Diagnostic problems of abdominal obesity in schoolchildren in Samara



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Abstract

Stage 1 of the study was designed to estimate the incidence of abdominal obesity among 960 schoolchildren aged between 11 and 17 years using the percentile tables for the waist circumference (WC) in the children’s population of the United Kingdom and from the WC/height ratio that makes it possible to identify children at the highest risk of metabolic disturbances. The incidence of abdominal obesity based on the criterion of WC≥90th percentile (PC) for the age and the sex was estimate to be 33.7% for the entire group in the absence of significant difference between boys and girls (37.7% vs 35.8%). The incidence of abdominal obesity based on the criterion of WC/height ratio with a threshold value of ≥0.5 was 11.0% for both sexes in the entire group it was significantly higher in the boys than in the girls (14.1% vs 7.9%). At the second stage of the study, the group of the children having WC>90th PC show significantly higher systolic and diastolic arterial blood pressure, blood triglyceride and insulin levels and HOMAIR index but lower HDL levels than control patient with WC<90-го PC. The results of the study suggest the high incidence of abdominal obesity among schoolchildren residing in large cities. Moreover, such children tend to develop metabolic disturbances and at risk of cardiovascular diseases.

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A V Kuleshova

References

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