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Ten-Year Trends of Metabolic Syndrome Prevalence and Nutrient Intake among Korean Children and Adolescents: A Population-Based Study

Yonsei Medical Journal 2021년 62권 4호 p.344 ~ 351
박성익, 서정환, 이혜선, 송경철, 최영하, 오준석, 최한샘, 권아름, 김호성, 김재현, 채현욱,
소속 상세정보
박성익 ( Park Seong-Ik ) - Yonsei University College of Medicine Department of Pediatrics
서정환 ( Suh Jung-Hwan ) - Yonsei University College of Medicine Department of Pediatrics
이혜선 ( Lee Hye-Sun ) - Yonsei University College of Medicine Biostatistics Collaboration Unit
송경철 ( Song Kyung-Chul ) - Yonsei University College of Medicine Department of Pediatrics
최영하 ( Choi Young-Ha ) - Yonsei University College of Medicine Department of Pediatrics
오준석 ( Oh Jun-Suk ) - Yonsei University College of Medicine Department of Pediatrics
최한샘 ( Choi Han-Saem ) - Yonsei University College of Medicine Department of Pediatrics
권아름 ( Kwon Ah-Reum ) - Yonsei University College of Medicine Department of Pediatrics
김호성 ( Kim Ho-Seong ) - Yonsei University College of Medicine Department of Pediatrics
김재현 ( Kim Jae-Hyun ) - Seoul National University Bundang Hospital Department of Pediatrics
채현욱 ( Chae Hyun-Wook ) - Yonsei University College of Medicine Department of Pediatrics

Abstract


Purpose: Metabolic syndrome (MetS) comprises a cluster of risk factors for future cardiovascular and metabolic diseases. Only a few recent studies have reported the trend in the prevalence of MetS in youth. This study aimed to analyze trends in the prevalence of MetS and nutrient intake in the last 10 years and investigate the changes in MetS components among Korean children and adolescents.

Materials and Methods: We analyzed the data of 9513 children and adolescents aged 10?19 years from the 2008?2017 Korean National Health and Nutrition Examination Surveys. Diagnosis of MetS was based on the International Diabetes Federation (IDF) and modified National Cholesterol Education Program-Adult Treatment Panel III (NCEP-ATP III) criteria.

Results: Based on the IDF criteria, MetS prevalence increased from 1.53% in 2008 to 3.19% in 2017 (p=0.007). Based on the NCEP-ATP III criteria, MetS prevalence increased from 2.18% in 2008 to 3.19% in 2017; however, the increase was not statistically significant. Daily calorie and fat intakes increased significantly during the study period. Among the risk factors that MetS comprises, the prevalence rates of central obesity, low high-density lipoprotein cholesterol levels, and high fasting glucose levels increased significantly.

Conclusion: Over the last 10 years, the prevalence of MetS has grown significantly with increasing calorie and fat intake in Korean children and adolescents. Central obesity and high-density lipoprotein cholesterol and fasting glucose levels have worsened. Therefore, active support and close monitoring are required to control MetS and prevent further increase in the prevalence of cardiovascular diseases.

키워드

Metabolic syndrome; prevalence; children; nutrient; obesity

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