Metabolic syndrome in children and adolescents - criteria for diagnosis.

Metabolic syndrome in children and adolescents - criteria for diagnosis.
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DOI:
10.1186/1758-5996-1-20
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发表时间:
2009-10-19
影响因子:
4.8
通讯作者:
Mancini MC
Mancini MC
中科院分区:
医学2区
文献类型:
--
作者:
Mancini MC

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近年来,肥胖和代谢综合征在儿童和青少年中的存在受到了更多的关注。然而,关于儿童和青少年代谢综合征的诊断还没有达成共识。显然,必须尽早确定综合征的每个组成部分,以防止明确的损害。问题是如何做到这一点,以及这种诊断必须采用什么界限。为了方便起见,被选为最合适的定义是IDF提出的定义,以血压、血脂和血糖为界限,以百分位数评估腹周点。虽然这一定义一方面可能无法将一些儿童包括在代谢综合征的诊断中,但另一方面,它会更容易被接受,因为它不使用多个表格来评估几个人体测量和代谢标准。
In recent years, there has been a greater concern about the presence of obesity and metabolic syndrome in children and adolescents. However, there is no consensus regarding the diagnosis of metabolic syndrome in children and adolescents. It is evident that each component of the syndrome must be identified as early as possible in order to prevent definitive lesions. The question is how to do this and which cut-offs must be adopted for this diagnosis. For a matter of convenience, the definition chosen as the most appropriate is the one proposed by the IDF, with cut-offs fixed for pressure, lipids and glycemia, and abdominal circumference points assessed by percentile. Although on the one hand this definition could fail to include some children in the diagnosis of Metabolic Syndrome, on the other hand, it would be of easier acceptance as it does not use multiple tables to assess several anthropometric and metabolic criteria.