Abstract

PEREZ CLEMENTE, Lourdes María et al. Pediatric obesity and associated cardiometabolic risk factors. Rev Cubana Pediatr [online]. 2014, vol.86, n.3, pp.273-288. ISSN 0034-7531.

Introduction: obesity is associated to cardiovascular events, mainly in adults, but cardiometabolic risk factors are often present since childhood and adolescence. Objective: to determine the frequency of cardiometabolic risk factors in obese children and adolescents. Methods: prospective and observational study of 202 obese children and adolescents seen at the endocrinology services of the pediatric hospitals in La Habana province, who had been referred to the reference consultation located in Centro Habana pediatric hospital in the period of January 2010 through January 2012. Data about their obesity history, risk factors and physical measurements (weight, height, waist circumference and blood pressure) were collected from all these patients. Their serum cholesterol, triglycerides and high density lipoprotein cholesterol levels as well as fasting plasma glucose and insulin concentrations were all estimated in addition to microalbuminuria as vascular damage marker. Identified cardiometabolic risk factors correlated with microalbuminuria. The statistical SPSS 13.0 software was used for this analysis. Results: it was found that low levels of high density lipoprotein cholesterol, the metabolic syndrome, insulin resistance, hypertriglyceridemia, blood hypertension and hypercholesterolemia were the most frequently associated cardiometabolic risk factors to obesity. Blood hypertension was the most significant factor associated to microalbuminuria. Conclusions: the cardiometabolic risk factor related to obesity may be identified at younger ages.

Keywords : pediatric obesity; cardiometabolic risk factors.

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