Rakočević Lidija, Rakočević Velimir
Institute for Childhood Diseases, Clinical Centre of Montenegro, Podgorica, Montenegro
University of Montenegro, Podgorica, Montenegro
Acta Clin Croat. 2016 Sep;55(3):407-413. doi: 10.20471/acc.2016.55.03.09.
The aim of the study was to determine the prevalence of metabolic syndrome factors in obese children by examining blood pressure, lipid status, disorders of glycoregulation, and parameters of insulin sensitivity and secretion. The survey was conducted as a cross sectional study. We analyzed the results of obese children aged 7 to 16 years visiting Clinical Centre of Montenegro during the 2011-2015 period. Out of 173 children with elevated body mass index, 119 (68.8%) children were overweight, while first-degree obesity was recorded in 50 (28.9%) and second-degree obesity in four (2.3%) children. High blood pressure was found in 35.2%, elevated cholesterol levels in 9.8% and elevated triglyceride levels in 8.09% of obese children. Oral glucose load testing revealed disturbing fasting glycemia in 4.76% and impaired glucose tolerance in 19.04% of obese children. High values of insulinemia two hours after glucose load were recorded in 35% of obese children. Study results showed the prevalence of risk factors for cardiovascular diseases and metabolic disorders, especially carbohydrates and fat, to be very high in our population of obese children. This imposes the need of changing current mode of assessing dietary habits during general medical examinations, as well as to start recording and monitoring overweight children and those with pronounced obesity.
本研究的目的是通过检查血压、血脂状况、糖调节紊乱以及胰岛素敏感性和分泌参数，来确定肥胖儿童中代谢综合征因素的患病率。该调查作为一项横断面研究进行。我们分析了2011 - 2015年期间在黑山临床中心就诊的7至16岁肥胖儿童的结果。在173名体重指数升高的儿童中，119名（68.8%）儿童超重，50名（28.9%）儿童为一度肥胖，4名（2.3%）儿童为二度肥胖。35.2%的肥胖儿童患有高血压，9.8%的肥胖儿童胆固醇水平升高，8.09%的肥胖儿童甘油三酯水平升高。口服葡萄糖负荷试验显示，4.76%的肥胖儿童空腹血糖异常，19.04%的肥胖儿童糖耐量受损。35%的肥胖儿童在葡萄糖负荷后两小时胰岛素血症值较高。研究结果表明，在我们的肥胖儿童群体中，心血管疾病和代谢紊乱的危险因素，尤其是碳水化合物和脂肪方面的危险因素患病率非常高。这就需要改变一般体检期间评估饮食习惯的当前模式，以及开始记录和监测超重儿童和肥胖明显的儿童。
