Comparison of Components of Metabolic Syndrome among Metabolically Obese Normal Weight, Metabolically Benign Normal Weight, and Metabolically Abnormal Obese Iranian Children and Adolescents in Ahvaz

Background: Metabolically obese normal-weight (MONW) children andadolescents are characterized by body mass index (BMI) lower than +1SDwith metabolic disorders such as hyperglycemia, hypertriglyceridemia, and/orhypertension. This study wants to determineprevalence of MONW,metabolically benign normal weight (MBNW), metabolically abnormalityobese (MAO) and comparethe components of metabolic syndrome (MetS) insome Iranian normal-weight children and adolescents in Ahvaz, Iran.Methods: This cross-sectional study was conducted on 1124 boys and 1128girls, aged 10–18 y, Ahvaz, Khuzestan.Participants were selected from 6health centers in Ahvaz by a multistage cluster random sampling method.The Mets was defined according to the modified Adult Treatment Panel III(ATP III). Anthropometric measurements and blood pressure were measuredaccording to standard protocols. Fasting blood samples were collected forbiochemical assessment. Results: MetS prevalence in normal weight groupwas 5.4% and 1.45% in boys and girls, respectively (P = 0.001) showing asignificant difference. Triglyceride abnormality percentages (MBNW =23.9%, MAO = 88.8%, MONW = 91%) and high density lipoprotein(MBNW = 19.2%, MAO = 73.8% and MONW = 67.2%) were higher thanother MetS components in these groups. Conclusions: Since BMI in childrenand adolescents with metabolically obese-normal weight is normal‚ thecontinuous measurements and treatment of MetS components especially inboys are important from public health view. The components mean of MetSwas higher in MONW and MAO individuals compared with MBNW.

کلیدواژه ها:

Metabolic syndrome ، Metabolically obese-normal weight ، Children