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Maternal waist circumference and the prediction of children's metabolic syndrome.
Arch Pediatr Adolesc Med. 2007 Dec; 161(12):1205-10.AP

Abstract

OBJECTIVE

To determine the association between metabolic syndrome (MS) components in 620 children and their mothers.

DESIGN

Cross-sectional assessment.

SETTING

Three public elementary schools in Buenos Aires, Argentina.

PARTICIPANTS

A total of 620 students at a mean +/- SD age of 9.00 +/- 2.07 years and their mothers at a mean +/- SD age of 37.69 +/- 7.19 years.

MAIN OUTCOMES MEASURES

The association between MS in children and components of MS in their mothers, such as body mass index (BMI) (calculated as weight in kilograms divided by height in meters squared), high-density lipoprotein cholesterol concentration, triglycerides concentration, glucose concentration, homeostasis model assessment of insulin resistance, blood pressure, and age.

RESULTS

Ninety-five (15.3%) of the children were obese (BMI > or = 95th percentile), 108 (17.4%) were overweight (BMI > or = 85th percentile and < 95th percentile), and 418 (67.3%) were a healthy weight (BMI < 85th percentile). One hundred twelve (18.1%) of the mothers were obese (BMI > or = 30), 183 (29.5%) were overweight (BMI > or = 25 and < 30), and 325 (52.4%) were a healthy weight (BMI < 25). Low concentration of high-density lipoprotein cholesterol (in 46.0% and 56.9% of mothers and children, respectively) and central obesity (in 36.0% and 25.0% of mothers and children, respectively) were common, whereas hypertension (in 10.5% and 1.9% of mothers and children, respectively) and impaired fasting glucose (in 2.9% and 0.3% of mothers and children, respectively) were infrequent. The prevalence of MS was 10.8% in children and 11.0% in mothers. Central obesity was less frequent in mothers of children without MS vs mothers of those with MS (41.2% vs 78.8%, respectively; P < .001). Mothers of children without MS had fewer MS components than did mothers of children with MS (BMI z score, 0.09 vs 0.69, respectively [P < .001]; waist circumference z score, 0.15 vs 0.87, respectively [P < .001]). Mothers' waist circumference was a significant independent predictor of their children's MS when adjusted for mothers' concentrations of triglycerides, cholesterol, and glucose and age (odds ratio, 2.11; 95% confidence interval, 1.36-3.26).

CONCLUSION

A mother's waist circumference predicts her child's MS, consistent with known familial associations of obesity and type 2 diabetes.

Authors+Show Affiliations

Department of Nutrition, Durand Hospital, Maipú 812, Buenos Aires, 1006, Argentina. vhirschler@intramed.net.arNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18056567

Citation

Hirschler, Valeria, et al. "Maternal Waist Circumference and the Prediction of Children's Metabolic Syndrome." Archives of Pediatrics & Adolescent Medicine, vol. 161, no. 12, 2007, pp. 1205-10.
Hirschler V, Roque MI, Calcagno ML, et al. Maternal waist circumference and the prediction of children's metabolic syndrome. Arch Pediatr Adolesc Med. 2007;161(12):1205-10.
Hirschler, V., Roque, M. I., Calcagno, M. L., Gonzalez, C., & Aranda, C. (2007). Maternal waist circumference and the prediction of children's metabolic syndrome. Archives of Pediatrics & Adolescent Medicine, 161(12), 1205-10.
Hirschler V, et al. Maternal Waist Circumference and the Prediction of Children's Metabolic Syndrome. Arch Pediatr Adolesc Med. 2007;161(12):1205-10. PubMed PMID: 18056567.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Maternal waist circumference and the prediction of children's metabolic syndrome. AU - Hirschler,Valeria, AU - Roque,María I, AU - Calcagno,María L, AU - Gonzalez,Claudio, AU - Aranda,Claudio, PY - 2007/12/7/pubmed PY - 2008/1/18/medline PY - 2007/12/7/entrez SP - 1205 EP - 10 JF - Archives of pediatrics & adolescent medicine JO - Arch Pediatr Adolesc Med VL - 161 IS - 12 N2 - OBJECTIVE: To determine the association between metabolic syndrome (MS) components in 620 children and their mothers. DESIGN: Cross-sectional assessment. SETTING: Three public elementary schools in Buenos Aires, Argentina. PARTICIPANTS: A total of 620 students at a mean +/- SD age of 9.00 +/- 2.07 years and their mothers at a mean +/- SD age of 37.69 +/- 7.19 years. MAIN OUTCOMES MEASURES: The association between MS in children and components of MS in their mothers, such as body mass index (BMI) (calculated as weight in kilograms divided by height in meters squared), high-density lipoprotein cholesterol concentration, triglycerides concentration, glucose concentration, homeostasis model assessment of insulin resistance, blood pressure, and age. RESULTS: Ninety-five (15.3%) of the children were obese (BMI > or = 95th percentile), 108 (17.4%) were overweight (BMI > or = 85th percentile and < 95th percentile), and 418 (67.3%) were a healthy weight (BMI < 85th percentile). One hundred twelve (18.1%) of the mothers were obese (BMI > or = 30), 183 (29.5%) were overweight (BMI > or = 25 and < 30), and 325 (52.4%) were a healthy weight (BMI < 25). Low concentration of high-density lipoprotein cholesterol (in 46.0% and 56.9% of mothers and children, respectively) and central obesity (in 36.0% and 25.0% of mothers and children, respectively) were common, whereas hypertension (in 10.5% and 1.9% of mothers and children, respectively) and impaired fasting glucose (in 2.9% and 0.3% of mothers and children, respectively) were infrequent. The prevalence of MS was 10.8% in children and 11.0% in mothers. Central obesity was less frequent in mothers of children without MS vs mothers of those with MS (41.2% vs 78.8%, respectively; P < .001). Mothers of children without MS had fewer MS components than did mothers of children with MS (BMI z score, 0.09 vs 0.69, respectively [P < .001]; waist circumference z score, 0.15 vs 0.87, respectively [P < .001]). Mothers' waist circumference was a significant independent predictor of their children's MS when adjusted for mothers' concentrations of triglycerides, cholesterol, and glucose and age (odds ratio, 2.11; 95% confidence interval, 1.36-3.26). CONCLUSION: A mother's waist circumference predicts her child's MS, consistent with known familial associations of obesity and type 2 diabetes. SN - 1538-3628 UR - https://www.unboundmedicine.com/medline/citation/18056567/Maternal_waist_circumference_and_the_prediction_of_children's_metabolic_syndrome_ L2 - https://jamanetwork.com/journals/jamapediatrics/fullarticle/10.1001/archpedi.161.12.1205 DB - PRIME DP - Unbound Medicine ER -