Abstract

Aim: in our study, we aimed to investigate the potential risk factors in development of obesity and

evaluate metabolic syndrome frequency in adolescent population.

Material And Methods: We investigated the adolescents with exogenous obesitywho admitted to

our clinic between March 2004- December 2005 in terms of gender, gestational age, birth weight,

duration of breast-feeding, prevalence of obesity in parents, body mass indices (BMI) of parents,

age at onset of obesity and components of metabolic syndrome. Diagnosis of metabolic syndrome

was made on the basis of threshold values that were defined by Cruz and Goran considering the

data from lllrd National Health and Nutrition Examination Surveys (NHANES).

Results:31 obese adolescents (48.4%female, 51.6% male) with the average age of 12.91 ± 2.45

years, and BMI 32.35 ± 5.11 kg/m' were investigated. There was no statistically significant

difference in terms of BMI between male and female adolescents (p>0.05). There was also no

correlation between birth weight, according to gestational age duration of breast-feeding and

BMl's of hoth sexes (p>0.05). There was als no statistically significant difference in BMI of

adolescents who have both obese mother and father and who have not (p>0.05).However, there

was statistically significant correlation between BMl's of the mother and the child (p<0.01 ). There

was also statistically significant correlation between waist circumference and BMI (p<0.05). Blood

pressure increased in parallel whit BMI (p<0.05). The frequency of metabolic syndrome was

54.8%. Cholesterol levels were elevated in 32.2%, triglyceride levels were hing in 32.2% and HOL

levels were decreased in 25.8%. Glucose intolerance was detected in 25.8% of the cases. There

was significant correlation between glucose intolerance and BMI (p<0.01 ). According to

homeostasis model assessment insulin resistance (HOMA-IR) index, insulin resistance was >2 in

93.5% ofthe cases. There was statistically significant correlation between BMI and presence of stria

as well. 64.5% of the cases had acanthosis nigricans.

Conclusion: As in adults, with increasing frequency of obesity, the frequency of clinical pictures

related with type il diabetes, like metabolic syndrome also increases. Therefore, obese children

especially adolescents that ad mit to general pediatrics and endocrinology outpatient clinics must

be investigated in terms of metabolic syndrome criteria and familial risk factors.

Keywords: Adolescent, metabolic syndrome, obesity.

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Copyright and license

Copyright © 2008 The Author(s). This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.

How to cite

1.
Ergüven M, Koç S, İşgüyen P, Yılmaz Ö, Sevük S, Yüksel E. EVALUATION OF METABOLIC SYNDROME AND RISK FACTORS CONTRIBUTING TO OBESITY IN OBESE ADOLESCENTS. Turk J Pediatr Dis [Internet]. 2008 Apr. 1 [cited 2025 Aug. 23];2(3):26-3. Available from: https://turkjpediatrdis.org/article/view/42