Metabolically obese normal-weight children  

作　　者：Fernando Guerrero-Romero Martha Rodríguez-Moran 

机构地区：[1]Biomedical Research Unit,Mexican Social Security Institute,ZC 34067 Durango,Mexico

出　　处：《World Journal of Clinical Pediatrics》2012年第4期37-39,共3页世界临床儿科杂志

基　　金：Supported by Fundacion IMSS,AC

摘　　要：Non-obese children with elevated serum insulin levels and metabolic disorders such as,hyperglycemia,hypertension,and/or hypertriglyceridemia are a subset of children in high risk of developing cardiovascular disease later in life.Since usually the health policies for the prevention of the obesity associated disorders in children are based on the screening focused on the obese,frequently the metabolically obese normalweight(MONW) children are not identified in primary care setting.Given that characterization of the MONW children is an important public health issue,and that a large amount of resources might be unnecessarily used in the screening of metabolic risk of nonobese children; we review data regarding criteria for the early recognition of this subset of children in high risk of developing cardiovascular disease.Results of our review suggests that the presence of family history of type 2 diabetes and/or hypertension,the elevated percentage of body fat,and the high birth-weight should be taken into account as criteria of high cardiovascular risk,irrespective of obesity.Non-obese children with elevated serum insulin levels and metabolic disorders such as,hyperglycemia,hypertension,and/or hypertriglyceridemia are a subset of children in high risk of developing cardiovascular disease later in life.Since usually the health policies for the prevention of the obesity associated disorders in children are based on the screening focused on the obese,frequently the metabolically obese normalweight(MONW) children are not identified in primary care setting.Given that characterization of the MONW children is an important public health issue,and that a large amount of resources might be unnecessarily used in the screening of metabolic risk of nonobese children; we review data regarding criteria for the early recognition of this subset of children in high risk of developing cardiovascular disease.Results of our review suggests that the presence of family history of type 2 diabetes and/or hypertension,the elevated percentage of body fat,and the high birth-weight should be taken into account as criteria of high cardiovascular risk,irrespective of obesity.

关 键 词：Children Normal-weight CARDIOVASCULAR risk factors Screening OBESITY 

分 类 号：R179[医药卫生—妇幼卫生保健]