Predictors of the development of metabolic syndrome in pediatric practice

Abstract

Obesity is one of the most pressing problems of modern health care. With the increase in the frequency of obesity in the population, the frequency of such comorbid diseases as type 2 diabetes, arterial hypertension, ischemic heart disease increases. In this regard, a great deal of attention from the specialists of various branches of medicine is given to the metabolic syndrome, the component of which is obesity.Objective — to determine the predictors of the development of metabolic syndrome in children aged 10 to 18 years in order to prevent the development of complications in this contingent.Materials and methods. The analysis of the medical records of 52 children has been carried out. Inclusion criteria: the age of children 10—18 years, the presence of excessive body weight and obesity due to excessive energy resources. Exception criterion: presence of secondary forms of obesity in a child. Excessive body weight was established according to the recommendations of The Endocrine Society (2017). The blood pressure was evaluated according to the AAPguidelines for hypertension in children.Results and discussion. The study found the predominance of boys over girls. Excessive body weight was established in 16 children, and 36 children were obese. In 28 examined children, increased systolic and diastolic blood pressure above 95 percentiles was detected. Of these, 23 children had obesity, and in 2 children with elevated blood pressure, glucose intolerance was diagnosed. Increased risk of elevated blood pressure in children with obesity was established, 3.8 times compared with the group of children with excess body weight. All surveyed people are offered a rehab program.Conclusions. Early diagnosis of predictors of development of MS in childhood and application of the primary link of preventive and curative measures will help to prevent complications in the future.