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Archives de pédiatrie
Sous presse. Epreuves corrigées par l'auteur. Disponible en ligne depuis le vendredi 24 janvier 2020
Doi : 10.1016/j.arcped.2019.12.007
Received : 13 June 2019 ;  accepted : 30 December 2019
Relationship between pediatric adiposity and cardiovascular risk factors in Saudi children and adolescents
 

E.M. Alissa a, b, , R.H. Sutaih a, H.Z. Kamfar a, A.E. Alagha a, Z.M. Marzouki a
a Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia 
b Elemental Spectroscopy Unit, King Fahd Medical Research Center, King Abdulaziz University, Jeddah, Saudi Arabia 

Corresponding author. Faculty of Medicine, King Abdulaziz University, PO Box 12713, 21483 Jeddah, Saudi Arabia.Faculty of Medicine, King Abdulaziz UniversityPO Box 12713Jeddah21483Saudi Arabia
Abstract
Background

The etiology of childhood obesity is growing at alarming rates in developed and developing countries. The aim of the present study was to investigate the prevalence of cardiovascular risk factors (hypertension, dyslipidemia, and hyperglycemia) in a sample of Saudi children and to assess their association with different measures of body adiposity.

Methods

A cross-sectional study was conducted of 200 Saudi children, who were randomly selected from the pediatric clinics at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. Anthropometric variables were measured for all study subjects. Fasting blood samples were collected for measurement of blood glucose, insulin, and lipid profile.

Results

Almost half of the study population was overweight and one tenth was obese according to body mass index levels, irrespective of sex. The prevalence of central obesity was higher using the waist-height ratio as opposed to waist circumference and this was true for both sexes. Significantly higher means levels of glucose, insulin, and lipids (P <0.0001 in all) were seen among overweight and obese children than their lean counterparts. All obesity measures in children were significantly associated with cardiovascular risk factors.

Conclusion

The severity of overall and abdominal obesity in Saudi children is associated with a higher prevalence of cardiovascular risk factors, with the relationship strength varying by sex.

The full text of this article is available in PDF format.

Keywords : Children, Adolescent, Body mass index, Waist circumference, Waist-height ratio, Cardiovascular risk factors




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