Reevaluation of the prevalence of metabolic syndrome in an urban area of Turkey.
OBJECTIVE
Our aim was to reveal a change in the prevalence of metabolic syndrome (MS) in the province of Konya in five years.


METHODS
We studied 202 obese children and adolescents (body mass index >95th percentile) aged between 7 and 18 years. The diagnosis of impaired glucose tolerance, type 2 diabetes mellitus (T2DM), and MS were defined according to the modified World Health Organization criteria adapted for children.


RESULTS
MS was found in 56.4 % with a significantly higher rate among adolescents aged 12-18 years (63.2%) than among prepubertal children aged 7-11 years (47%) (p=0.01). The prevalence figures for insulin resistance, glucose intolerance, and T2DM were 60, 8, and 2% among prepubertal children and 81.8, 12.8, and 0% among adolescents, respectively. The prevalence of fasting hyperinsulinemia in adolescents was significantly higher than in prepubertal children (p<0.001). Hypertension was significantly more common in adolescents (42.8%) than in prepubertal children (32.9%) (p=0.04).


CONCLUSIONS
We found that the incidence of MS in the city center of Konya approximately doubled in the last five years with increased rates of morbidity and abnormal lipid profiles.
Department of Pediatric Endocrinology, Necmettin Erbakan University, School of Medicine, Konya, Turkey.
Mehmet Emre
ME
Atabek
Beray Selver
BS
Eklioğlu
Nesibe
N
Akyürek
D000293:Adolescent; D002648:Child; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology; D005260:Female; D018149:Glucose Intolerance / Q000453:epidemiology; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D007333:Insulin Resistance; D008297:Male; D024821:Metabolic Syndrome / Q000453:epidemiology*; D009765:Obesity / Q000150:complications / Q000453:epidemiology; D015995:Prevalence; D014421:Turkey / Q000453:epidemiology; D014505:Urban Population / Q000706:statistics & numerical data