Document Detail


Insulin resistance and metabolic syndrome in prepubertal boys with Klinefelter syndrome.
MedLine Citation:
PMID:  21251059     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aims:  To investigate risk factors for metabolic syndrome in prepubertal boys with Klinefelter syndrome. Methods:  89 boys with Klinefelter syndrome, ages 4-12.9 years, and 34 age-matched control boys had height, weight, waist circumference and blood pressure measured and their parents completed a questionnaire about physical activity. The boys with Klinefelter syndrome also had measurement of lipids, fasting glucose and insulin. Insulin-glucose homeostasis model assessment was calculated, and the boys were evaluated for childhood metabolic syndrome. Results:  The Klinefelter syndrome and control groups were similar ages (7.5 2.4 vs. 8.1 2.3 yrs). Body mass index measurements were similar, but waist circumference was >90%ile in 30% of boys with Klinefelter syndrome versus 21% of controls. The mean daily time spent running was 42 minutes less in the Klinefelter syndrome vs. control groups (P < 0.01). 37% of the boys with Klinefelter syndrome had elevated LDL cholesterol, 24% had insulin resistance, and 7% met the three criteria for diagnosis of metabolic syndrome. Conclusions:  Truncal obesity, insulin resistance, and metabolic syndrome are present in boys as young as 4-12 years with Klinefelter syndrome, and these occur in association with reduced running type activity.
Authors:
Martha Zeger Bardsley; Bonita Falkner; Karen Kowal; Judith L Ross
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-19
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  -     ISSN:  1651-2227     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Foundation Acta Paediatrica.
Affiliation:
Pediatrics, Thomas Jefferson University/Nemours, Philadelphia, PA, United States, 19107 Pediatrics and Medicine, Thomas Jefferson University.
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