Yıl: 2011 Cilt: 41 Sayı: 2 Sayfa Aralığı: 267 - 274 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Anthropometric measurements and body composition analysis of obese adolescents with and without metabolic syndrome

Öz:
Amaç: Obesite ve metabolik sendrom (MS) riski çocukluk yaş grubunda giderek artmaktadır. Bu nedenle obez çocukların (OÇ) takibinde MS kriterleri araştırılmalıdır. Yöntem ve gereç: Otuziki obez ve 32 normal ağırlıklı çocuğun antropometrik indeksleri ve biyoimpedans analizleri (BİA) karşılaştırıldı, OÇ’ın biyokimyasal parametreleri değerlendirildi. MS olan/olmayan OÇ’ların sonuçları karşılaştırıldı. Bulgular: Subskapular cilt kıvrım kalınlığı (SCKK) obesite tanısında triseps cilt kıvrım kalınlığına göre daha sensitif ve spesifi kti. OÇ’da BİA’ya göre; bazal metabolik hız, yağ kitlesi (YK), YK%, YK indeksi daha fazla; impedans, yağsız doku%, yağsız doku indeksi, total vücut suyu% daha azdı. SST ile sırasıyla bel çevresi (B) (P = 0,026, r = 0,392), kalça çevresi (K) (P = 0,004, r = 0.491) ve bel/boy oranı (BBO) (P = 0,002, r = 0,523) arasında anlamlı pozitif korelasyon bulundu. MS’u olan OÇ’da artmış beden kitle indeksi (BKİ), B, K, BBO ve SGPT ile azalmış yağsız doku indeksi ve HDLkolesterol en belirgin özelliklerdi. HDL ile sırasıyla B (P = 0,001, r = -0,571), K (P = 0,012, r = -0,437) ve BBO (P = 0,004, r = -0.49) arasında anlamlı negatif korelasyon bulundu. Sonuç: Obesitede SCKK sensitif ve spesifi ktir, santral obesitede B, K ve BBO gibi değerli bir parametredir. MS’u olan OÇ’larda saptadığımız hafi f SGPT yüksekliği düşük HDL ve hepatosteatoza bağlı olabilir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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  • 1. Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002. Th e Journal of the American Medical Association 2004; 291: 2847-2850.
  • 2. Harlan WR. Epidemiology of childhood obesity: a national perspective. Annals of the New York Academy of Sciences 1993; 699: 1-5.
  • 3. Dietz W. Factors associated with childhood obesity. Nutrition 1991; 7: 290-291.
  • 4. International Diabetes Federation. Th e IDF consensus worldwide defi nition of the metabolic syndrome 2005. http:// www.idf.org/webdata/docs/Metabolic_syndrome_defi nition. pdf
  • 5. van Marken Lichtenbelt WD, Westerterp KR, Wouters L, Luijendijk SC. Validation of bioelectrical-impedance measurements as a method to estimate body-water compartments. Th e American Journal of Clinical Nutrition 1994; 60: 159-166.
  • 6. Abu Khaled M, McCutcheon MJ, Reddy S, Pearman PL, Hunter GR, Weinsier RL. Electrical impedance in assessing human body composition: the BIA method. Th e American Journal of Clinical Nutrition 1988; 47: 789-92.
  • 7. Foster KR, Lukaski HC. Whole-body impedance what does it measure? Th e American Journal of Clinical Nutrition 1996; 64: 388S-96S.
  • 8. Ozturk A, Mazicioglu MM, Hatipoglu N, Budak N, Keskin G, Yazlak Z, et al. Reference body mass index curves for Turkish children 6 to 18 years of age. J Pediatr Endocrinol Metab 2008; 21: 827-36.
  • 9. Lahti-Koski M, Gill T. Defi ning Childhood Obesity. In: Kiess W, Marcus C, Wabitsch M, eds. Obesity in Childhood and Adolescence. Pediatr Adolesc Med. Basel: Karger, 2004; 9: 1-19.
  • 10. Hatipoglu N, Ozturk A, Mazicioglu MM, Kurtoglu S, Seyhan S, Lokoglu F. Waist circumference percentiles for 7- to 17-yearold Turkish children and adolescents. European Journal of Pediatrics 2008; 167: 383-9.
  • 11. Frisancho AR. Anthropometric Standards for the Assessment of Growth and Nutritional Status. Ann Arbor, MI: University of Michigan Press, 1990.
  • 12. Labayen I, Moreno LA, Blay MG, Blay VA, Mesana MI, González-Gross M et al. Early programming of body composition and fat distribution in adolescents. Th e Journal of Nutrition 2006; 136: 147-52.
  • 13. Yanovski JA, Yanovski SZ, Filmer KM, Hubbard VS, Avila N, Lewis B et al. Diff erences in body composition of black and white girls. Th e American Journal of Clinical Nutrition 1996; 64: 833-9.
  • 14. Miyatani M, Kanehisa H, Masuo Y, Ito M, Fukunaga T. Validity of estimating limb muscle volume by bioelectrical impedance. J Appl Physiol 2001; 91: 386-94.
  • 15. Park MK, Menard SW, Yuan C. Comparison of blood pressure in children from three ethnic groups. Th e American Journal of Cardiology 2001; 87: 1305-8.
  • 16. Iannuzzi A, Licenziati MR, Acampora C, Renis M, Agrusta M, Romano L et al. Carotid artery stiff ness in obese children with the metabolic syndrome. Th e American Journal of Cardiology 2006; 97: 528-31.
  • 17. McAuley KA, Williams SM, Mann JI, Walker RJ, Lewis-Barned NJ, Temple LA et al. Diagnosing insulin resistance in the general population. Diabetes Care 2001; 24: 460-4.
  • 18. 2-way Contingency Table Analysis. Available from: URL: http://statpages.org/ctab2x2.html. Rosner B. Fundamentals of Biostatistics, 6th Ed.: New York: Raven Press; 2006.
  • 19. Reaven GM. Banting Lecture 1988: Role of insulin resistance in human disease. Diabetes 1988; 37: 1595-607.
  • 20. Moayeri H, Rabbani A, Keihanidoust ZT, Bidad K, Anari S. Overweight adolescents: A group at risk for metabolic syndrome (Tehran Adolescent Obesity Study). Archives of Iranian Medicine 2008; 11: 10-5.
  • 21. McCarthy HD, Ellis SM, Cole TJ. Central overweight and obesity in British youth aged 11-16 years: cross sectional surveys of waist circumference. BMJ (Clinical research ed.) 2003; 326: 624.
  • 22. Savva SC, Tornaritis M, Savva ME, Kourides Y, Panagi A, Silikiotou N et al. Waist circumference and waist-to-height ratio are better predictors of cardiovascular disease risk factors in children than body mass index. International Journal of Obesity and Related Metabolic Disorders 2000; 24: 1453-8.
  • 23. Kahn HS, Imperatore G, Cheng YJ. A population-based comparison of BMI percentiles and waist-to-height ratio for identifying cardiovascular risk in youth. Th e Journal of Pediatrics 2005; 146: 482-8.
  • 24. Maff eis C, Banzato C, Talamini G, Obesity Study Group of the Italian Society of Pediatric Endocrinology and Diabetology. Waist-to-height ratio, a useful index to identify high metabolic risk in overweight children. Th e Journal of Pediatrics 2008; 152: 207-13.
  • 25. Bray GA, DeLany JP, Harsha DW, Volaufova J, Champagne CM. Body composition of African American and white children: a 2-year follow-up of the BAROC study. Obesity Research 2001; 9: 605-21.
  • 26. Das SK, Roberts SB, McCrory MA, Hsu LK, Shikora SA, Kehayias JJ et al. Long-term changes in energy expenditure and body composition aft er massive weight loss induced by gastric bypass surgery. Th e American Journal of Clinical Nutrition 2003; 78: 22-30.
  • 27. Franzese A, Vajro P, Argenziano A, Puzziello A, Iannucci MP, Saviano MC et al. Liver involvement in obese children. Ultrasonography and liver enzyme levels at diagnosis and during follow-up in an Italian population. Digestive Diseases and Sciences 1997; 42: 1428-32.
  • 28. Schwimmer JB, McGreal N, Deutsch R, Finegold MJ, Lavine JE. Infl uence of gender, race, and ethnicity on suspected fatty liver in obese adolescents. Pediatrics 2005; 115: 561-5.
  • 29. Cruz ML, Weigensberg MJ, Huang TT, Ball G, Shaibi GQ, Goran MI. Th e metabolic syndrome in overweight Hispanic youth and the role of insulin sensitivity. Th e Journal of Clinical Endocrinology and Metabolism 2004; 89: 108-13.
APA AYVAZ D, Nişancı KILINÇ F, Paç F, ÇAKAL E (2011). Anthropometric measurements and body composition analysis of obese adolescents with and without metabolic syndrome. , 267 - 274.
Chicago AYVAZ Deniz Nazire ÇAĞDAŞ,Nişancı KILINÇ Ftma,Paç Feyza,ÇAKAL Erman Anthropometric measurements and body composition analysis of obese adolescents with and without metabolic syndrome. (2011): 267 - 274.
MLA AYVAZ Deniz Nazire ÇAĞDAŞ,Nişancı KILINÇ Ftma,Paç Feyza,ÇAKAL Erman Anthropometric measurements and body composition analysis of obese adolescents with and without metabolic syndrome. , 2011, ss.267 - 274.
AMA AYVAZ D,Nişancı KILINÇ F,Paç F,ÇAKAL E Anthropometric measurements and body composition analysis of obese adolescents with and without metabolic syndrome. . 2011; 267 - 274.
Vancouver AYVAZ D,Nişancı KILINÇ F,Paç F,ÇAKAL E Anthropometric measurements and body composition analysis of obese adolescents with and without metabolic syndrome. . 2011; 267 - 274.
IEEE AYVAZ D,Nişancı KILINÇ F,Paç F,ÇAKAL E "Anthropometric measurements and body composition analysis of obese adolescents with and without metabolic syndrome." , ss.267 - 274, 2011.
ISNAD AYVAZ, Deniz Nazire ÇAĞDAŞ vd. "Anthropometric measurements and body composition analysis of obese adolescents with and without metabolic syndrome". (2011), 267-274.
APA AYVAZ D, Nişancı KILINÇ F, Paç F, ÇAKAL E (2011). Anthropometric measurements and body composition analysis of obese adolescents with and without metabolic syndrome. Turkish Journal of Medical Sciences, 41(2), 267 - 274.
Chicago AYVAZ Deniz Nazire ÇAĞDAŞ,Nişancı KILINÇ Ftma,Paç Feyza,ÇAKAL Erman Anthropometric measurements and body composition analysis of obese adolescents with and without metabolic syndrome. Turkish Journal of Medical Sciences 41, no.2 (2011): 267 - 274.
MLA AYVAZ Deniz Nazire ÇAĞDAŞ,Nişancı KILINÇ Ftma,Paç Feyza,ÇAKAL Erman Anthropometric measurements and body composition analysis of obese adolescents with and without metabolic syndrome. Turkish Journal of Medical Sciences, vol.41, no.2, 2011, ss.267 - 274.
AMA AYVAZ D,Nişancı KILINÇ F,Paç F,ÇAKAL E Anthropometric measurements and body composition analysis of obese adolescents with and without metabolic syndrome. Turkish Journal of Medical Sciences. 2011; 41(2): 267 - 274.
Vancouver AYVAZ D,Nişancı KILINÇ F,Paç F,ÇAKAL E Anthropometric measurements and body composition analysis of obese adolescents with and without metabolic syndrome. Turkish Journal of Medical Sciences. 2011; 41(2): 267 - 274.
IEEE AYVAZ D,Nişancı KILINÇ F,Paç F,ÇAKAL E "Anthropometric measurements and body composition analysis of obese adolescents with and without metabolic syndrome." Turkish Journal of Medical Sciences, 41, ss.267 - 274, 2011.
ISNAD AYVAZ, Deniz Nazire ÇAĞDAŞ vd. "Anthropometric measurements and body composition analysis of obese adolescents with and without metabolic syndrome". Turkish Journal of Medical Sciences 41/2 (2011), 267-274.