Vissers Dirk, Vanroy Christel, De Meulenaere An, Van de Sompel Annemie, Truijen Steven, Van Gaal Luc
University College of Antwerp, Department of Health Sciences-Physiotherapy, and Antwerp University Hospital, Department of Diabetology, Metabolism and Clinical Nutrition, Antwerp, Belgium.
Acta Paediatr. 2007 Dec;96(12):1809-13. doi: 10.1111/j.1651-2227.2007.00528.x. Epub 2007 Oct 22.
To assess the prevalence of metabolic syndrome (MetS) among students attending vocational secondary school (VSE). VSE provides practice-oriented education in which young people learn a specific occupation. Previously we reported VSE to be the type of education with the highest prevalence of overweight and obesity.
All data were collected in a cross-sectional school-based survey. Subjects were recruited from a community sample of 869 adolescents in 14 secondary schools. In this total sample all components of the metabolic syndrome were assessed in a subgroup of 506 students. MetS was defined analogous to National Cholesterol Education Program: Adult Treatment Panel III criteria, with modifications for students under 19 years of age.
In the subsample (n=506) 4.1% of the students had metabolic syndrome. There was a significant difference in the prevalence of metabolic syndrome among BMI categories (p<0.001). The prevalence of metabolic syndrome was higher in obese students (39.1%) than in overweight students (2.8%) and normal weight students (0.3%).
Being overweight or obese substantially increases the risk for metabolic syndrome, even in an adolescent school population.
评估职业中学学生代谢综合征（MetS）的患病率。职业中学提供以实践为导向的教育，年轻人在此学习特定职业。此前我们报告职业中学是超重和肥胖患病率最高的教育类型。
所有数据通过基于学校的横断面调查收集。研究对象从14所中学的869名青少年社区样本中招募。在这个总样本中，对506名学生的亚组进行了代谢综合征所有组分的评估。代谢综合征的定义类似于美国国家胆固醇教育计划：成人治疗小组第三次报告的标准，并针对19岁以下学生进行了修改。
在该子样本（n = 506）中，4.1%的学生患有代谢综合征。不同BMI类别中代谢综合征的患病率存在显著差异（p<0.001）。肥胖学生（39.1%）的代谢综合征患病率高于超重学生（2.8%）和正常体重学生（0.3%）。
即使在青少年学生群体中，超重或肥胖也会显著增加患代谢综合征的风险。
