scholarly journals Metabolic syndrome in Thai adolescents and associated factors: the Thai National Health Examination Survey V (NHES V)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sirinapa Siwarom ◽  
Wichai Aekplakorn ◽  
Kwanchai Pirojsakul ◽  
Witchuri Paksi ◽  
Pattapong Kessomboon ◽  
...  
Keyword(s):  
Physical Activity ◽  
Metabolic Syndrome ◽  
National Health ◽  
Screen Time ◽  
International Diabetes Federation ◽  
Health Examination ◽  
Time Frequency ◽  
Screen Media ◽  
Thai Adolescents ◽  
Health Examination Survey

Abstract Background Presence of metabolic syndrome (MetS) in early life may influence cardiovascular outcome later in adulthood. There is limited data regarding MetS among Thai adolescents. This study aimed to estimate the prevalence of MetS and related factors in Thai adolescents. Methods Data on MetS components of 1934 Thai adolescents aged 10–16 years were obtained from the 5th National Health Examination Survey. Age at first screen time exposure, duration of screen time, frequency of food intake and physical activities were collected from interviews. MetS was defined according to 3 definitions: International Diabetes Federation (IDF), Cook’s, and de Ferranti’s. Results The prevalence of MetS was 4.1% by IDF, 8.0% by Cook’s, and 16.8% by de Ferranti’s definition. The overall prevalence was higher in male (19.0%) than female adolescents (15.3%). The most common MetS components composition among Thai adolescents was high waist circumference with high serum triglyceride and low HDL-cholesterol (40.0% for IDF, 22.6% for Cook’s and 43.5% for de Ferranti’s definition). Exposure to screen media during the first 2 years of life had a 1.3- fold increased odds of MetS by 1 out of 3 definitions (OR 1.30, 95% CI. 1.01–1.68). Duration of physical activity associated with decreased odds of MetS by Cook’s definition (OR 0.96, 95% CI. 0.92–0.99). Conclusions The prevalence of MetS among Thai adolescents was higher than previously reported by other studies. Screen media exposure during the first 2 years of life should be discouraged and measures to promote physical activity among children and adolescents should be strengthen.

Waist-to-Height Ratio Is a Good Predictor of Metabolic Syndrome in Adolescents: A Report From the Thai National Health Examination Survey V, 2014

2021 ◽  
pp. 101053952110464
Author(s):  
Sirinapa Siwarom ◽  
Kwanchai Pirojsakul ◽  
Wichai Aekplakorn ◽  
Witchuri Paksi ◽  
Pattapong Kessomboon ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Waist Circumference ◽  
Sensitivity And Specificity ◽  
National Health ◽  
Health Examination ◽  
Z Score ◽  
Height Ratio ◽  
Cutoff Value ◽  
Health Examination Survey ◽  
Waist To Height Ratio

This study aimed to assess the performance of waist-to-height ratio (WHtR) in the prediction of metabolic syndrome and to determine the appropriate cutoff value in Thai adolescents. Demographic data, blood pressure, fasting blood glucose, and lipid profile were obtained from the Thai National Health Examination Survey V database. The performances of WHtR, waist circumference, body mass index (BMI), and BMI z-score were analyzed by the receiver operating characteristics. Among 2644 adolescents, metabolic syndrome was identified in 4.27%. The areas under the receiver operating characteristic curves of WHtR, waist circumference, BMI, and BMI z-score were comparable (0.924-0.960). Performance of WHtR was more constant across age groups compared with other parameters. Using the cutoff value of WHtR at 0.5 resulted in the sensitivity and specificity of 98.5%/83.4% and 88.9%/86.0% in males and females, respectively. In conclusion, the cutoff value of WHtR at 0.5 provided good sensitivity and specificity for identifying metabolic syndrome in both genders. However, the other clinical risk factors or more definite scores should be considered when further assessment.

scholarly journals PHYSICAL ACTIVITY, CARDIORESPIRATORY FITNESS AND METABOLIC SYNDROME IN ADOLESCENTS

2018 ◽  
Vol 24 (4) ◽  
pp. 253-257
Author(s):  
Raphael Gonçalves de Oliveira ◽  
Dartagnan Pinto Guedes
Keyword(s):  
Physical Activity ◽  
Metabolic Syndrome ◽  
Sedentary Behavior ◽  
Cardiorespiratory Fitness ◽  
Screen Time ◽  
International Diabetes Federation ◽  
Level Of Evidence ◽  
High Prevalence ◽  
Low Levels ◽  
Activity Questionnaire

ABSTRACT Introduction: Metabolic Syndrome (MetS) has been associated with sedentary behavior, low levels of physical activity and of cardiorespiratory fitness. However, in adolescents the results are conflicting. Objective: To measure the association between sedentary behavior, physical activity, cardiorespiratory fitness and MetS in a representative sample of adolescents. Methods: The sample consisted of 1,035 adolescents (565 girls and 470 boys) between 12 and 20 years of age. Sedentary behavior was treated through recreational screen time, while information equivalent to physical activity was considered through the Physical Activity Questionnaire for Adolescents. The maximal oxygen uptake (VO2max), estimated through PACER performance, was used as an indicator of cardiorespiratory fitness. MetS was identified using the criteria of the International Diabetes Federation. Results: Adolescents of both sexes identified with MetS had significantly longer recreational screen time and lower VO2max than their unidentified MetS peers. Scores equivalent to the level of physical activity undertaken by adolescents identified and not identified with MetS were statistically similar. Probabilistically, adolescents with high recreational screen time and low VO2max had, respectively, 79% [OR = 1.79; 95% CI 1.10 – 2.82] and 95% [OR = 1.95; 95% CI 1.20 – 3.09] greater odds of being identified with MetS. Conclusion: The findings indicate consistent and significant associations between longer recreational screen time, low VO2max values and high prevalence of MetS, which suggests specific interventions designed to help minimize cardiometabolic risk exposure from a very early age. Level of Evidence III; Prognostic Studies - Investigating the Effect of a Patient's Characteristics on the Disease Outcome.

scholarly journals Work absence and multimorbidity in Portugal: results from the 1st National Health Examination Survey

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Matos ◽  
C Matias Dias ◽  
A Félix
Keyword(s):  
Logistic Regression ◽  
Regression Model ◽  
Chronic Diseases ◽  
National Health ◽  
Logistic Regression Model ◽  
Health Examination ◽  
Work Absence ◽  
Health Examination Survey ◽  
Absence From Work ◽  
The Impact

Abstract Background Studies on the impact of patients with multimorbidity in the absence of work indicate that the number and type of chronic diseases may increase absenteeism and that the risk of absence from work is higher in people with two or more chronic diseases. This study analyzed the association between multimorbidity and greater frequency and duration of work absence in the portuguese population between the ages of 25 and 65 during 2015. Methods This is an epidemiological, observational, cross-sectional study with an analytical component that has its source of information from the 1st National Health Examination Survey. The study analyzed univariate, bivariate and multivariate variables under study. A multivariate logistic regression model was constructed. Results The prevalence of absenteeism was 55,1%. Education showed an association with absence of work (p = 0,0157), as well as professional activity (p = 0,0086). It wasn't possible to verify association between the presence of chronic diseases (p = 0,9358) or the presence of multimorbidity (p = 0,4309) with absence of work. The prevalence of multimorbidity was 31,8%. There was association between age (p < 0,0001), education (p < 0,001) and yield (p = 0,0009) and multimorbidity. There is no increase in the number of days of absence from work due to the increase in the number of chronic diseases. In the optimized logistic regression model the only variables that demonstrated association with the variable labor absence were age (p = 0,0391) and education (0,0089). Conclusions The scientific evidence generated will contribute to the current discussion on the need for the health and social security system to develop policies to patients with multimorbidity. Key messages The prevalence of absenteeism and multimorbidity in Portugal was respectively 55,1% and 31,8%. In the optimized model age and education demonstrated association with the variable labor absence.

Attributes of the radiographic standard of reference for the National Health Examination Survey

1971 ◽  
Vol 35 (3) ◽  
pp. 331-337 ◽  
Author(s):  
S. Idell Pyle ◽  
Alice M. Waterhouse ◽  
William Walter Greulich
Keyword(s):  
National Health ◽  
Health Examination ◽  
Health Examination Survey

scholarly journals Effects of physical fitness training on metabolic syndrome among military personnel in Taiwan

2021 ◽  
pp. bmjmilitary-2020-001761
Author(s):  
Che-Fu Chang ◽  
Y-C Wu ◽  
C-H Lai ◽  
P-C Chen ◽  
Y-L Guo
Keyword(s):  
Physical Activity ◽  
Metabolic Syndrome ◽  
Physical Fitness ◽  
Military Personnel ◽  
Density Lipoprotein ◽  
Training Programme ◽  
Health Examination ◽  
Running Performance ◽  
Fitness Training ◽  
The Impact

IntroductionMetabolic syndrome (MS) is strongly associated with cardiovascular diseases and diabetes but can be prevented with regular physical activity. This study aimed to assess the impact of a physical fitness training programme on MS among military personnel.MethodsThis retrospective observational study included volunteer army soldiers who underwent annual health examinations between 2011 and 2014. In 2011, the reformed physical fitness training programme and physical fitness test were introduced to the participants. MS evaluation and physical fitness performances were evaluated before and after implementing the training programme using a mixed-effects model and generalised estimating equation, adjusted for sex, age and smoking.ResultsFrom 2011 to 2014, 1720 soldiers underwent the annual health examination. In 2011, before the fitness programme, 246 soldiers (14.3%) had MS. After implementation, decreases in blood pressure and fasting glucose levels were observed and maintained for 3 years. Running performance was negatively correlated to triglycerides (ß=−11.37; p<0.001) and waist circumference (ß=−0.42; p<0.001) and positively correlated to high-density lipoprotein cholesterol levels (ß=2.14; p<0.001). The severity of MS was reduced following introduction of the physical fitness programme.ConclusionsMS and its components improved after introducing the reformed fitness programme, with running performance proving to be most relevant to MS. Clinicians should encourage increased physical activity to prevent MS among military personnel.

Sign in / Sign up

Export Citation Format

Share Document