Overweight Metabolic Syndrome Research Articles

Epidemiological Impact of Metabolic Syndrome in Overweight and Obese European Children and Adolescents: A Systematic Literature Review.

The prevalence of overweight and obesity is continuously increasing, both in the adult and pediatric populations, posing a substantial challenge to public health. Understanding the epidemiological burden of metabolic syndrome (MetS) among children, particularly regarding its complications and long-term effects in adulthood, is crucial for identifying effective preventive measures and enhancing the clinical care of obese children. Therefore, by searching two databases, a systematic review was conducted in order to evaluate studies that specifically addressed the epidemiological MetS impact among overweight/obese European children and adolescents. Overall, 15 studies were considered. The epidemiological data concerning the MetS impact were contingent on the diagnostic criteria used and varied across countries, resulting in a prevalence range of 1.44% to 55.8%. Spanish studies were the most numerous (34%), revealing a country prevalence rate ranging from 2.5% to 19.6%. Males (prevalence range: 1.4-55.8%) and subjects with overweight/obesity (prevalence range: 12.9-55.8%) were mainly affected. Obesity emerged as the main risk factor in the MetS development and the consequent onset of cardiovascular complications and diabetes. Knowing the MetS burden and its risk factors could improve their prevention, detection, and treatment, and guide the development of targeted public health interventions to appropriately address the health needs of younger patients.

Comparison of cardiometabolic risk factors between obese and non-obese patients with nonalcoholic fatty liver disease

Nonalcoholic fatty liver disease (NAFLD) is closely associated with cardiometabolic abnormalities. This association could be partly influenced by weight, but not entirely. This study aimed to compare the cardiometabolic risk factors between obese and non-obese NAFLD patients, and explored the relationship between adiposity and severity of fatty liver. This cross-sectional study included 452 patients with Fibroscan-proven NAFLD. Anthropometric measurements, metabolic components and hepatic histological features were evaluated. The risk of metabolic syndrome in each body mass index (BMI) category was analyzed using logistic regression. The prevalence of metabolic syndrome was 10.2%, 27.7%, and 62.1% in normal-weight, overweight and obese participants. Regression analysis showed that the risk of metabolic syndrome in overweight and obese NAFLD patients was 3.74 and 4.85 times higher than in patients with normal weight, respectively. Waist circumference (β = 0.770, P < 0.001) and serum concentration of fasting blood glucose (β = 0.193, P = 0.002) and triglyceride (β = 0.432, P < 0.001) were the determinants of metabolic syndrome occurrence in NAFLD patients. Metabolic abnormalities were similar in obese and non-obese NAFLD patients, although, the increase in BMI was associated with an increased risk of metabolic syndrome in patients.

Impact of regular exercise on overweight metabolic syndrome in school-aged children

To review studies that can examine whether there is any effect of physical activity on obesity. Obesity is defined as an energy deficit caused by lifestyle behaviour such as poor food habits &amp; insufficient physical activity time, both of which are significantly linked to obesity development. Journal articles published between 2011-2021 were secured by searching computerized bibliographical databases. High evidence studies such as systemic reviews and cross-sectional studies were included. A total of 30 studies were selected. After analysing the studies, it was seen that: Physical activity has been shown to reduce obesity in children. Increased physical activity (reduced inactive behaviour) in combination with healthy eating appears to be more beneficial in lowering obesity than either a good diet or increased PA alone.

Association of dietary acid load with metabolic syndrome in overweight and obese women.

Background: There is increasing evidence supporting the association between dietary acid load and metabolic syndrome (MetS) components. However, to the best of our knowledge, there are rare and inconsistent studies to examine the association of dietary acid load and MetS score. The aim of this research was to assess dietary acid loads as measured by potential renal acid load (PRAL) in relation to MetS. Methods: The current study involved 246 overweight or obese women. Dietary assessment was performed using a validated 147-item food frequency questionnaire (FFQ). Remer's equation was used to calculate PRAL score. MetS was defined as the National Cholesterol Education Program (NCEP)/Adult Treatment Panel ΙΙΙ (ATP). Multivariable logistic regression models were used to find the association between PRAL score and MetS. Results: The mean age and BMI of participants were 36.49±8.38 years old and 31.04±4.31 kg/m2, respectively. Overall, 32 percent of participants had MetS. According to the final model, although not statistically significant, there was a trend which suggested that being in the highest quartile of adherence to dietary acid load, evaluated by PRAL score, compared to the lowest quartile was associated with higher odds of MetS [(OR: 2.80; 95% CI: 0.95-8.26), (P=0.06)]. Conclusions: Our study shows a borderline non-significant association between PRAL and odds of MetS in overweight or obese women. However, definitive clarification of this relationship requires future intervention studies.

The association between vitamin D deficiency and metabolic syndrome in Ukrainian adolescents with overweight and obesity.

PurposeThis work aims to determine the association between vitamin D deficiency and metabolic syndrome in overweight and obese adolescents from Ukraine.MethodsAnthropometric measurements were taken and general and biochemical examinations were performed on 136 obese and overweight adolescents and 60 adolescents with normal body weight. The vitamin D status was determined using 25-hydroxyvitamin D (25(OH)D) (calcidiol) levels in blood serum. To establish the factors influencing vitamin D status, the subjects were asked to answer a questionnaire and 2007 International Diabetes Federation diagnostic criteria were used to determine the incidence of metabolic syndrome. All research results were processed statistically.ResultsA calcidiol sufficiency level was found in 3.9% of obese adolescents and 6.7% of overweight adolescents. Metabolic syndrome was found in 64.4% of obese adolescents with vitamin D deficiency, and in 26.2% of overweight adolescents. Factors associated with an increased risk of developing vitamin D deficiency in adolescents with metabolic syndrome included male sex (P=0.042), low income per family member (P=0.040), daily milk consumption of up to 1 cup per day (P=0.001), physical activity (P=0.001), duration of outdoor stays (P=0.001), and passive rest in front of a computer or television (P=0.001). Adolescents with metabolic syndrome were found predominance of body mass index (P<0.001), waist circumference (P<0.001), fasting blood glucose level (P<0.001), and decreased calcidiol level (P=0.022). Among metabolic syndrome components, vitamin D deficiency was strongly associated with waist circumference and increased fasting blood glucose (P<0.05).ConclusionsVitamin D deficiency is prevalent in overweight and obese adolescents from Ukraine. Vitamin D deficiency is associated with metabolic syndrome criteria in overweight and obese adolescents.

Utility of wrist circumference in recognition of metabolic syndrome in overweight and obese South Indian children and adolescents.

To describe the utility of wrist circumference in the identification of cardiometabolic risk in overweight and obese children. A cross-sectional study was conducted in the obesity clinic of a tertiary care referral hospital over a two year period. All children and adolescents aged 5-17 years with nutritional overweight and obesity were recruited. Data pertaining to chronological age, sex, risk factors and family history were collected. Clinical assessment of anthropometry: Weight, height, body mass index (BMI), Tanner's stage, wrist circumference, blood pressure, waist circumference and triceps skinfold thickness done as per standard criteria. Biochemical assessment of blood glucose, serum insulin, lipid profile, and Homeostatic Model for Insulin Resistance performed after 12 h of fasting. We recruited 118 subjects (mean age 10.9 years, 71.1% males, 87.3% obese and 12.7% overweight); 30 (25.4%) had metabolic syndrome. The mean z scores of wrist circumference of children who presented with and without metabolic syndrome was 2.7±0.8 and 2.1±0.7, respectively (p<0.05). We observed a fair positive correlation between wrist circumference z score and BMI z score, (r=0.5; p<0.05). On receiver operating characteristic curve analysis, 97th percentile of wrist circumference predicted metabolic syndrome among overweight and obese children with a sensitivity of 86.7% and specificity of 37.5% (AUC=0.675). Wrist circumference with 97th percentile as a cut-off is a useful tool to identify metabolic syndrome amongst overweight and obese children and adolescents.

Mediation role of body fat distribution (FD) on the relationship between CAV1 rs3807992 polymorphism and metabolic syndrome in overweight and obese women

BackgroundMetabolic syndrome (MetS) is associated with an increased risk of morbidity and mortality in almost all chronic diseases. The most frequent methods for the calculation of a continuous MetS (cMetS) score have used the standardized residuals in linear regression (z-score). Recently, emerging data suggest that one of the main genetic targets is the CAV1, which plays a crucial role in regulating body fat distribution. This study is designed to investigate the relationship between CAV1 rs3807992 genotypes and cMetS, and to determine whether body fat distribution plays a mediating role in this regard.MethodsThe current cross-sectional study was conducted on 386 overweight and obese females. The CAV1 rs3807992 and body composition were measured by the PCR–RFLP method and bioelectrical impedance analysis, respectively. Serum profile of HDL-C, TGs, FPG, and Insulin were measured by standard protocols.ResultsGG allele carriers had significantly lowered Z-MAP (p = 0.02), total cMetS (p = 0.03) and higher Z-HDL (p = 0.001) compared with (A) allele carriers. There was a significant specific indirect effect (standardized coefficient = 0.19; 95% CI 0.01–0.4) of Visceral fat level (VFL). Although, total body fat was significantly associated with CAV1 rs3807992 and cMetS, the specific indirect effect was not significant (standardized coefficient = 0.21; 95% CI − 0.006, 0.44). VFL contributed to significant indirect effects of 35% on the relationship between CAV1 and cMetS.ConclusionHigher visceral adipose tissue may affect the relationship between CAV1 and cMetS. Although CAV1 rs3807992 is linked to VFL in our study, the influence of this polymorphism on MetS is not via total fat.

Evaluation of risk factors for cardiovascular diseases and prevalence of metabolic syndrome in overweight and obese adolescents

Evaluation of risk factors for cardiovascular diseases and prevalence of metabolic syndrome in overweight and obese adolescents

Physical activity energy expenditure and fat-free mass: relationship with metabolic syndrome in overweight or obese postmenopausal women.

Menopause transition is associated with detrimental changes in physical activity, body composition, and metabolic profile. Although physical activity energy expenditure (PAEE) is inversely associated with metabolic syndrome (MetS) in individuals at higher risk of cardiovascular disease, the association is unknown in low-risk individuals. The aim of the study was to investigate the association between PAEE and MetS (prevalence and severity) in inactive overweight or obese postmenopausal women with a low Framingham Risk Score (<10%). Cross-sectional data of 126 participants were divided into quartiles based on PAEE (Quartile (Q)1 = lowest PAEE) while fat-free mass (FFM) and fat mass were measured by dual-energy X-ray absorptiometry. MetS prevalence was significantly different between Q1 and Q4 (37.9% vs 13.3%, p = 0.03). After controlling for potential confounders, MetS severity was negatively associated with PAEE (B = -0.057, p < 0.01) and positively with FFM (B = 0.038, p < 0.001). Moderation analyses indicated that a greater FFM exacerbated the association between PAEE and MetS severity in Q1 and Q2 (PAEE × FFM; B = -0.004; p = 0.1). Our results suggest that displaying a low FRS and lower PAEE increase MetS prevalence and severity. In addition, greater FFM interacts with lower PAEE to worsens MetS severity, while higher PAEE lessened this effect. Novelty: Inactive individuals displaying higher daily PAEE also have a lower MetS prevalence. Greater FFM is associated with a worse MetS severity where a higher PAEE mitigated this deleterious effect in our cohort.

Effect of the herbal medicines in obesity and metabolic syndrome: A systematic review and meta-analysis of clinical trials.

Obesity is a medical situation in which excess body fat has gathered because of imbalance between energy intake and energy expenditure. In spite of the fact that the variety of studies are available for obesity treatment and management, its "globesity" still remains a big challenge all over the world. The current systematic review and meta-analysis aimed to evaluate the efficacy, safety, and mechanisms of effective herbal medicines in the management and treatment of obesity and metabolic syndrome in human. We systematically searched all relevant clinical trials via Web of Science, Scopus, PubMed, and the Cochrane database to assess the effects of raw or refined products derived from plants or parts of plants on obesity and metabolic syndrome in overweight and obesity adult subjects. All studies conducted by the end of May 2019 were considered in the systematic review. Data were extracted independently by two experts. The quality assessment was assessed using Consolidated Standards of Reporting Trials checklist. The main outcomes were anthropometric indices and metabolic syndrome components. Pooled effect of herbal medicines on obesity and metabolic syndrome were presented as standardized mean difference (SMD) and 95% confidence interval (CI). A total of 279 relevant clinical trials were included. Herbals containing green tea, Phaseolus vulgaris, Garcinia cambogia, Nigella sativa, puerh tea, Irvingia gabonensis, and Caralluma fimbriata and their active ingredients were found to be effective in the management of obesity and metabolic syndrome. In addition, C. fimbriata, flaxseed, spinach, and fenugreek were able to reduce appetite. Meta-analysis showed that intake of green tea resulted in a significant improvement in weight ([SMD]: -0.75 [-1.18, -0.319]), body mass index ([SMD]: -1.2 [-1.82, -0.57]), waist circumference ([SMD]: -1.71 [-2.66, -0.77]), hip circumference ([SMD]: -0.42 [-1.02, -0.19]), and total cholesterol, ([SMD]: -0.43 [-0.77, -0.09]). In addition, the intake of P. vulgaris and N. sativa resulted in a significant improvement in weight ([SMD]: -0.88, 95 % CI: [-1.13, -0.63]) and triglyceride ([SMD]: -1.67, 95 % CI: [-2.54, -0.79]), respectively. High quality trials are still needed to firmly establish the clinical efficacy of the plants in obesity and metabolic syndrome.

Prevalence of Metabolic Syndrome in Overweight and Obese Patients and Their Measurement of Neck Circumference: A Cross-sectional Study.

BackgroundThe utilization of neck circumference (NC) as a valuable tool to evaluate metabolic syndrome (MetS) is still unclear. MetS has been extensively reported worldwide mainly due to the increasing trend of central obesity and the risk of developing coronary artery disease. In Pakistan, its incidence is reported to be between 18% and 49% among the urban population.MethodsThis cross-sectional study was conducted at the Indus Hospital, Karachi, Pakistan; in total, 392 patients (body mass index [BMI] >23 kg/m2, age ≥18 years, both genders) were recruited through consecutive sampling, and informed consent was obtained.ResultsThe majority of patients were females (n = 344, 87.8%), and the mean ± SD of age and NC of all patients was 50.5 ± 9.6 years and 38 ± 4.6 cm, respectively. The majority (n = 375, 95.7%) of patients were found to have MetS, with 90% of both males and females having NC ≥38 cm and 34 cm, respectively.ConclusionThe prevalence of MetS was found to be very high in overweight and obese patients. Moreover, the majority of patients with MetS were found to have higher NC.

Use of Continuous Metabolic Syndrome Score in Overweight and Obese Children.

To assess the utility of continuous metabolic syndrome score (cMetS) for predicting metabolic syndrome (MS) and determine the cut-off values in overweight and obese children. This study was conducted among 104 children (7-14 y) attending obesity clinics of a tertiary care hospital in Mumbai, India. The cMetS was computed by standardizing the residuals of waist circumference (WC), mean arterial blood pressure (MAP), high density lipoprotein cholesterol (HDL-C), triglycerides (TG), and Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) by regressing them according to age and sex and aggregating them. The optimal cut-off of cMetS for predicting MS was determined by the receiver operation characteristic (ROC) curve analysis. The cMetS increased significantly with increase in the number of MS risk factors. It was significantly high in children with MS than those without it (boys: 1.070+1.834 vs. -1.478+2.262; girls: 2.092+1.963 vs. -2.253+2.140; combined children group: 1.572+1.950 vs. -1.907+ 2.374; p < 0.001). The score predicted MS with high accuracy in girls; (AUC of 0.95, 95% CI: 0.90-1.00), moderate accuracy in boys (AUC of 0.79, 95% CI: 0.65-0.92) and in the combined group (AUC of 0.87, 95% CI 0.80-0.94) respectively. The cut-off of cMetS yielding maximal sensitivity and specificity for predicting the MS was -1.009 in boys (sensitivity 93% and specificity 62%); -0.652 in girls (sensitivity 96.4% and specificity 77%) and - 0.6881 in the combined group (sensitivity 91.2% and specificity 70.2%). cMetS predicted MS with moderate to high accuracy. It had high sensitivity and specificity in predicting MS in overweight and obese children.

Bacteria to alleviate metabolic syndrome.

Heat-inactivated Akkermansia muciniphila helps alleviate features of metabolic syndrome in overweight and obese subjects.

과체중 이상의 당뇨병 전단계 성인에서 체력, 신체 활동, 운동과 대사증후군 유병률과의 관련성 : 한국인 당뇨병 예방연구사업, 지역사회기반 중재연구

본 연구의 목적은 과체중 이상의 당뇨병 전단계를 동반한 성인에서 체력, 신체 활동, 운동과 대사증후군의 관련성을 조사하는 데 있다. 연구 대상자는 지역사회 기반의 한국인 당뇨병 예방 연구 사업을 진행하기 위해 모집된 대상자 중, 체질량지수 23 kg/m² 이상, 당뇨병 전단계에 속하는 성인 385명이었다. 체력 수준을 분류하기 위해 심폐지구력, 근지구력, 근력 및 유연성을 측정하였다. 국제 신체활동질문지를 통해 평균 주당 운동 강도와 평균 운동 시간 등의 신체활동 수준을 조사하였다. 체력, 신체 활동, 운동 및 대사증후군 간의 관련성을 살펴보기 위해 카이 제곱 검정을 시행하였다. 대사증후군 그룹은 비대사증후군 그룹에 비해 심폐지구력(p<.001), 근지구력(p=0.033), 유연성(p=0.038)이 유의하게 낮았다. 중강도로 운동한 대상자의 비율은 그룹 간 유의한 차이(p=0.022)를 보였다. 본 연구는 연구 대상에 있어서 체력수준이 대사증후군과 관련하여 부적 관련성이 있음을 확인할 수 있었다. 심폐지구력을 포함한 건강관련 체력의 향상은 과체중 이상인 당뇨병 전단계 성인의 대사적 위험을 감소시키는 데 주요한 요인임을 제안한다.

Metabolic syndrome in overweight or obese children and adolescents based on own material.

AimTo assess the prevalence of metabolic syndrome (MS) components in overweight or obese children and adolescents, as well as analyze the risk factors of its occurrence.Material and methodsThe study was conducted in a group of 70 children and adolescents aged 5-18 hospitalized in the Department of Gastroenterology, Allergology and Pediatrics, Polish Mother’s Memorial Hospital – Research Institute in Lodz (Poland) based on the results of medical histories, physical examination, biochemical investigation, and calculation of the Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) index.ResultsMS was diagnosed in 14 children (20%). The most common abnormalities besides obesity included: decreased High Density Lipoprotein Cholesterol (HDL-C) levels (n=13, 92.9%), increased triglycerides (TG) concentrations (n=10, 71.4%) and arterial hypertension (n=10, 71,4%). Among all the children, insulin resistance was diagnosed in 29 subjects (41.4%). The results of univariate logistic regression showed that the occurrence of lipid disorders, obesity, hypertension and diabetes in their parents, as well as the duration of pregnancy, birth weight, or breastfeeding were not associated with the risk of MS development in the subjects (p>0.05). However, in the study group, 92.9% of subjects had one or more particular risk factor for MS development.ConclusionsBesides visceral obesity, lipid disorders were the most frequently observed components of MS in the subjects analyzed, which may have prognostic significance. The occurrence of one or more MS risk factors in almost all of the children studied indicates the increased risk of cardiovascular diseases in the studied group in the future.

Elevated circulating cathepsin S levels are associated with metabolic syndrome in overweight and obese individuals.

Cathepsin S is highly expressed in subcutaneous and visceral adipose tissue. Cathepsin S correlates with central obesity and contributes to the formation and progression of atherosclerosis. Here, we sought to evaluate the association of serum cathepsin S with metabolic syndrome (MS) in overweight and obese Chinese adults. We evaluated serum cathepsin S levels in a cross-sectional sample of 781 overweight and obese Chinese adults by ELISA. Glucose, insulin, lipid profile, inflammatory markers, and adipokines were also measured. Cathepsin S was significantly associated with BMI, waist circumference, waist-to-hip ratio, fasting glucose, fasting insulin, the homeostatic model assessment of insulin resistance (HOMA-IR), systolic blood pressure, C-reactive protein (CRP), triglycerides, and HDL cholesterol (all P<0.05). Plasma cathepsin S levels increased significantly (P=0.045 for trend) with increasing numbers of MS components after adjustment for potential confounders. In the highest cathepsin S quartile, the MS risk was significantly higher (odds ratio 2.30; 95% confidence interval, 1.89-2.78) than in the lowest quartile after adjustment for age, gender, alcohol consumption, smoking, education, physical activity, self-reported CVD, and family history of diabetes. This association remained strong (odds ratio 1.97; 95% confidence interval, 1.72-2.48) after controlling further for CRP, adiponectin, HOMA-IR, and BMI. Elevated circulating cathepsin S concentrations are strongly and independently associated with MS in overweight and obese Chinese adults. Prospective studies are needed to establish the role of cathepsin S in the development of MS.

Metabolic syndrome in overweight and obese young Palestinian students at An-Najah National University: a cross-sectional study

BackgroundMetabolic syndrome is one of the main reasons for elevated mortality worldwide. The aim of this study was to characterise and establish sex-adjusted prevalence of metabolic syndrome in young Palestinian adults. MethodsThis cross-sectional study was done at An-Najah National University in 2014 using International Diabetes Federation (IDF) and modified National Cholesterol Education Program-Third Adult Treatment Panel (NCEP) definitions. Approval was obtained from the Institutional Review Board, and written informed consent was obtained from all participants. FindingsOf 850 students (352 men, 498 women) aged 18–24 years, 178 (21%) were overweight, and 45 (5%) were obese. 154 students were enrolled in this study (89 [58%] men, 65 [42%] women). 114 [74%] participants were overweight, and 40 [26%] participants were obese. Metabolic syndrome was more prevalent when the IDF definition was used (44 [29%] participants) than when the modified NCEP definition was used (37 [24%] participants; p<0·001), with no differences between men and women (p>0·05). Metabolic syndrome was more prevalent in participants with obesity than in students with overweight according to the IDF definition (16 [40%] vs 29 [25%]) and the modified NCEP definition (14 [35%] vs 23 [20%]). The prevalence of individual metabolic syndrome components was: 111 (72%) for central obesity (48 [43%] men, 63 [57%] women) according to the IDF definition, and 66 (43%) participants (18 [27%] men, 48 [73%] women) according to the modified NCEP definition; 46 [30%] for increased blood pressure (33 [72%] men, 13 [28%] women); 28 [18%] for high triglycerides (24 [86%] men, four [14%] women); 115 [75%] for low HDL-cholesterol (72 [63%] men, 43 [37%] women); and 37 (24%) for impaired fasting glucose (22 [59%] men, 15 [41%] women). Low HDL-cholesterol, central obesity, and raised blood pressure were the leading three common metabolic abnormalities in participants. InterpretationIrrespective of the definition used, metabolic syndrome is highly prevalent in Palestinian young adults. With the increase of obesity, the clustering of metabolic syndrome components was remarkably increased. More attention should therefore be given to the adult population at risk to reduce adulthood obesity and subsequent cardiovascular disease. FundingNone.

Early identification of risk factors and diagnosis of metabolic syndrome in overweight and obese children above 6 years of age

Background: Metabolic syndrome is a complex disorder and an emerging clinical challenge all over the world. It is considered a multiplex cardiovascular risk factor, in that each component of the cluster of abnormalities is a risk factor in its own right. The objective of the study was to identify the risk factors and diagnose metabolic syndrome early in overweight and obese children.Methods: The observational study was conducted at the Vydehi Institute of Medical Sciences and Research Centre, Bangalore. Total 100 children who were overweight and obese were participated. The outcome measure of the study was considered as metabolic syndrome. In patients above 6 years who are overweight and obese, a detailed history including antenatal history, birth weight, diet history, personal history was taken. In these patient’s demographic details, anthropometric measurements weight, height, BMI, waist circumference, waist hip ratio and blood pressure were recorded. FBS, triglyceride and HDL were also done.Results: Out of 100 children studied, 61% were overweight and 39% were obese. Males were 52% and females were 48%. 92 were AGA, 6 were SGA and 2 were LGA .92% had normal FBS and 8% had high levels of FBS .85% had normal TGL and 15% more than 150mg/dl. 69% had HDL-C less than 40 mg/dl and 31% had HDL-C more than or equal to 40mg/dl. Out of 8 cases of MS, 3 had abnormal FBS and HDL-C, 2 cases had abnormal TGL and HDL-C, and 3 cases abnormal FBS, TGL and HDL-C. In the remaining 92 cases, only one metabolic abnormality was noticed in 73 cases (abnormal FBS- 2, abnormal TGL-10 and abnormal HDL-C in 61) and in remaining 19 cases none of the risk factors for MS were detected.Conclusions: By identifying these risk factors early in overweight and obese children, we can identify metabolic syndrome early and initiate necessary treatment and prevent the complications of MS.

What Do I Tell My Clients Who Want to Follow a Low Glycemic Index Diet?

What Do I Tell My Clients Who Want to Follow a Low Glycemic Index Diet?

Effect of combined training on body composition, lipids levels and indicators of metabolic syndrome in overweight and obesed postmenopausal women

Effect of combined training on body composition, lipids levels and indicators of metabolic syndrome in overweight and obesed postmenopausal women