“Síndrome metabólico en pediatría y adolescencia: prevalencia en pacientes con sobrepeso”

RESUMEN La obesidad ha ido aumentando en los ultimos anos en todo el mundo. En nuestro pais 1 de cada 10 ninos preescolares presentan obesidad. El exceso de peso ha supuesto la aparicion en pediatria de alteraciones hasta ahora mas propias de la edad adulta, como el sindrome metabolico (SM). OBJETIVOS: 1)Obtener prevalencia de SM en ninos y adolescentes con exceso de peso u obesidad segun 3 criterios diagnosticos: ATPIII (AdultTreatmentPanelIII) del NCEP (NationalCholesterolEducationProgram), ALAD (Asociacion Latinoamericana de Diabetes) y OMS (Organizacion Mundial de la Salud, 1998) de poblacion adulta, 2)Determinar las variables mas prevalentes por fuera de los valores recomendables, 3)Evaluar asociacion entre indice de masa corporal (IMC) con: HOMA, insulinemia (INS), tension arterial (TA), colesterol total (CT), colesterol-HDL (HDL-C), glucemia en ayunas (GA), trigliceridos (TG) y colesterol-LDL (LDL-C). ABSTRACT Obesity has been increasing all over the world in the last years. In our country, 1 in 10 children of preschool age are obese. In pediatrics, overweight has resulted in the occurrence of alterations which so far have been typical in adulthood, such as metabolic syndrome (MS). OBJECTIVES: 1) Get prevalence of MS in children and adolescents with overweight or obesity based on 3 diagnostic criteria: NCEP (National Cholesterol Education Program) ATPIII (Adult Treatment Panel III), ALAD (Latin American Diabetes Association), and WHO (World Health Organization, 1998) in adult population; 2) Determine the most prevalent variables outside the recommended values; 3) Evaluate the relation between body mass index (BMI) with HOMA, insulinemia (INS), blood pressure (BP), total cholesterol (TC), cholesterol-HDL (HDL-C), fasting glucose (FG), triglyceride (TG), and cholesterol LDL (LDL-C). POPULATION, MATERIALS AND METHODS: 93 subjects were evaluated (6 to 14 years old) with overweight or obesity, BMI >85. Exclusion criteria: overweight or obesity of endocrinological or genetic origin, diabetics, treated with steroids. Laboratorory and anthropometric measures: age, sex, weight, height, BMI, waist circumference (WC), systolic and diastolic BP, Tanner scale, FG, TC, HDL-C, LDL-C, TG, and INS.