Document Detail


Predicting cardiovascular risk in young adulthood from the metabolic syndrome, its component risk factors, and a cluster score in childhood.
MedLine Citation:
PMID:  21070100     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The value of metabolic syndrome (MetS) in childhood and adolescence and its stability into young adulthood have been questioned. This study compared the MetS in late childhood (mean age 13) versus a cluster score of the MetS components as predictors of young adult (mean age 22) cardiovascular risk.
METHODS: Anthropometrics, blood pressure, lipid profile, and insulin resistance (insulin clamp) were obtained in 265 individuals at mean ages 13 and 22. The MetS was defined dichotomously by current pediatric and adult criteria. The MetS cluster score used the average of deviates of the MetS components standardized to their means and standard deviations at mean age 13.
RESULTS: The MetS was rarely present at mean age 13 and did not predict MetS at mean age 22 but identified individuals who continued to have adverse levels of risk factors at mean age 22. In contrast to the standard MetS definition, the MetS cluster score tracked strongly and at mean age 22 was significantly higher in the individuals with MetS at mean age 13 (0.78 ± 0.71) than those without MetS at mean age 13 (0.09 ± 0.70, p <0.0001).
CONCLUSIONS: Although the MetS at mean age 13, using the conventional definition, is not a reliable method for predicting the MetS at mean age 22, it does predict adverse levels of cardiovascular risk factors. A cluster score, using the MetS components as continuous variables, is more reliable in predicting young adult risk from late childhood.
Authors:
Aaron S Kelly; Julia Steinberger; David R Jacobs; Ching-Ping Hong; Antoinette Moran; Alan R Sinaiko
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural     Date:  2010-11-11
Journal Detail:
Title:  International journal of pediatric obesity : IJPO : an official journal of the International Association for the Study of Obesity     Volume:  6     ISSN:  1747-7174     ISO Abbreviation:  Int J Pediatr Obes     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-07-01     Completed Date:  2011-10-28     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  101256330     Medline TA:  Int J Pediatr Obes     Country:  England    
Other Details:
Languages:  eng     Pagination:  e283-9     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, USA. kelly105@umn.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Age Factors
Aging*
Anthropometry
Biological Markers / blood
Blood Pressure
Body Mass Index
Cardiovascular Diseases / blood,  epidemiology*,  physiopathology
Child
Cluster Analysis
Female
Glucose Clamp Technique
Humans
Insulin / blood
Insulin Resistance
Linear Models
Lipids / blood
Logistic Models
Longitudinal Studies
Male
Metabolic Syndrome X / blood,  diagnosis,  epidemiology*,  physiopathology
Minnesota / epidemiology
Predictive Value of Tests
Reproducibility of Results
Risk Assessment
Risk Factors
Waist Circumference
Young Adult
Grant Support
ID/Acronym/Agency:
HL-52851/HL/NHLBI NIH HHS; M01-RR-00400/RR/NCRR NIH HHS; R01 HL052851/HL/NHLBI NIH HHS
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Insulin; 0/Lipids
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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