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The roles of triglyceride/high-density lipoprotein cholesterol ratio and uric acid as predisposing factors for metabolic syndrome in healthy children

Annals of Pediatric Endocrinology & Metabolism 2019년 24권 3호 p.172 ~ 179
 ( Katsa Maria Efthymia ) - University of Peloponnese Faculty of Health Sciences Department of Nursing

 ( Ioannidis Anastasios ) - University of Peloponnese Faculty of Health Sciences Department of Nursing
 ( Sachlas Athanasios ) - University of Piraeus Faculty of Finance and Statistics Department of Statistics and Insurance Science
 ( Dimopoulos Ioannis ) - University of Peloponnese School of Management
 ( Chatzipanagiotou Stylianos ) - Kapodistrian University of Athens Medical School Aeginition Hospital Department of Biopathology and Clinical Microbiology
 ( Gil Andrea Paola Rojas ) - University of Peloponnese Faculty of Health Sciences Department of Nursing

Abstract


Purpose: To estimate the roles of triglyceride/high-density lipoprotein cholesterol (TG/HDL) ratio and uric acid in predisposition for metabolic syndrome (MetS) and its components in healthy children.

Methods: Anthropometric and biochemical analyses were performed on 110 children, aged 5 to 12 years, from the Greek county of Laconia. The children were studied as a whole population and in separate groups according to age and predisposition to MetS after taking into consideration International Diabetes Federation criteria, body mass index, and lipid profile.

Results: Seventeen percent of children exhibited predisposition to MetS, while 39.1% had TG/HDL ratio >1, and 3.64% had high level of uric acid. According to a receiver operating characteristic curve analysis, the relative probability for MetS predisposition sextupled when TG/HDL ratio was ≥1 (odds ratio [OR], 5.986; 95% confidence interval [CI], 1.968?18.205). Children in the total population and those aged < 9 years had a greater probability for increased low-density lipoprotein (LDL) cholesterol (OR, 3.614; 95% CI, 1.561?8.365) when TG/HDL ratio was ≥ 1. The TG/HDL ratio was positively correlated with body mass index (BMI) (P=0.035) in children without MetS, cholesterol in the total population (P=0.06) and children ≥9 years old (P=0.026), and with LDL in the total population and both age groups (P=0.001). The TG/HDL ratio was also positively correlated with alanine aminotransferase in the total population (P=0.033) and gamma-glutamyl transferase in most studied groups (P<0.001). Uric acid was positively correlated with waist circumference in the total population (P=0.043) and in those without MetS (P=0.027). It was also positively correlated with BMI, TG, cholesterol, and TG/HDL ratio and negatively correlated with HDL in most studied groups (P<0.005).

Conclusions: The studied parameters correlated with MetS components and could be characterized as effective indexes for childhood MetS, regardless of age and predisposition to MetS.

키워드

Triglyceride/high-density lipoprotein cholesterol ratio; Uric acid; Metabolic syndrome; Child
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