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Table 3 Prevalence of individual metabolic components in children<10 years according to BMI category

From: Prevalence of metabolic syndrome in a cohort of Chinese schoolchildren: comparison of two definitions and assessment of adipokines as components by factor analysis

 

IDF 2007 definition

Modified ATPIII definition

 

Normal weight

Over-weight

Obese

P

Normal weight

Over-weight

Obese

P

Boys (n)

165

50

223

 

165

50

223

 

Hyper-TG

7(4.2%)

5(10.0%)

34(15.2%)

0.002

16(9.7%)

10(20.0%)

73(32.7%)

<0.001

Low-HDL

2(1.2%)

2(4.0%)

14(6.3%)

0.043

2(1.2%)

2 (4.0%)

14(6.3%)

0.034

IFG

18(10.9%)

9(18.0%)

33(14.8%)

NS

18(10.9%)

9 (18.0%)

33(14.8%)

NS

Elevated BP

4(2.4%)

1(2.0%)

15(6.7%)

NS

14(8.5%)

6(12.0%)

60(26.9%)

<0.001

Central obesity

4(2.4%)

5(10.0%)

181(81.2%)

<0.001

4(2.4%)

5(10.0%)

181(81.2%)

<0.001

MetS (%)

0

0

14(6.3%)

<0.001

2(1.2%)

3(6.0%)

42(18.8%)

<0.001

Girls (n)

187

50

134

 

187

50

134

 

Hyper-TG

6(3.2%)

1(2.0%)

13(9.7%)

0.032

23(12.3%)

8(16.0%)

43(32.1%)

<0.001

Low-HDL

6(3.2%)

4(8.0%)

16(11.9%)

0.008

7(3.7%)

4 (8.0%)

18(13.4%)

0.005

IFG

3(1.6%)

5(10.0%)

10(7.5%)

0.005

3(1.6%)

5 (10.0%)

10(7.5%)

0.005

Elevated BP

5(2.7%)

3(6.0%)

6(4.5%)

NS

17(9.1%)

11 (22.0%)

38(28.4%)

<0.001

Central obesity

8(4.3%)

21(42.0%)

114(85.1%)

<0.001

8(4.3%)

21 (42.0%)

114(85.1%)

<0.001

MetS (%)

0

0

8(6.0%)

<0.001

2(1.1%)

0

36(26.9%)

<0.001

  1. Abbreviations: IDF International Diabetes Federation, ATPIII Adult Treatment Panel III, Hyper-TG Hypertriglyceridemia, Low-HDL low serum HDL cholesterol, IFG impaired fasting glucose, BP Blood pressure, MetS metabolic syndrome.
  2. Prevalence of individual metabolic component in these children aged below 10 years was estimated using the IDF definition for children aged 10 to 16 years and the modified ATPIII definitions, respectively. The IDF definition for children from 10 to 16 years included the presence of central obesity (WC ≥ 90th percentile) plus two of the other four factors: (1) Hyper-TG with fasting TG ≥1.7 mmol/L, (2) Low-HDL with HDL-C <1.03 mmol/L, (3) hypertension with SBP ≥ 130 and/or DBP ≥ 85 mm Hg, (4) IFG with fasting glucose ≥ 5.6 mmol/L. The modified ATPIII definition for children was defined by the presence of three or more of the following five components: (1) central obesity (WC ≥ 90th percentile), (2) elevated SBP and/or DBP ≥ 90th percentile, (3) fasting TG ≥ 1.24 mmol/L, (4) HDL-C ≤ 1.03 mmol/L, and (5) fasting glucose ≥ 5.6 mmol/L. Results are expressed as number with percentage (%). Significance was calculated by χ2 test or Fisher’s exact test among normal weight, over weight and obese groups in both genders.