Abdominal obesity, metabolic dysfunction, and metabolic syndrome in U.S. adolescents: National Health and Nutrition Examination Survey 2011–2016

The objectives were to use National Health and Nutrition Examination Survey data to (1) estimate the prevalence of metabolic syndrome (MetS) risk factors (elevated blood pressure, triglycerides, blood glucose, and low HDL cholesterol); (2) estimate the prevalence of MetS using three common definitio...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Annals of epidemiology 2019-02, Vol.30, p.30-36
Hauptverfasser: Gaston, Symielle A., Tulve, Nicolle S., Ferguson, Tekeda F.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 36
container_issue
container_start_page 30
container_title Annals of epidemiology
container_volume 30
creator Gaston, Symielle A.
Tulve, Nicolle S.
Ferguson, Tekeda F.
description The objectives were to use National Health and Nutrition Examination Survey data to (1) estimate the prevalence of metabolic syndrome (MetS) risk factors (elevated blood pressure, triglycerides, blood glucose, and low HDL cholesterol); (2) estimate the prevalence of MetS using three common definitions; and (3) compare the odds of MetS risk factors/MetS when using different measures of abdominal obesity (sagittal abdominal diameter [SAD] versus waist circumference [WC]) among U.S. adolescents. Analyses were performed on data collected from adolescents aged 12–19 years (n = 1214) participating in the 2011–2016 National Health and Nutrition Examination Survey. Prevalence of MetS risk factors and MetS were estimated. Unadjusted and adjusted binomial/multinomial logistic regressions were performed to test associations between WC and SAD z-scores and MetS risk factors/MetS. Analyses were performed for all participants and were stratified by sex as well as race/ethnicity. Males were more likely to have MetS risk factors. Depending on sex and the definition applied, the prevalence of MetS ranged from 2% to 11% and was lowest among females. Adjusted logistic regressions showed that one z-score increase in SAD and WC resulted in similar increased odds of MetS risk factors/MetS, but associations between abdominal obesity and MetS varied by the definition applied and race/ethnicity. Metabolic dysfunction and MetS are prevalent among U.S. adolescents, and it is important to consider how MetS components and MetS are measured in population inference.
doi_str_mv 10.1016/j.annepidem.2018.11.009
format Article
fullrecord <record><control><sourceid>pubmed_cross</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6459599</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1047279718302291</els_id><sourcerecordid>30545765</sourcerecordid><originalsourceid>FETCH-LOGICAL-c475t-50bff9063ae4b29807279717901388fd2f0e05953b9d60cafce8b3cc3ac98add3</originalsourceid><addsrcrecordid>eNqFUcFu1DAQtRAVLYVfAH9AE-wkjm0OSKuqUKSqPZSeLceeUK8Se2VnV-TGN8Af8iU4Xboqp55mNDPvvZl5CL2npKSEth_WpfYeNs7CWFaEipLSkhD5Ap1QweuiYoK9zDlpeFFxyY_R65TWhBAuePUKHdeENYy37AT9WnU2jM7rAYcOkpvmMzzCpLswOIPtnPqtN5ML_gxrb5-00uxtDCNg5_FdeVtibcMAyYCf0kd8rRdMJr0EPUz3D9jr7RTdUsYXP_Qi-ZDfbuMOZpyPoH9-_s6hfYOOej0kePsvnqK7zxffzi-Lq5svX89XV4VpOJsKRrq-l6StNTRdJQXhy6WUS0JrIXpb9QQIk6zupG2J0b0B0dXG1NpIoa2tT9GnPe9m241gl82jHtQmulHHWQXt1P8d7-7V97BTbZNppcwEfE9gYkgpQn_AUqIWm9RaHWxSi02KUpVtysh3T6UPuEdf8sBqPwD5ATsHUSXjwBuwLoKZlA3uWZG_wo6scw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Abdominal obesity, metabolic dysfunction, and metabolic syndrome in U.S. adolescents: National Health and Nutrition Examination Survey 2011–2016</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals Complete</source><creator>Gaston, Symielle A. ; Tulve, Nicolle S. ; Ferguson, Tekeda F.</creator><creatorcontrib>Gaston, Symielle A. ; Tulve, Nicolle S. ; Ferguson, Tekeda F.</creatorcontrib><description>The objectives were to use National Health and Nutrition Examination Survey data to (1) estimate the prevalence of metabolic syndrome (MetS) risk factors (elevated blood pressure, triglycerides, blood glucose, and low HDL cholesterol); (2) estimate the prevalence of MetS using three common definitions; and (3) compare the odds of MetS risk factors/MetS when using different measures of abdominal obesity (sagittal abdominal diameter [SAD] versus waist circumference [WC]) among U.S. adolescents. Analyses were performed on data collected from adolescents aged 12–19 years (n = 1214) participating in the 2011–2016 National Health and Nutrition Examination Survey. Prevalence of MetS risk factors and MetS were estimated. Unadjusted and adjusted binomial/multinomial logistic regressions were performed to test associations between WC and SAD z-scores and MetS risk factors/MetS. Analyses were performed for all participants and were stratified by sex as well as race/ethnicity. Males were more likely to have MetS risk factors. Depending on sex and the definition applied, the prevalence of MetS ranged from 2% to 11% and was lowest among females. Adjusted logistic regressions showed that one z-score increase in SAD and WC resulted in similar increased odds of MetS risk factors/MetS, but associations between abdominal obesity and MetS varied by the definition applied and race/ethnicity. Metabolic dysfunction and MetS are prevalent among U.S. adolescents, and it is important to consider how MetS components and MetS are measured in population inference.</description><identifier>ISSN: 1047-2797</identifier><identifier>EISSN: 1873-2585</identifier><identifier>DOI: 10.1016/j.annepidem.2018.11.009</identifier><identifier>PMID: 30545765</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abdominal obesity ; Adolescent ; Blood Glucose ; Blood Pressure ; Body Mass Index ; Cardiovascular Diseases - epidemiology ; Cholesterol, HDL - blood ; Diabetes Mellitus, Type 2 - epidemiology ; Female ; Humans ; Male ; Metabolic syndrome ; Metabolic Syndrome - epidemiology ; Nutrition Surveys ; Obesity, Abdominal - epidemiology ; Prevalence ; Race factors ; Risk Factors ; Sagittal Abdominal Diameter ; Socioeconomic Factors ; Triglycerides - blood ; United States ; United States - epidemiology ; Waist Circumference</subject><ispartof>Annals of epidemiology, 2019-02, Vol.30, p.30-36</ispartof><rights>2018 Elsevier Inc.</rights><rights>Copyright © 2018 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-50bff9063ae4b29807279717901388fd2f0e05953b9d60cafce8b3cc3ac98add3</citedby><cites>FETCH-LOGICAL-c475t-50bff9063ae4b29807279717901388fd2f0e05953b9d60cafce8b3cc3ac98add3</cites><orcidid>0000-0001-9495-1592</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.annepidem.2018.11.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30545765$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gaston, Symielle A.</creatorcontrib><creatorcontrib>Tulve, Nicolle S.</creatorcontrib><creatorcontrib>Ferguson, Tekeda F.</creatorcontrib><title>Abdominal obesity, metabolic dysfunction, and metabolic syndrome in U.S. adolescents: National Health and Nutrition Examination Survey 2011–2016</title><title>Annals of epidemiology</title><addtitle>Ann Epidemiol</addtitle><description>The objectives were to use National Health and Nutrition Examination Survey data to (1) estimate the prevalence of metabolic syndrome (MetS) risk factors (elevated blood pressure, triglycerides, blood glucose, and low HDL cholesterol); (2) estimate the prevalence of MetS using three common definitions; and (3) compare the odds of MetS risk factors/MetS when using different measures of abdominal obesity (sagittal abdominal diameter [SAD] versus waist circumference [WC]) among U.S. adolescents. Analyses were performed on data collected from adolescents aged 12–19 years (n = 1214) participating in the 2011–2016 National Health and Nutrition Examination Survey. Prevalence of MetS risk factors and MetS were estimated. Unadjusted and adjusted binomial/multinomial logistic regressions were performed to test associations between WC and SAD z-scores and MetS risk factors/MetS. Analyses were performed for all participants and were stratified by sex as well as race/ethnicity. Males were more likely to have MetS risk factors. Depending on sex and the definition applied, the prevalence of MetS ranged from 2% to 11% and was lowest among females. Adjusted logistic regressions showed that one z-score increase in SAD and WC resulted in similar increased odds of MetS risk factors/MetS, but associations between abdominal obesity and MetS varied by the definition applied and race/ethnicity. Metabolic dysfunction and MetS are prevalent among U.S. adolescents, and it is important to consider how MetS components and MetS are measured in population inference.</description><subject>Abdominal obesity</subject><subject>Adolescent</subject><subject>Blood Glucose</subject><subject>Blood Pressure</subject><subject>Body Mass Index</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>Cholesterol, HDL - blood</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Metabolic syndrome</subject><subject>Metabolic Syndrome - epidemiology</subject><subject>Nutrition Surveys</subject><subject>Obesity, Abdominal - epidemiology</subject><subject>Prevalence</subject><subject>Race factors</subject><subject>Risk Factors</subject><subject>Sagittal Abdominal Diameter</subject><subject>Socioeconomic Factors</subject><subject>Triglycerides - blood</subject><subject>United States</subject><subject>United States - epidemiology</subject><subject>Waist Circumference</subject><issn>1047-2797</issn><issn>1873-2585</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUcFu1DAQtRAVLYVfAH9AE-wkjm0OSKuqUKSqPZSeLceeUK8Se2VnV-TGN8Af8iU4Xboqp55mNDPvvZl5CL2npKSEth_WpfYeNs7CWFaEipLSkhD5Ap1QweuiYoK9zDlpeFFxyY_R65TWhBAuePUKHdeENYy37AT9WnU2jM7rAYcOkpvmMzzCpLswOIPtnPqtN5ML_gxrb5-00uxtDCNg5_FdeVtibcMAyYCf0kd8rRdMJr0EPUz3D9jr7RTdUsYXP_Qi-ZDfbuMOZpyPoH9-_s6hfYOOej0kePsvnqK7zxffzi-Lq5svX89XV4VpOJsKRrq-l6StNTRdJQXhy6WUS0JrIXpb9QQIk6zupG2J0b0B0dXG1NpIoa2tT9GnPe9m241gl82jHtQmulHHWQXt1P8d7-7V97BTbZNppcwEfE9gYkgpQn_AUqIWm9RaHWxSi02KUpVtysh3T6UPuEdf8sBqPwD5ATsHUSXjwBuwLoKZlA3uWZG_wo6scw</recordid><startdate>20190201</startdate><enddate>20190201</enddate><creator>Gaston, Symielle A.</creator><creator>Tulve, Nicolle S.</creator><creator>Ferguson, Tekeda F.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9495-1592</orcidid></search><sort><creationdate>20190201</creationdate><title>Abdominal obesity, metabolic dysfunction, and metabolic syndrome in U.S. adolescents: National Health and Nutrition Examination Survey 2011–2016</title><author>Gaston, Symielle A. ; Tulve, Nicolle S. ; Ferguson, Tekeda F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-50bff9063ae4b29807279717901388fd2f0e05953b9d60cafce8b3cc3ac98add3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Abdominal obesity</topic><topic>Adolescent</topic><topic>Blood Glucose</topic><topic>Blood Pressure</topic><topic>Body Mass Index</topic><topic>Cardiovascular Diseases - epidemiology</topic><topic>Cholesterol, HDL - blood</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Metabolic syndrome</topic><topic>Metabolic Syndrome - epidemiology</topic><topic>Nutrition Surveys</topic><topic>Obesity, Abdominal - epidemiology</topic><topic>Prevalence</topic><topic>Race factors</topic><topic>Risk Factors</topic><topic>Sagittal Abdominal Diameter</topic><topic>Socioeconomic Factors</topic><topic>Triglycerides - blood</topic><topic>United States</topic><topic>United States - epidemiology</topic><topic>Waist Circumference</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gaston, Symielle A.</creatorcontrib><creatorcontrib>Tulve, Nicolle S.</creatorcontrib><creatorcontrib>Ferguson, Tekeda F.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of epidemiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gaston, Symielle A.</au><au>Tulve, Nicolle S.</au><au>Ferguson, Tekeda F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Abdominal obesity, metabolic dysfunction, and metabolic syndrome in U.S. adolescents: National Health and Nutrition Examination Survey 2011–2016</atitle><jtitle>Annals of epidemiology</jtitle><addtitle>Ann Epidemiol</addtitle><date>2019-02-01</date><risdate>2019</risdate><volume>30</volume><spage>30</spage><epage>36</epage><pages>30-36</pages><issn>1047-2797</issn><eissn>1873-2585</eissn><abstract>The objectives were to use National Health and Nutrition Examination Survey data to (1) estimate the prevalence of metabolic syndrome (MetS) risk factors (elevated blood pressure, triglycerides, blood glucose, and low HDL cholesterol); (2) estimate the prevalence of MetS using three common definitions; and (3) compare the odds of MetS risk factors/MetS when using different measures of abdominal obesity (sagittal abdominal diameter [SAD] versus waist circumference [WC]) among U.S. adolescents. Analyses were performed on data collected from adolescents aged 12–19 years (n = 1214) participating in the 2011–2016 National Health and Nutrition Examination Survey. Prevalence of MetS risk factors and MetS were estimated. Unadjusted and adjusted binomial/multinomial logistic regressions were performed to test associations between WC and SAD z-scores and MetS risk factors/MetS. Analyses were performed for all participants and were stratified by sex as well as race/ethnicity. Males were more likely to have MetS risk factors. Depending on sex and the definition applied, the prevalence of MetS ranged from 2% to 11% and was lowest among females. Adjusted logistic regressions showed that one z-score increase in SAD and WC resulted in similar increased odds of MetS risk factors/MetS, but associations between abdominal obesity and MetS varied by the definition applied and race/ethnicity. Metabolic dysfunction and MetS are prevalent among U.S. adolescents, and it is important to consider how MetS components and MetS are measured in population inference.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>30545765</pmid><doi>10.1016/j.annepidem.2018.11.009</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-9495-1592</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1047-2797
ispartof Annals of epidemiology, 2019-02, Vol.30, p.30-36
issn 1047-2797
1873-2585
language eng
recordid cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_6459599
source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Abdominal obesity
Adolescent
Blood Glucose
Blood Pressure
Body Mass Index
Cardiovascular Diseases - epidemiology
Cholesterol, HDL - blood
Diabetes Mellitus, Type 2 - epidemiology
Female
Humans
Male
Metabolic syndrome
Metabolic Syndrome - epidemiology
Nutrition Surveys
Obesity, Abdominal - epidemiology
Prevalence
Race factors
Risk Factors
Sagittal Abdominal Diameter
Socioeconomic Factors
Triglycerides - blood
United States
United States - epidemiology
Waist Circumference
title Abdominal obesity, metabolic dysfunction, and metabolic syndrome in U.S. adolescents: National Health and Nutrition Examination Survey 2011–2016
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T02%3A11%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-pubmed_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Abdominal%20obesity,%20metabolic%20dysfunction,%20and%20metabolic%20syndrome%20in%20U.S.%20adolescents:%20National%20Health%20and%20Nutrition%20Examination%20Survey%202011%E2%80%932016&rft.jtitle=Annals%20of%20epidemiology&rft.au=Gaston,%20Symielle%20A.&rft.date=2019-02-01&rft.volume=30&rft.spage=30&rft.epage=36&rft.pages=30-36&rft.issn=1047-2797&rft.eissn=1873-2585&rft_id=info:doi/10.1016/j.annepidem.2018.11.009&rft_dat=%3Cpubmed_cross%3E30545765%3C/pubmed_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/30545765&rft_els_id=S1047279718302291&rfr_iscdi=true