|
|
Diagnosis criteria and screening strategy of metabolic syndrome in children and adolescents |
LI Yan1 SUN Miao2 LI Mubai2 HOU Lihui2 WANG Yingji3 |
1.Research Center of TCM Translational Medicine, the First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150040, China;
2.Department of Gynacology, the First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150040, China;
3.Teaching Office of Inorganic Chemistry and Physical Chemistry, College of Pharmacy, Harbin Medical University, Heilongjiang Province, Harbin 150081, China |
|
|
Abstract The incidence of metabolic syndrome and obesity in children and adolescents has increased gradually. As the definition of metabolic syndrome has not been unified, the diagnosis of children and adolescents metabolic syndrome is still controversial. Although the pathogenesis is still unclear, insulin resistance and subsequent inflammation play an important role in the pathogenesis. The main clinical manifestations of metabolic syndrome are overweight and obesity, abnormal glucose metabolism, dyslipidemia, and hypertension. Fatty liver, polycystic ovary syndrome and pro-inflammatory state have close correlation with metabolic syndrome. Regular screening of metabolic syndrome should be carried out for children and adolescents with high risk factors.
|
|
|
|
|
[1] Ogden CL,Carroll MD,Lawman HG,et al. Trends in obesity prevalence among children and adolescents in the United States,1988-1994 Through 2013-2014 [J]. JAMA,2016,315(21):2292-2299.
[2] Magge SN,Goodman E,Armstrong SC. The metabolic syndrome in children and adolescents:shifting the focus to cardiometabolic risk factor clustering [J]. Pediatrics,2017, 140(2):e20171603.
[3] Alberti KG,Eckel RH,Grundy SM,et al. Harmonizing the metabolic syndrome:a joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention;National Heart,Lung,and Blood Institute;American Heart Association;World Heart Federation;International Atherosclerosis Society;and International Association for the Study of Obesity [J]. Circulation,2009,120(16):1640-1645.
[4] 刘艺轩,刘平.青少年代谢综合征的研究进展[J].中国卫生产业,2017,14(34):192-194.
[5] Cook S,Weitzman M,Auinger P,et al. Prevalence of a metabolic syndrome phenotype in adolescents:findings from the third National Health and Nutrition Examination Survey,1988-1994 [J]. Arch Pediatr Adolesc Med,2003, 157(8):821-827.
[6] 中华医学会儿科学分会内分泌遗传代谢学组,中华医学会儿科学分会心血管学组,中华医学会儿科学分会儿童保健学组.中国儿童青少年代谢综合征定义和防治建议[J].中华儿科杂志,2012,50(6):420-422.
[7] 厉平,郭超,李雪,等.三种不同代谢综合征诊断标准对辽阳市青少年人群诊断能力的比较[J].中华内分泌代谢杂志,2017,33(2):93-97.
[8] 王明明,娄小焕,席波.济南市儿童青少年代谢综合征不同诊断标准检出情况[J].中国学校卫生,2017,38(11):1609-1613.
[9] Agudelo GM,Bedoya G,Estrada A,et al. Variations in the prevalence of metabolic syndrome in adolescents according to different criteria used for diagnosis: which definition should be chosen for this age group [J]. Metab Syndr Relat Disord,2014,12(4):202-209.
[10] Friend A,Craig L,Turner S. The prevalence of metabolic syndrome in children:a systematic review of the literature [J]. Metab Syndr Relat Disord,2013,11(2):71-80.
[11] Wittcopp C,Conroy R. Metabolic syndrome in children and adolescents [J]. Pediatr Rev,2016,37(5):193-202.
[12] Khoury M,Manlhiot C,McCrindle BW. Role of the waistheight ratio in the cardiometabolic risk assessment of children classified by body mass index [J]. J Am Coll Cardiol,2013,62(8):742-751.
[13] 王冉,李晓南.人体脂肪组织部位差异性与代谢综合征[J].生理学报,2017,69(3):357-365.
[14] 艾比白·艾尔肯,布力布力,徐佩茹.肥胖对儿童血糖、血脂和血压的影响[J].重庆医学,2017,46(25):3576-3578.
[15] Temple JL,Cordero P,Li J,et al. A guide to non-alcoholic fatty Liver disease in childhood and adolescence [J]. Int J Mol Sci,2016,17(6):947.
[16] Coviello AD,Legro RS,Dunaif A. Adolescent girls with polycystic ovary syndrome have an increased risk of the metabolic syndrome associated with increasing androgen levels independent of obesity and insulin resistance [J]. J Clin Endocrinol Metab,2006,91(2):492-497.
[17] Korner A,Kratzsch J,Gausche R,et al. New predictors of the metabolic syndrome in children—role of adipocytokines [J]. Pediatr Res,2007,61(6):640-645.
[18] 胡楠.儿童青少年脂肪炎性因子与胰岛素抵抗的相关性研究[D].天津:天津医科大学,2017.
[19] Oliveira AC,Oliveira AM,Adan LF,et al. C-reactive protein and metabolic syndrome in youth:a strong relationship [J]. Obesity(Silver Spring),2008,16(5):1094-1098.
[20] Barlow SE. Expert committee recommendations regarding the prevention,assessment,and treatment of child and adolescent overweight and obesity:summary report [J]. Pediatrics,2007,120(Suppl 4):S164-S192.
[21] Temple JL,Cordero P,Li J,et al. A Guide to Non-Alcoholic Fatty Liver Disease in Childhood and Adolescence [J]. Int J Mol Sci,2016,17(6):E947.
[22] American Diabetes Association. Standards of medical care in diabetes-2017:summary of revisions [J]. Diabetes Care,2017,40(Suppl 1):S4-S5.
[23] Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents,National Heart,Lung,and Blood Institute. Expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents:summary report [J]. Pediatrics,2011,128(Suppl 5):S213-S256.
[24] 施风兰.儿童青少年血糖、血脂异常流行现状及影响因素概述[J].中国妇幼保健,2017,32(10):2266-2270.
[25] Styne DM,Arslanian SA,Connor EL,et al. Pediatric obesity-assessment,treatment,and prevention:an endocr- ine society clinical practice guideline [J]. J Clin Endocrinol Metab,2017,102(3):709-757. |
|
|
|