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. 2009 Sep;155(3):S5.e9-16.
doi: 10.1016/j.jpeds.2009.04.046.

Patterns of change in cardiometabolic risk factors associated with the metabolic syndrome among children and adolescents: the Fels Longitudinal Study

Chaoyang Li  1 , Earl S Ford, Terry T-K Huang, Shumei S Sun, Elizabeth Goodman
Affiliations

Patterns of change in cardiometabolic risk factors associated with the metabolic syndrome among children and adolescents: the Fels Longitudinal Study

Chaoyang Li et al. J Pediatr. 2009 Sep.

Abstract

Objectives: To examine the patterns of change in cardiometabolic risk factors associated with the metabolic syndrome in children and adolescents between the ages of 8 to 19 years.

Study design: Data of children and adolescents who participated in the Fels Longitudinal Study were analyzed. Body mass index, waist circumference, fasting insulin, fasting glucose, triglycerides, high-density lipoprotein cholesterol, systolic blood pressure, and diastolic blood pressure were assessed annually with a standardized protocol.

Results: The proportion of participants having at least 1 change between states of high and normal risk ranged from of 11.0% for body mass index to 30.4% for triglycerides. Youth in the high-risk category at baseline had a higher proportion having changed their status for all risk factors (all P < .05) except waist circumference compared with those in the normal-risk category. There were significant time effects for all risk factors (all P < .01) except fasting glucose and triglyceride levels in metric scores, but insignificant time effects for all risk factors in Z-scores in growth curve analyses.

Conclusions: The cardiometabolic risk factors associated with the MetS were relatively stable among white children and adolescents in the normal risk category. Changes in status were common if the risk factor was elevated.

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Figures

Figure 1
Figure 1
The mean levels in the metric scores of the 8 cardiometabolic risk factors in participants of the Fels Longitudinal Study between 8 to 19 years of age.
Figure 2
Figure 2
The mean levels in the Z-scores of the 8 cardiometabolic risk factors in participants of the Fels Longitudinal Study between 8 to 19 years of age.
See this image and copyright information in PMC

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