title: Metabolic Syndrome and Associated Factors in a Population-Based Sample of Schoolchildren in Colombia: The FUPRECOL Study.
abstract: In contrast to the definition of metabolic syndrome (MetS) in adults, there is no standard definition of MetS in pediatric populations. We aimed at assessing the differences in the prevalence of MetS in children and adolescents aged 9-17 years using four different operational definitions for these age groups and at examining the associated variables.
  
  
  
  A total of 675 children and 1247 adolescents attending public schools in Bogota (54.4% girls; age range 9-17.9 years) were included. The prevalence of MetS was determined by the definitions provided by the International Diabetes Federation (IDF) and three published studies by Cook et al., de Ferranti et al., and Ford et al. In addition, we further examined the associations between each definition of MetS in the total sample and individual risk factors using binary logistic regression models adjusted for gender, age, pubertal stage, weight status, and inflammation in all participants.
  
  
  
  The prevalence of MetS was 0.3%, 6.3%, 7.8%, and 11.0% according to the definitions by IDF, Cook et al., Ford et al., and de Ferranti et al., respectively. The most prevalent components were low high-density lipoprotein cholesterol and high triglyceride levels, whereas the least prevalent components were higher waist circumference and hyperglycemia. Overall, the prevalence of MetS was higher in obese than in non-obese schoolchildren.
  
  
  
  MetS diagnoses in schoolchildren strongly depend on the definition chosen. These findings may be relevant to health promotion efforts for Colombian youth to develop prospective studies and to define which cut-offs are the best indicators of future morbidity.
authors: 1 Centro de Estudios para la Medición de la Actividad Física "CEMA", Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario , Bogotá DC, Colombia .
authors: Robinson
authors: R
authors: Ramírez-Vélez
authors: 1 Centro de Estudios para la Medición de la Actividad Física "CEMA", Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario , Bogotá DC, Colombia .
authors: Alejandro
authors: A
authors: Anzola
authors: 1 Centro de Estudios para la Medición de la Actividad Física "CEMA", Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario , Bogotá DC, Colombia .
authors: Javier
authors: J
authors: Martinez-Torres
authors: 2 Grupo de Investigación en Ejercicio Físico y Deportes. Vicerrectoría de Investigaciones. Universidad Manuela Beltrán . Bogotá DC, Colombia .
authors: Andres
authors: A
authors: Vivas
authors: 1 Centro de Estudios para la Medición de la Actividad Física "CEMA", Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario , Bogotá DC, Colombia .
authors: Alejandra
authors: A
authors: Tordecilla-Sanders
authors: 1 Centro de Estudios para la Medición de la Actividad Física "CEMA", Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario , Bogotá DC, Colombia .
authors: Daniel
authors: D
authors: Prieto-Benavides
authors: 3 Department of Health Sciences, Public University of Navarra , Pamplona, Spain .
authors: Mikel
authors: M
authors: Izquierdo
authors: 1 Centro de Estudios para la Medición de la Actividad Física "CEMA", Escuela de Medicina y Ciencias de la Salud, Universidad del Rosario , Bogotá DC, Colombia .
authors: Jorge Enrique
authors: JE
authors: Correa-Bautista
authors: 4 Laboratorio de Ciencias de la Actividad Física, el Deporte y la Salud, Universidad de Santiago de Chile , USACH, Santiago, Chile .|5 Universidad San Sebastián , Santiago, Chile .
authors: Antonio
authors: A
authors: Garcia-Hermoso
mesh_terms: D000293:Adolescent; D001786:Blood Glucose / Q000378:metabolism; D002097:C-Reactive Protein / Q000378:metabolism; D002648:Child; D008076:Cholesterol, HDL / Q000097:blood; D003105:Colombia / Q000453:epidemiology; D015897:Comorbidity; D005260:Female; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000097:blood / Q000453:epidemiology* / Q000473:pathology; D009765:Obesity / Q000097:blood / Q000453:epidemiology / Q000473:pathology; D015995:Prevalence; D012307:Risk Factors; D014280:Triglycerides / Q000097:blood; D055105:Waist Circumference
chemical_list: D001786:Blood Glucose; D008076:Cholesterol, HDL; D014280:Triglycerides; D002097:C-Reactive Protein
keywords: cardiometabolic risk factors; high sensitivity C-reactive protein; metabolic syndrome; overweight