phenotype in adolescents findings from the third national health and nutrition examination survey, 1988-1994. Arch Pediatr Adolesc Med 157(8): 821-827 https://doi.org/10.1001/archpedi.157.8.821
  8. Ferranti SD, Gauvreau K, Ludwig DS, Niufeld EJ, Jane W (2004): Prevalence of the metabolic syndrome in American adolescents: findings from the third national health and nutrition examination survey. J Am Heart Assoc 110(16): 2494-2497
  9. Ford ES, Ajani UA, Mokdad AH (2005): The metabolic syndrome and concentrations of C-reactive protein among U.S. youth. Diabetes Care 28(4): 878-881 https://doi.org/10.2337/diacare.28.4.878
  10. Ford ES, Giles WH, Mokdad AH (2004): Increasing prevalence of the metabolic syndrome among U.S. adults. Diabetes Care 27(10): 2444-2449 https://doi.org/10.2337/diacare.27.10.2444
  11. Grundy SM, Brewer HB Jr, Cleeman JI, Smith SC Jr, Lenfant C (2004): Definition of metabolic syndrome: report of the National Heart, Lung, and Blood institute/ American Heart Association conference on scientific issues related to definition. J Am Heart Assoc 109: 433-438
  12. Huh K (2009): Metabolic syndrome in Korean children and adolescents; from the Korean NHANES 1998-2007 data analysis. MS thesis, Inje University
  13. Isomaa B, Almgren P, Tuomi T, Forwen B, Lahti K, Nissen M, Taskinen MR, Groop L (2001): Cardiovascular morbidity and mortality associated with the Metabolic syndrome. Diabetes Care 24(4): 683-689 https://doi.org/10.2337/diacare.24.4.683
  14. Jean D, Jean BR, Dominique C, Bernadette H, Jean F, Pierre D, Dominique A, Philippe A, Annie B (2005): Household income is associated with the risk of metabolic syndrome on a sex-specific manner. Diabetes Care 28(2): 409-415 https://doi.org/10.2337/diacare.28.2.409
  15. Jung JH (2009): Associations between metabolic syndrome and nutrient intake and health-related risk factors. MS thesis, Sungshin Women's University
  16. Kim DI, Kim JY, Lee MK, Lee HD, Lee JW, Jeon JY (2012): The relationship between fitness, BMI and risk factors of metabolic syndrome among university students in Korea. Korean J Obes 21(2): 99-107 https://doi.org/10.7570/kjo.2012.21.2.99
  17. Kong KA (2008): Prevalence and risk factors of metabolic syndrome in young schoolchildren. Dissertation, Ewha Womans University in Seoul
  18. Korea Centers for Desease Control and Prevention (2009): Report on 2008 national health and nutrition survey
  19. Kwon HS, Park YM, Lee HJ, See JH, Choi YH, Ko SH, Lee JM, Kim SR, Kang SY, Lee WC, Ahn MS, Noh JH, Kang JM, Kim DS, Yoon KH, Chal BY, Lee DW, Kang SK, Son HY (2005): The prevalence and clinical characteristics of the metabolic syndrome in middle-aged Korean adult. Korean J Med 68(4): 359-368
  20. Kwon SY (2014): The study of association between metabolic syndrome and dietary factors among mothers and their children based on the data from 2007-2010 KNHANES. MS thesis, Catholic University
  21. Lee CG, Moon JS, Choi JM, Nam CM, Lee SY, Oh KW, Kim YT (2008): Normative blood pressure references for Korean children and adolescents. Korean J Pediatr 51(1): 33-41 https://doi.org/10.3345/kjp.2008.51.1.33
  22. Lee MS, Sung CJ, Sung MK, Choi MK, Lee YS, Cho KO (2000): A comparative study on food habits and nutrient intakes among high school students with different obesity indexes residing in seoul and Kyunggi-do. Korean J Community Nutr 5(2): 141-151
  23. Lim HS, Kim SK (2008): Comparative of the nutritional status and correlation of cardiovascular disease in type II diabetes mellitus patients with metabolic syndromes. Korean J Nutr 41(4): 327-340
  24. Lim S, Jang HC, Park KS, Lee HK, Chung HR, Joung HJ, Cho SI (2008): Changes in metabolic syndrome of Korean children and adolescents in the period 1998 to 2001. J Endocrinol Invest 31(4): 327-333 https://doi.org/10.1007/BF03346366
  25. Lim S, Lee HK, Park KS, Cho SI (2005): Changes in the characteristics of metabolic syndrome in Korea over the period 1998-2001 as determined the Korean national health and nutrition examination surveys. Diabetes Care 28(7): 1810-1812 https://doi.org/10.2337/diacare.28.7.1810
  26. Moon JS, Lee SY, Nam CM, Choi JM, Choi BK, Seo JW, Oh KW (2008): 2007 Korean National Growth Charts : Review of developmental process and outlook. Korean J Pediatr 51(1): 33-41 https://doi.org/10.3345/kjp.2008.51.1.33
  27. Morrison JA, Friedaman SA, Wang P, Glueck CJ (2008): Metabolic syndrome in childhood predicts adult metabolic syndrome and type 2 diabetes mellitus 25 to 30 years later. J Pediatr 152(2):201-206 https://doi.org/10.1016/j.jpeds.2007.09.010
  28. Park JS, Park ES (2008): Prevalence of metabolic syndrome and nutrient intakes of obese middle school students in Korea - Focused on Namwon city, Jeonbuk. Korean J Human Ecology 17(1): 159-170 https://doi.org/10.5934/KJHE.2008.17.1.159
  29. Park MJ, Yun KE, Lee GE, Cho HJ, Park HS (2006): The relationship between socioeconomic status and metabolic syndrome among Korean adults. Korean J Obes 15(1): 10-17
  30. Reaven GM (1988): Role of insulin resestance in human disease. Diabetes 37: 1595-1607 https://doi.org/10.2337/diab.37.12.1595
  31. Roh DJ (2012): Prevalence of insulin resistance and metabolic syndrome and effects of health promotion program among obese children in Jeju. Dissertation, Jeju National University
  32. Sarah PW, Murray AM, John L, Karin SG, Myriam H, Kristina OG (1999): Education and the metabolic syndrome in women. Diabetes Care 22(12): 1999-2003 https://doi.org/10.2337/diacare.22.12.1999
  33. Seo MJ, Seong JW, Sohn KJ, Ko BJ, Han JH, Kim SM (2006): Prevalence of the metabolic syndrome in Korean children and adolescents. J Korean Acad Fam Med 27(10): 798-806
  34. Seo SJ (2006): A study on the prevalence and the risk factors of metabolic syndrome in Korean children and adolescents. MS thesis, Seoul National University
  35. The Korean Nutrition Society (2005): Dietary Reference Intakes for Korean, Seoul
  36. Weiberger MH, Finegerg NS (1991): Sodium and volume sensitivity of blood pressure: age and pressure change over time. Hypertension 18: 67-71 https://doi.org/10.1161/01.HYP.18.1.67
  37. Yoo HJ, Kim YH (2008): A study on the characteristics of nutrient intake in metabolic syndrome subjects. Korean J Nutr 41(6): 510-517
  38. Yoon YS (2008): Trends of prevalence and associated factors of metabolic syndrome in Korean children and adolescents -Using the Korea national health and nutrition examination survey. Dissertation, Ulsan University

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