THE PATTERN OF METABOLIC SYNDROME IN CHILDREN WITH ABDOMINAL OBESITY.

The aim - to identify and quantify MS criteria in children with abdominal obesity and to detect the most frequent MS patterns for their farther prognosis and treatment. Out of 1600 observed children 88 were found to be abdominally obese (waist circumference more than 90-th percentile according to age and gender). Children were divided into 4 groups: group 1 - 13 children with single abdominal obesity criterion, group 2 - 31 children with abdominal obesity and one MS criterion, group 3 - 28 children with abdominal obesity and 2 MS criteria, group 4 - 16 children with abdominal obesity and three MS criteria. Study consists of clinical examination, anthropometric data estimation - mass, height, neck, waist and hip circumference, calculating of body mass index, waist / hip ratio, body surface. Cholesterol, HDL-C, LDL-C, VLDL-C, TG, fasting glucose and insulin in the blood were estimated. HOMA-IR and FG/fasting insulin ratio were calculated by formulas. Comparisons were done by Student's T-test (for parametric data), Mann-Whitney U test (non-parametric data). The software was Statistica.10 and MS Excel. MS has increased along with the growth in the prevalence of abdominal obesity in children. The most often MS patterns in children were BP more than 130/85 mm Hg/carbohydrate metabolism discharge /high TG and BP more than 130/85 mm Hg /carbohydrate metabolism discharge/decreased HDL-C. Abdominally obese children should be screened early for MS pattern and treated according to it.