Risk of metabolic syndrome among children living in metropolitan Kuala Lumpur: a case control study

Wee, B. S.; Poh, B. K.; Bulgiba, A.; Ismail, M. N.; Ruzita, A. T.; Hills, A. P. (2011) Risk of metabolic syndrome among children living in metropolitan Kuala Lumpur: a case control study. Bmc Public Health, 11. p. 333. ISSN 1471-2458

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    Abstract

    Background: With the increasing prevalence of childhood obesity, the metabolic syndrome has been studied among children in many countries but not in Malaysia. Hence, this study aimed to compare metabolic risk factors between overweight/obese and normal weight children and to determine the influence of gender and ethnicity on the metabolic syndrome among school children aged 9 12 years in Kuala Lumpur and its metropolitan suburbs. Methods: A case control study was conducted among 402 children, comprising 193 normal-weight and 209 overweight/obese. Weight, height, waist circumference (WC) and body composition were measured, and WHO (2007) growth reference was used to categorise children into the two weight groups. Blood pressure (BP) was taken, and blood was drawn after an overnight fast to determine fasting blood glucose (FBG) and full lipid profile, including triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C) and total cholesterol (TC). International Diabetes Federation (2007) criteria for children were used to identify metabolic syndrome. Results: Participants comprised 60.9 (n = 245) Malay, 30.9 (n = 124) Chinese and 8.2 (n = 33) Indian. Overweight/obese children showed significantly poorer biochemical profile, higher body fat percentage and anthropometric characteristics compared to the normal-weight group. Among the metabolic risk factors, WC >= 90(th) percentile was found to have the highest odds (OR = 189.0; 95CI 70.8, 504.8), followed by HDL-C <= 1.03 mmol/L (OR = 5.0; 95CI 2.4, 11.1) and high BP (OR = 4.2; 95CI 1.3, 18.7). Metabolic syndrome was found in 5.3 of the overweight/obese children but none of the normal-weight children (p < 0.01). Overweight/obese children had higher odds (OR = 16.3; 95CI 2.2, 461.1) of developing the metabolic syndrome compared to normal-weight children. Binary logistic regression showed no significant association between age, gender and family history of communicable diseases with the metabolic syndrome. However, for ethnicity, Indians were found to have higher odds (OR = 5.5; 95CI 1.5, 20.5) compared to Malays, with Chinese children (OR = 0.3; 95CI 0.0, 2.7) having the lowest odds. Conclusions: We conclude that being overweight or obese poses a greater risk of developing the metabolic syndrome among children. Indian ethnicity is at higher risk compared to their counterparts of the same age. Hence, primary intervention strategies are required to prevent this problem from escalating.

    Item Type: Article
    Creators:
    1. Wee, B. S.
    2. Poh, B. K.
    3. Bulgiba, A.(Department of Social and Preventive Medicine, Faculty of Medicine Building, University of Malaya, 50603 Kuala Lumpur, MALAYSIA)
    4. Ismail, M. N.
    5. Ruzita, A. T.
    6. Hills, A. P.
    Journal or Publication Title: Bmc Public Health
    Additional Information: Wee, Bee S. Poh, Bee K. Bulgiba, Awang Ismail, Mohd N. Ruzita, Abdul T. Hills, Andrew P. ____________________________________________________________ Suggested Citation: Wee BS, Poh BK, Bulgiba A, Ismail MN, Ruzita AT, Hills AP. Risk of metabolic syndrome among children living in metropolitan Kuala Lumpur: A case control study. Bmc Public Health. 2011 May;11:333.
    Uncontrolled Keywords: Social and Preventive Medicine
    Subjects: R Medicine
    Divisions: Faculty of Medicine
    Depositing User: Awang Bulgiba Awang Mahmud
    Date Deposited: 09 May 2012 09:19
    Last Modified: 09 May 2012 09:19
    URI: http://eprints.um.edu.my/id/eprint/3055

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