Comparison between a Pediatric Health Promotion Center and a Pediatric Obesity Clinic in Detecting Metabolic Syndrome and Non-Alcoholic Fatty Liver Disease in Childrenopen access
- Authors
- Yang, Hye Ran; Yi, Dae Yong; Choi, Hyoung Soo
- Issue Date
- Dec-2014
- Publisher
- KOREAN ACAD MEDICAL SCIENCES
- Keywords
- Obesity; Metabolic Syndrome; Non-Alcoholic Fatty Liver Disease; Prevalence; Child
- Citation
- JOURNAL OF KOREAN MEDICAL SCIENCE, v.29, no.12, pp 1672 - 1677
- Pages
- 6
- Journal Title
- JOURNAL OF KOREAN MEDICAL SCIENCE
- Volume
- 29
- Number
- 12
- Start Page
- 1672
- End Page
- 1677
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/70395
- DOI
- 10.3346/jkms.2014.29.12.1672
- ISSN
- 1011-8934
1598-6357
- Abstract
- This study was done to evaluate the efficacy of health check-ups in children in detecting metabolic syndrome and non-alcoholic fatty liver disease (NAFLD) by comparing the pediatric health promotion center with the pediatric obesity clinic. Children who visited a pediatric health promotion center (n = 218) or a pediatric obesity clinic (n = 178) were included. Anthropometric data, blood pressure, laboratory tests, and abdominal ultrasonography were evaluated. Two different criteria were applied to diagnose metabolic syndrome. The prevalence of metabolic syndrome in the 2 units was 3.2%-3.7% in a pediatric health promotion center and 23%-33.2% in a pediatric obesity clinic. Significant differences were observed in the prevalence of each component of metabolic syndrome between the 2 units including abdominal adiposity, blood pressure, serum triglycerides, and fasting blood glucose (P < 0.05). The prevalence of NAFLD was 8.7% and 71.9% in the 2 units according to liver enzymes and 5.9% and 61.8% according to ultrasonography (P < 0.05). The prevalence of metabolic syndrome and NAFLD was higher among patients visiting the obesity clinic targeting obese children than that among patients visiting the health promotion center offering routine check-ups. An obesity-oriented approach is required to prevent obesity-related health problems in children.
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