Journal of Diabetes and Metabolic Disorders 2004. 3(0):75-.

OBESITY AND ASSOCIATED CARDIOVASCULAR RISK FACTORS IN IRANIAN CHILDREN.
Hossein Fakhrzadeh, Anahita Hamidi, Rasoul Pourebrahim, Ramin Heshmat, Masoumeh Noori, Yalda Rezaeikhah, Bagher Larijani

Abstract


Background:Obesity is a serious public health problem in developing  countries due to its association with the cardiovascular risk factors. Childhood obesity is responsible for a number of different complications both during childhood and adulthood. The aim of the present study was to determine the cardiovascular risk factors in overweight and obese Iranian children.


Methods: We screened 13086 children aged 7-12 years by measuring waist circumference. Those with a waist circumference ≥61 cm were selected for further evaluation. Anthropometric measurements  were done and blood samples were taken from 563 enrolled overweight/obese children (284 boys and 279 girls). We determined cardiovascular risk factors (including fasting total cholesterol, LDL-C, HDL-C, triglycerides, blood pressure). In addition we measured the fasting blood sugar, insulin, apo-A , apo-B and leptin levels.


Results: Only 2.7% of overweight or obese children had no risk factors. While, 20.6% had one and 70.85% had two or more risk factors. The prevalence of high total Cholestrol levels was 42.6%. HDL-C showed an acceptable level in 92.4%of children .There were strong correlations between BMI and serum apoB and leptin levels (p<0.005).


Conclusion: The high prevalence of cardiovascular risk factors in overweight and obese Iranian children emphasizes the need for prevention and control of childhood obesity from early childhood in our country.


Keywords


Children obesity, Cardiovascular Body, Body Mass Index, Waist circumference, Risk Factors,

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