| 한국 소아청소년 대사증후군의 유병률과 10년간 추이: 1998-2008년도 국민건강영양조사 |
| 이기화, 정종운 |
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| Prevalence and 10-year trend of metabolic syndrome in Korean children and adolescents: 1998-2008 Korean National Health and Nutrition Examination Survey
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| Ki-Hwa Lee, Chung-Un Chong |
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| ABSTRACT |
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Metabolic syndrome(MetS) is the constellation of risk factors for type 2 diabetes and cardiovascular disease and is present in children and adolescents. Pediatric obesity increases. MetS is related with obesity and insulin resistance. However, little is known about the recent prevalence of MetS in Korean children and adolescents. The aim of the study was to investigate the prevalence of MetS and its components by sex, age, and obesity in Korean children and adolescents over 10 years. The MetS was defined using the age-modified criteria of the Adult Treatment panel III specified by National Cholesterol Education Program(NCEP) in children and adolescents aged 10 to 18 years who have participated in the Kroean National Health and Nutrition Examination Survey(KNHANES) in 1998(n=1487) and 2008(n=1014). The prevalence of hypertension and hyperglycemia in 2008 decreased compared with that in 1998(both P<0.001) but the prevalence of abdominal obesity, hypertriglyceridemia and low HDL did not changed. The overall prevalence of MetS among Korean children and adolescents declined from 7.6% in 1998 to 3.8% in 2008(P<0.001). The prevalence of MetS decreased in both boys and girls(both P<0.05). The prevalence of MetS decreased in both 10-12 year olds and 13-15 year olds(both P≤0.01) but did not changed in 16-18 year olds. The prevalence of MetS was lower in 2008 compared with that in 1998 in normal-weight and obese children and adolescents(P<0.001 and P<0.01, respectively) but tended to decreased in overweight ones((P=0.075). In conclusion, the overall prevalence of MetS among Korean children and adolescents declined over 10 years which may be due to the decreased prevalence of hypertension and hyperglycemia.
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| Key words:
Korean children and adolescents, Metabolic syndrome, Prevalence
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