association between childhood obesity and metabolic syndrome evidence from a large sample of chinese children and adolescents儿童肥胖与代谢综合征之间的关系的证据从一个大样本的中国儿童和青少年.pdf
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Association between Childhood Obesity and Metabolic
Syndrome: Evidence from a Large Sample of Chinese
Children and Adolescents
1 2. 3 1 1 1
Fangfang Chen , Youfa Wang , Xiaoyi Shan , Hong Cheng , Dongqing Hou , Xiaoyuan Zhao ,
4 4 1 .
Tianyou Wang , Di Zhao , Jie Mi *
1 Department of Epidemiology, Capital Institute of Pediatrics, Beijing, China, 2 Johns Hopkins, Global Center for Childhood Obesity, Department of International Health,
Center for Human Nutrition, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland, United States of America, 3 College of Pharmacy and
Health Science, Drake University, Des Moines, Iowa, United States of America, 4 Department of Pediatric Internal Medicine, the Children’s Hospital Affiliated to Capital
Institute of Pediatrics, Beijing, China
Abstract
Data about metabolic syndrome (MetS) in children is limited in China. We aimed to assess the prevalence of MetS related
components, and their association with obesity. Data were collected as part of a representative study on MetS among 19593
children, aged 6–18 years old in Beijing. General obesity was assessed by body mass index (BMI) and central obesity by waist
circumference. Finger capillary blood tests were used to assess triglyceride (TG), total cholesterol (TC) and impaired fasting
glucose (IFG). Vein blood samples were collected from a subsample of 3814 children aged 10–18 years to classify MetS. MetS
was defined according to the International Diabetes Federation 2007 definition. The associations between MetS related
components and the degree and type of obesity were tested using logistic regression models. The prevalence of
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