Department of Pediatrics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Department of Community Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Thung Phayathai, Ratchathewi, Bangkok, 10400, Thailand.
BMC Public Health. 2021 Apr 7;21(1):678. doi: 10.1186/s12889-021-10728-6.
Presence of metabolic syndrome (MetS) in early life may influence cardiovascular outcome later in adulthood. There is limited data regarding MetS among Thai adolescents. This study aimed to estimate the prevalence of MetS and related factors in Thai adolescents.
Data on MetS components of 1934 Thai adolescents aged 10-16 years were obtained from the 5th National Health Examination Survey. Age at first screen time exposure, duration of screen time, frequency of food intake and physical activities were collected from interviews. MetS was defined according to 3 definitions: International Diabetes Federation (IDF), Cook's, and de Ferranti's.
The prevalence of MetS was 4.1% by IDF, 8.0% by Cook's, and 16.8% by de Ferranti's definition. The overall prevalence was higher in male (19.0%) than female adolescents (15.3%). The most common MetS components composition among Thai adolescents was high waist circumference with high serum triglyceride and low HDL-cholesterol (40.0% for IDF, 22.6% for Cook's and 43.5% for de Ferranti's definition). Exposure to screen media during the first 2 years of life had a 1.3- fold increased odds of MetS by 1 out of 3 definitions (OR 1.30, 95% CI. 1.01-1.68). Duration of physical activity associated with decreased odds of MetS by Cook's definition (OR 0.96, 95% CI. 0.92-0.99).
The prevalence of MetS among Thai adolescents was higher than previously reported by other studies. Screen media exposure during the first 2 years of life should be discouraged and measures to promote physical activity among children and adolescents should be strengthen.
生命早期存在代谢综合征（MetS）可能会影响成年后心血管的结局。目前泰国青少年代谢综合征的相关数据有限。本研究旨在评估泰国青少年代谢综合征的患病率及其相关因素。
从第 5 次全国健康检查调查中获得了 1934 名年龄在 10-16 岁的泰国青少年的代谢综合征各组成部分的数据。通过访谈收集青少年首次暴露于屏幕时间的年龄、屏幕时间的持续时间、食物摄入和身体活动的频率。根据国际糖尿病联合会（IDF）、Cook's 和 de Ferranti 的定义来定义代谢综合征。
按 IDF、Cook's 和 de Ferranti 的定义，代谢综合征的患病率分别为 4.1%、8.0%和 16.8%。总体而言，男性（19.0%）青少年的代谢综合征患病率高于女性（15.3%）。泰国青少年最常见的代谢综合征组成部分是高腰围伴血清甘油三酯升高和高密度脂蛋白胆固醇降低（按 IDF、Cook's 和 de Ferranti 的定义，其患病率分别为 40.0%、22.6%和 43.5%）。生命最初 2 年接触屏幕媒体使代谢综合征的患病风险增加 1.3 倍（按 3 种定义中的 1 种，OR 1.30，95%CI.1.01-1.68）。身体活动的持续时间与 Cook's 定义的代谢综合征患病风险降低相关（OR 0.96，95%CI.0.92-0.99）。
泰国青少年代谢综合征的患病率高于先前其他研究报道。应劝阻生命最初 2 年接触屏幕媒体，应加强促进儿童和青少年身体活动的措施。
