Çocuk Sağlığı ve Hastalıkları Dergisi 2010 , Vol 53 , Num 4
The relationship between risk factors of metabolic syndrome in childhood and nutrients
*Alev Keser1, Sevinç Yücecan2, Filiz M. Çizmecioğlu3, Nilay Etiler4, Şükrü Hatun5
Kocaeli Üniversitesi Tıp Fakültesi 1Beslenme ve Dietetik Uzmanı, 3Pediatri Yardımcı Doçenti, 4Halk Sağlığı Profesörü, 5Pediatri Profesörü, Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi 2Beslenme ve Dietetik Profesörü Keser A, Yücecan S, Çizmecioğlu FM, Etiler N, Hatun Ş. (Department of Pediatrics, Kocaeli University Faculty of Medicine, Kocaeli, Turkey). The relationship between risk factors of metabolic syndrome in childhood and nutrients. Çocuk Sağlığı ve Hastalıkları Dergisi 2010;53: 267¬276.

The aim of our study was to assess the relationships between metabolic syndrome (MS) risk factors and nutrients in children with and without MS. This study included 308 children and adolescents between the ages of 11-18 years who were overweight and obese. A questionnaire determining dietary status and physical activity was used, and their anthropometric measurements and blood samples were taken. MS was defined according to the International Diabetes Federation criteria. High consumption of energy, total fat, saturated fat, monounsaturated fatty acids (MUFAs) and monosaccharide increase total and low-density lipoprotein (LDL) cholesterol levels in MS patients. There was a positive correlation between resistance level and percentage of fat consumption and a negative correlation with carbohydrate percentage. However, there was a positive correlation between postprandial blood glucose level and consumption of energy, protein (g), total fat (g, %), saturated fat, and MUFA, but a negative correlation with carbohydrate percentage. High consumption of carbohydrates resulted in a 15.31 times increased risk of MS. The correlations observed among risk factors for MS and nutrients underlines the need for overweight and obese children to undertake lifestyle changes that involve adequate and balanced nutrition and regular exercise. Anahtar Kelimeler : metabolik sendrom, besin öğeleri, insülin direnci, obesite

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