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儿童代谢综合征的诊断标准:范围界定审查
Authors Díaz-Ortega JL , Yupari-Azabache IL , Caballero Vidal JA, Conde-Parada NE, Rojas Gamboa AF
Received 8 August 2023
Accepted for publication 10 October 2023
Published 3 November 2023 Volume 2023:16 Pages 3489—3500
DOI https://doi.org/10.2147/DMSO.S430360
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Prof. Dr. Juei-Tang Cheng
Abstract: Currently, there is no consensus on the criteria for identifying metabolic syndrome in children, as observed in the diversity of research developed. For this reason, a scoping review was developed in this work, in order to compare the criteria for the diagnosis of metabolic syndrome (MetS) applied in children, described in observational, descriptive cross-sectional studies. The databases PubMed, Scopus, Web of Science and the search engine Google Scholar were used. The search terms “metabolic syndrome”, “cardiometabolic syndrome”, “child”, “children” and “childhood” were considered, as well as the names of organizations or authors proposing identification criteria for MetS to establish search relationships using the Boolean connectors “AND” and “OR”. Likewise, two reviewers carried out the evaluation and selection of articles, of which 26 articles were included in which children aged 6 to 12 participated. It was found that the most commonly used criteria for identifying MetS since 2015 are those of Cook et al, IDF, NCEP ATPIII, and De Ferranti et al, in that order. Specific criteria, such as those proposed by Cook et al, are being chosen to enhance the accuracy of identifying MetS in children. The most common risk factors in children with MetS are abdominal circumference and BMI, followed by triglycerides, HDL, blood pressure, and blood glucose. The prevalence of MetS in children varies according to the criteria used, being higher with De Ferranti et al.
Keywords: metabolic syndrome, child, diagnosis, cholesterol, triglycerides, obesity (thesaurus: DeCS/MeSH)