Childhood predictors of the metabolic syndrome in adulthood. The Cardiovascular Risk in Young Finns Study.

Abstract:

BACKGROUND:Obese youths may be susceptible to develop the metabolic syndrome (MS) later in life. AIM:To study childhood predictors of MS in adulthood. METHOD:Prospective cohort study including 2,195 subjects, aged 3-18 years at base-line in 1980, who were re-examined in 1983, 1986, and 2001. RESULTS:In adults (aged 24-39 years) in 2001, the prevalence of MS (using the International Diabetes Federation criteria) was 19% in men and 12% in women. Multivariable logistic regression model selected obesity, male sex, high triglycerides, high insulin, high C-reactive protein (CRP), and family history of hypertension and type 2 diabetes, as independent predictors of adult MS. Youth obesity (body mass index (BMI)>80th age- and sex-specific percentile) was the strongest risk factor for MS. During the 21-year follow-up, there was an increasing trend in BMI, insulin, systolic blood pressure, and triglycerides, and a decreasing trend in high-density lipoprotein cholesterol in obese subjects who developed MS in adulthood compared to those obese subjects who did not develop MS. CONCLUSIONS:Youth determinants of adult MS included obesity, high triglycerides, high insulin, high CRP, and family history of hypertension and type 2 diabetes. Identifying these risk factors at an early stage could help identifying children and adolescence at greater risk of developing MS later in life.

journal_name

Ann Med

journal_title

Annals of medicine

authors

Mattsson N,Rönnemaa T,Juonala M,Viikari JS,Raitakari OT

doi

10.1080/07853890802307709

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

542-52

issue

7

eissn

0785-3890

issn

1365-2060

pii

901896907

journal_volume

40

pub_type

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