Prevalência de alterações metabólicas em crianças e adolescentes com sobrepeso e obesidade: uma revisão sistemática Prevalence of metabolic changes in children and adolescents: a systematic review

Prevalência de alterações metabólicas em crianças e adolescentes com sobrepeso e obesidade: uma revisão sistemática Prevalence of metabolic changes in children and adolescents: a systematic review
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儿童和青少年代谢变化的患病率:系统评价

DOI:
10.1590/s0103-05822011000200021
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发表时间:
2011
期刊:
Obésité
影响因子:
--
通讯作者:
S. Koifman
S. Koifman
中科院分区:
--
文献类型:
--
作者:
L. Rodrigues;N. Pombo;S. Koifman

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摘要目的:描述儿童和青少年代谢综合征的患病率,以及采用的分类标准。数据来源:通过电子检索PubMed和Virtual Library in Health数据库进行的系统综述。入选标准为:超重和肥胖儿童和青少年的代谢综合征患病率数据,以及葡萄牙语、英语、西班牙语和法语出版物。排除标准是综述文章和简短的通讯,调查招募参与者与遗传,内分泌和免疫疾病,原发性高血压,和黑棘皮病。数据合成:该综述提供了1.226篇摘要,选择阅读65篇,其中46篇符合上述选择标准,可以检索。这些研究报告发表于2003年至2009年,代表五个地理区域:北美(33%)、南美(20%)、中美洲(4%)、亚洲(30%)和欧洲(13%)。报告的代谢综合征患病率范围为2.1%至58.3%。这些研究采用的标准各不相同,其中26项研究使用相同的成分(中性脂肪、HDL、葡萄糖、腰围和血压),中位患病率为31.2%,
ABSTRACT Objective: To describe the prevalence of the metabolic syndrome in children and adolescents, as well as the adopted classification criteria. Data source: Systematic review performed by electronic search on PubMed and Virtual Library in Health database. The inclusion criteria were: metabolic syndrome prevalence data in children and adolescents with overweight and obes-ity, and publications in Portuguese, English, Spanish and French. The exclusion criteria were review articles and short communications, investigations enrolling participants with genetic, endocrine and immunologic diseases, primary hy-pertension, and acanthosis nigricans. Data synthesis: The review afforded 1.226 abstracts, being 65 selected to be read, 46 of them matched the afore-mentioned selection criteria and could be retrieved. They were published between 2003 and 2009 and represented five geographic regions: North America (33%), South America (20%), Central America (4%), Asia (30%) and Europe (13%). The metabolic syndrome reported prevalence ranged from 2.1 to 58.3%. The adopted criteria diverged among the studies, 26 of them used the same components (neutral fat, HDL, glucose, waist circumference and blood pressure), with a median prevalence of 31.2%, without agreement on the
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