Saito Ikuo, Mori Masaaki, Shibata Hirotaka, Hirose Hiroshi, Tsujioka Minako, Kawabe Hiroshi
Health Center, Keio University, Japan.
J Atheroscler Thromb. 2007 Feb;14(1):27-30. doi: 10.5551/jat.14.27.
The prevalence of metabolic syndrome, as defined by the Third Report of the National Cholesterol Education Program Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults (ATPIII) modified for age (>or=3 of the following abnormalities): waist circumference of at least 80 cm; serum glucose level of at least 110 mg/dL; triglyceride level of at least 110 mg/dL; high density lipoprotein (HDL) cholesterol level of 40 mg/dL or less; and blood pressure (BP) of at least 130/75 mmHg, was estimated in male high school students who attended an annual school health examination.
The subjects were divided into three body mass index (BMI) categories (obese: >or=25; mildly obese: 23-24.9: and normal weight: <23 kg/m2). Of the 1446 students (mean age 15 years), 96 (6.6%) were obese and 158 (10.9%) were mildly obese.
The overall prevalence of metabolic syndrome was 1.4%, being present in; 15.6% of obese subjects. Overall, elevated systolic BP was most common (19.9%). In obese subjects, 51% had an elevated systolic BP.
Our study suggests that metabolic syndrome is present in more than 1% of male adolescents and 15% of obese male adolescents in Japan.
根据美国国家胆固醇教育计划成人高胆固醇检测、评估和治疗专家小组第三次报告（ATPIII）针对年龄进行修改后的标准（以下异常情况中至少出现3种）来定义代谢综合征：腰围至少80厘米；血清葡萄糖水平至少110毫克/分升；甘油三酯水平至少110毫克/分升；高密度脂蛋白（HDL）胆固醇水平40毫克/分升或更低；血压（BP）至少130/75毫米汞柱，对参加年度学校健康检查的男性高中生中代谢综合征的患病率进行了评估。
将研究对象分为三个体重指数（BMI）类别（肥胖：≥25；轻度肥胖：23 - 24.9；正常体重：<23千克/平方米）。在1446名学生（平均年龄15岁）中，96名（6.6%）为肥胖，158名（10.9%）为轻度肥胖。
代谢综合征的总体患病率为1.4%，在肥胖受试者中为15.6%。总体而言，收缩压升高最为常见（19.9%）。在肥胖受试者中，51%的人收缩压升高。
我们的研究表明，在日本，超过1%的男性青少年和15%的肥胖男性青少年存在代谢综合征。
