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  • 标题:Prevalence of metabolic syndrome and its risk factors in Canadian children and adolescents: Canadian Health Measures Survey Cycle 1 (2007-2009) and Cycle 2 (2009-2011)
  • 本地全文:下载
  • 作者:M. MacPherson ; M. de Groh ; L. Loukine
  • 期刊名称:Maladies Chroniques et Blessures au Canada
  • 印刷版ISSN:1925-6531
  • 电子版ISSN:1925-654X
  • 出版年度:2016
  • 卷号:36
  • 期号:2
  • 出版社:Agence de la Santé Publique du Canada
  • 摘要:

    Introduction: We investigated the prevalence of metabolic syndrome (MetS) and its risk factors, and the influence of socioeconomic status, in Canadian children and adolescents.

    Methods: Canadian Health Measures Survey cycle 1 (2007-2009) and cycle 2 (2009-2011) respondents aged 10 to 18 years who provided fasting blood samples were included (n = 1228). The International Diabetes Federation (IDF) consensus definition for children and adolescents (10-15 years) and worldwide adult definition (≥ 16 years) were used to diagnose MetS. Prevalence of MetS and its risk factors were calculated and differences by socioeconomic status were examined using x2 tests.

    Results: The prevalence of MetS was 2.1%. One-third (37.7%) of participants had at least one risk factor, with the most prevalent being abdominal obesity (21.6%), low HDL-C (19.1%) and elevated triglyceride levels (7.9%). This combination of abdominal obesity, low HDL-C and elevated triglyceride levels accounted for 61.5% of MetS cases. Participants from households with the highest income adequacy and educational attainment levels had the lowest prevalence of one or more MetS risk factors, abdominal obesity and low HDL-C.

    Conclusion: The prevalence of MetS (2.1%) was lower than previously reported in Canada (3.5%) and the USA (4.2%­-9.2%), potentially due to the strict application of the IDF criteria for studying MetS. One-third of Canadian children and adolescents have at least one risk factor for MetS. Given that the risk for MetS increases with age, these prevalence estimates, coupled with a national obesity prevalence of almost 10% among youth, point to a growing risk of MetS and other chronic diseases for Canadian youth.

  • 关键词:Canadian Health Measures Survey; metabolic syndrome; health surveys; cardiometabolic risk factors; prevalence; adolescent; child
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