Cardoso-Saldaña Guillermo C, Yamamoto-Kimura Liria, Medina-Urrutia Aida, Posadas-Sánchez Rosalinda, Caracas-Portilla Nacú A, Posadas-Romero Carlos
Instituto Nacional de Cardiología Ignacio Chávez, Departamento de Endocrinología.
Arch Cardiol Mex. 2010 Jan-Mar;80(1):12-8.
aim: To know the metabolic syndrome and its components prevalence in Mexico City adolescents sample.
A cross-sectional survey was conducted in 772 men and 1078 women, 12 to 16 years old, from 8 randomly selected public junior high schools in Mexico City.
Anthropometric variables, lipids, lipoproteins, Apo AI and B, glucose and insulin were determined.
Prevalence of metabolic syndrome was 12.5%, 11.15% in men and 13.5% en women (p ns). The most frequently metabolic syndrome component found in México City adolescents was low HDL-C levels (38%), followed by hypertriglyceridemia (25.5%), hypertension (19.2%), central obesity (11.8%) and elevated fasting glucose (1.7). Except by the hypertriglyceridemia, higher in woman than in men, 28.2% vs. 21.6%, p < 0.001, the prevalence of metabolic syndrome components was similar between males and females.
The high prevalence of biochemical and physiological factors of metabolic syndrome, associated with overweight and obesity in Mexico City adolescents, increases the risk of premature development of coronary atherosclerosis and diabetes mellitus in this population.
目的：了解墨西哥城青少年样本中代谢综合征及其各组分的患病率。
对来自墨西哥城随机选取的8所公立初中的772名男性和1078名女性青少年（年龄在12至16岁之间）进行了一项横断面调查。
测定人体测量学变量、血脂、脂蛋白、载脂蛋白A-I和B、血糖及胰岛素水平。
代谢综合征的患病率为12.5%，男性为11.15%，女性为13.5%（p无统计学意义）。在墨西哥城青少年中最常发现的代谢综合征组分是高密度脂蛋白胆固醇（HDL-C）水平降低（38%），其次是高甘油三酯血症（25.5%）、高血压（19.2%）、中心性肥胖（11.8%）和空腹血糖升高（1.7%）。除高甘油三酯血症女性患病率高于男性外（28.2%对21.6%，p<0.001），代谢综合征各组分的患病率在男性和女性之间相似。
墨西哥城青少年中与超重和肥胖相关的代谢综合征生化和生理因素的高患病率增加了该人群冠状动脉粥样硬化和糖尿病过早发生的风险。
