Abstract
Purposes: To report the prevalence of obesity and overweight among 4-12 year old children living in the city of Almería (south of Spain). To examine the distribution of HOMA-IR (homeostasis model assessment of insulin resistance) and metabolic syndrome (MS) related components in these children.
Methods: A total of 610 subjects (51,0% girls) attending primary school (aged 4 - 12 years) participated in a community-based cross-sectional survey. IOTF (International Obesity Task Force) criteria were used to identify obesity and overweight. Criteria for central obesity was waist circumference > or = 90th percentile, age and gender specific. Blood pressure, fasting glucose, insulin, triglyceride and HDL-cholesterol concentrations were mesured and HOMA-IR was calculated.
Results: 12.8% of this sample were obese and 29.0% overweight. HOMA-IR (mean ± standard deviation) was 1.18 ± 0.9. Central obese children show higher insulin levels (9.9 ± 6.2 vs 5.1 ± 3.4 mcU/ml; p< 0.001), HOMA-IR (2.0 ± 1.3 vs 1.0 ± 0.7; p< 0.001), systolic blood pressure (113 ± 14 mm Hg vs 105 ± 12; p< 0.001) and triglyceride levels (78 ± 38 vs 63 ± 13 mg/dl; p< 0.001), and lower HDLcholesterol levels (57 ± 12 vs 64 ± 13 mg/dl; p< 0.001) than non central obese children.
Conclusions: Obesity and overweight are major problems for Spanish children. Insulin resistence and metabolic syndrome related components are related to central obesity in primary school children.
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García-García, E., Galera, R., Vázquez, MÁ. et al. 408 Obesity, Insulin Resistence and Metabolic Syndrome Related Components Among Spanish Children. Pediatr Res 68 (Suppl 1), 210 (2010). https://doi.org/10.1203/00006450-201011001-00408
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DOI: https://doi.org/10.1203/00006450-201011001-00408