scholarly journals PENENTUAN DIAGNOSIS SINDROM METABOLIK BERDASARKAN PENILAIAN SKOR SINDROM METABOLIK DAN NCEP ATP-III PADA REMAJA [PENELITIAN DI BEBERAPA SMA DI KOTA BOGOR]

Author(s):  
Reviana Christijani

ABSTRACT Metabolic syndrome is a group of several symptoms of metabolic disorders, such as dyslipidemia, hyperglycemia, hypertension, dan central obesity. Metabolic syndrome does not only happens to adult, but also to the younger age which has further risk to type 2 diabetes melitus and cardiovascular diseases. Therefore, early detection and management to this syndrome for teenager is extremely important in order to prevent the comorbidities in the future. The aim of this study was to compare the sensitivity and specificity between NCEP-ATP III method and metabolic syndrome score as the examinations to determine the metabolic syndrome. This was a cross sectional study that was held on 2012. This study was held in some senior high schools in Bogor City. The samples of this study were 262 senior high school students with the range of age 15-19 years old and fulfill the inclusion criterias. The collected data were some needed characteristics of the respondents, such as gender, body mass index, abdominal circumference, waist circumference, fasting blood sugar, triglyceride, and blood pressure. This study found that the prevalence of the metabolic syndrome in teenager in Bogor City was higher (50,4%) with the NCEP ATP III method than the scoring methods (14,9%). The sensitivity and specificity test found that scoring method had lower sensitivity (<25%) and higher specificity (>96%) . This high specificity showed us that scoring system can be used to strengthen our presumption to metabolic syndrome, instead of diagnosing the metabolic syndrome itself. Keywords: metabolic syndrome, adolescent, diagnostic   ABSTRAK Sindroma metabolik merupakan kumpulan gejala kelainan metabolik tubuh yang mencakup dislipidemia, hiperglikemia, hipertensi, dan obesitas sentral. Sindroma metabolik tidak hanya terjadi pada usia dewasa, tetapi juga usia muda yang berisiko terhadap penyakit diabetes melitus tipe 2 dan penyakit kardiovaskuler. Deteksi dan manajemen dini terhadap permasalahan sindroma metabolik pada remaja sangat penting dan belum banyak dilakukan penelitian. Penelitian ini bertujuan menganilisis perbandingan sensitivitas dan spesifitas pemeriksaan sindroma metabolik yang menggunakan metode penilaian NCEP–ATP III sebagai baku standar dengan metode penilaian dengan skor sindroma metabolik. Disain penelitian ini cross-sectional yang dilakukan pada tahun 2012. Sampel penelitian ini adalah 262 siswa SMA Kota Bogor yang berusia 15-19 tahun dan memenuhi kriteria inklusi yaitu remaja usia15-19 tahun,bersedia ikut dalam penelitian, tidak dalam pengobatan diabetes atau hipertensi serta diijinkan orangtua. Data yang dikumpulkan mencakup jenis kelamin, IMT, lingkar perut, lingkar pinggang, GDP, trigliserida, dan tekanan darah.  Penelitian menghasilkan prevalensi sindroma metabolik pada remaja berdasarkan kriteria NCEP ATP-III sebesar 50,4 persen lebih besar dibandingkan prevalensi berdasarkan metode skoring yaitu 14,9 persen. Hasil uji sensitivitas dan spesifitas didapatkan sindroma metabolik sistem skoring memiliki sensitivitas lebih rendah (<25%) dan spesifitas lebih tinggi di atas (>96%). Spesifitas tinggi ini menunjukan sistem skoring dapat digunakan untuk memperkuat dugaan sindroma metabolik, bukan untuk mendiagnosis adanya sindroma metabolik. [Penel Gizi Makan 2019, 42(1):21-28] Kata kunci: sindroma metabolik, remaja, diagnosis

2013 ◽  
Vol 2 (4) ◽  
pp. 20
Author(s):  
María Juana Castillo Arreguín ◽  
Ruth Barroso Muñoz ◽  
Javier Alonso Trujillo

<div>Resumen&nbsp;</div><div>Introducci&oacute;n: Actualmente la prevalencia de S&iacute;ndrome Metab&oacute;lico (SM) en los adolescentes mexicanos va en incremento, y los criterios para su diagn&oacute;stico a&uacute;n son heterog&eacute;neos. El SM tiene la capacidad de predecir riesgos vinculados a la diabetes y las enfermedades cardiovasculares.</div><div>Objetivo: Comparar la prevalencia de SM en adolescentes que estudian en dos planteles educativos y ponderar los factores de riesgo en cada caso. Metodolog&iacute;a: Estudio transversal comparativo y anal&iacute;tico, llevado a cabo en 67 adolescentes de 14-18 a&ntilde;os de edad, procedentes del CBTis No.227 (n=32) y la secundaria No.96 (n=35), seleccionados de manera aleatoria. Se realizaron mediciones cl&iacute;nicas, antropom&eacute;tricas, nivel de sedentarismo y adictivas. Se asumi&oacute; el criterio ATP III para diagnosticar SM. Se aplic&oacute; X2. Nivel &alpha; &le; 0.05. Resultados: La prevalencia de SM en CBTis fue 6% y en la Secundaria fue 23%. En los alumnos del CBTis los factores de riesgo que se asociaron &nbsp;significativamente con SM fueron; Hipertensi&oacute;n arterial, &nbsp;Hipertrigliceridemia, Per&iacute;metro abdominal y Sobrepeso/Obesidad. En los alumnos de secundaria fueron Hipertrigliceridemia, Per&iacute;metro abdominal, Sobrepeso/Obesidad y en el l&iacute;mite, el Sedentarismo (p = 0.058). Discusi&oacute;n: Se encontr&oacute; una diferencia significativa en SM, Bajo nivel de HDLc y sedentarismo entre ambos planteles, probablemente se deba a la alimentaci&oacute;n y actividad f&iacute;sica espec&iacute;ficamente. Conclusi&oacute;n: La prevalencia de SM fue relativamente baja en ambos grupos escolares. Epidemiol&oacute;gicamente no se considera riesgo a los factores evaluados ya que se presentaron pocos casos de SM, sin embargo, los casos del CBTis, presentaron hipertensi&oacute;n arterial, hipertrigliceridemia, per&iacute;metro abdominal, sobrepeso/obesidad, sedentarismo, alcoholismo y tabaquismo.</div><div><br /></div><div>Palabras clave: S&iacute;ndrome metab&oacute;lico, adolescentes, sedentarismo, alcoholismo y tabaquismo.</div><div><br /></div><div>Abstract&nbsp;</div><div>Introduction: Currently the prevalence of metabolic syndrome (MS) among Mexican adolescents is on the increase, and the criteria for diagnosis are still heterogeneous. MS has the ability to predict risks associated with diabetes and cardiovascular disease.&nbsp;</div><div>Objective: To compare the prevalence of MS in teenagers studying at two schools, weighing the risk factors in each case.&nbsp;</div><div>Methodology: Cross-sectional study comparative and analytical, conducted 67 adolescents 14-18 years of age, from the CBTis No.227 (n = 32) and the secondary No.96 (n = 35), selected randomly. They were measured clinical, anthropometric, level of sedentary and addictive. It took the ATP III criteria to diagnose MS. Applied X 2. Level &alpha; &le; 0.05.&nbsp;</div><div>Results: The prevalence of MS in CBTis was 6% and in the secondary was 23%. Risk factors significantly associated with MS CBTis students were; Arterial hypertension, hypertriglyceridemia, abdominal perimeter and Overweight/obesity. High school students were hypertriglyceridemia, abdominal perimeter, Overweight/obesity and on the edge, the sedentary lifestyle (p = 0.058).&nbsp;</div><div>Discussion: Found a significant difference in MS, low-level HDLc and sedentary lifestyle between both campuses, probably due to food and physical activity specifically.&nbsp;</div><div>Conclusion: The prevalence of MS was relatively low in both school groups. Epidemiologically not considered risk factors evaluated since few cases of MS, however, arose the CBTis cases, had hypertension, hypertriglyceridemia, abdominal perimeter, Overweight/obesity, sedentary lifestyle, alcoholism and smoking.</div><div><br /></div><div>Key words: Metabolic Syndrome, Adolescents, Sedentary Lifestyle, Alcoholism and Smoking.</div><div><br /></div>


2017 ◽  
Vol 14 (2) ◽  
pp. 80
Author(s):  
Zahra Anggita Pratiwi ◽  
Mubasysyir Hasanbasri ◽  
Emy Huriyati

Background: The risk of death caused by non-communicable diseases is related to metabolic syndrome. Metabolic syndrome not only occurs in adults, but also occurs in adolescents. The problem of metabolic syndrome in adolescents shows the importance of early detection and management. Early detection of metabolic syndrome in adolescents can be done through non-invasive approaches such as anthropometric measurements. However, the definition of metabolic syndrome has so far not reached an agreement.Objective: This study aims 1) To know the intersection points of adolescent metabolic syndrome 2) To know the best anthropometry parameters for detecting metabolic syndrome in adolescents.Method: This study used cross sectional design, using Riskesdas 2013 survey data. The sample size of this study was 3273 adolescents aged 15-24 years. The analysis using receiver operating characteristic curve (ROC) indicated the accuracy of the score to diagnose metabolic syndrome, supported by area under the curve (AUC) results. The best parameters were seen from the largest AUC values, taking into account the sensitivity and specificity values.Results: The metabolic syndrome scores in general for Indonesian adolescents=2.21 (sensitivity=83%, specificity=84%). Specific cutoff point for women=2.02 (sensitivity=84%, specificity=85%), and for males=2.40 (sensitivity=86%, specificity=82%). The best anthropometric parameters for detecting metabolic syndrome in adolescents are abdominal circumference (AUC=0.77; sensitivity=71%, specificity=67%).Conclusion: Abdominal circumference has the best validity and can be used for early detection of the risk of metabolic syndrome in adolescents


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jean Xavier Ekouelkoum Ngoude ◽  
Vicky Jocelyne Ama Moor ◽  
Tsobgny Tsague Nadia-Flore ◽  
Batakeh B. Agoons ◽  
Gamgne Guiadem Catherine Marcelle ◽  
...  

Abstract Background Oral health is a frequently ignored aspect of global health in sub-Saharan patients. Periodontitis, a very frequent oral disease has been proven to be associated to development of the metabolic syndrome. This study aims to evaluate the relationship between periodontal disease and metabolic syndrome components in a sub-Saharan population. Methods We performed a cross sectional study in 3 Yaounde hospitals. Consenting adults aged 21 years and above were recruited. Participants who presented with a tooth loss of at least 50% or any condition which could alter values of biological and periodontal parameters (tobacco smoking, pregnancy, chronic kidney disease, cancer) were excluded. Metabolic syndrome elements (glycaemia, arterial pressure, HDL cholesterol, abdominal circumference, triglycerides) and periodontal variables were recorded (plaque and gingival index of Silness and Loe, periodontal pocket depth and clinical attachment loss). These variables were compared using Fisher’s exact Test and odds ratio calculated with 95% confidence intervals. Results The prevalence of periodontitis and metabolic syndrome were 43.4% and 10.8% respectively. Age (37.75 ± 13.25, P < 0.001) and poor accessory brushing methods were associated risk factors for development of periodontal disease. Sub-Saharan sindividuals with periodontitis had increased odds of having obesity (OR 11.1 [95% CI 3.97–31.03], P < 0.001) and low HDL (OR 4.58 [95% CI 1.79–11.70], P = 0.001) Conclusion Our findings suggest an association between periodontal disease and metabolic syndrome in Sub-Saharan subjects. Increasing age and poor accessory brushing methods are associated risk indicators.


2020 ◽  
Vol 6 (2) ◽  
pp. 151
Author(s):  
Muhammad Asriadi ◽  
Edi Istiyono

This study aims to determine the ability of creative thinking high school students in physics learning, know the form of assessment of creative thinking abilities. The study was conducted at SMAN 6 Yogyakrata. This type of research is a survey with a cross-sectional method that is a survey conducted once and at a time. The subjects were the principals, teachers of physics from SMAN 6 Yogyakrata and 30 grade XI students. observations, interviews, and questionnaires were used as data collection techniques. The data analysis method used was the quantitative-qualitative descriptive analysis. The results showed that the creative thinking ability of class XI MIA 1 students at SMAN 6 Yogyakarta can be said to be in the average and quite good category, although there are some students whose level of creative thinking ability is low. In addition, the form of assessment used by physics teachers has not been effective and accurate enough in assessing students 'creative thinking abilities. So it is recommended to use The Torrance Tests of Creative Thinking (TTCT) in physics learning because it has been proven to be accurate in assessing students' creative thinking abilities.


2016 ◽  
pp. 7-11
Author(s):  
Vinh Phu Hoang ◽  
Tam Vo ◽  
Van Tien Le ◽  
Thi Hoai Huong Vo

Objective: To review disorders elements of the metabolic syndrome in patients with end-stage chronic renal failure on dialysis cycle. Materials and methods: A cross sectional descriptive study of 85 patients including end-stage chronic renal failure in dialysis cycle from 5/2015 - 9/2016 at the Department of Artificial Kidney, Hue Central Hospital. Results: The prevalence of metabolic syndrome in dialysis patients was 37.65%. The prevalence of abdominal obesity was 30.6%; The prevalence of hypertension was 72.9%, the average value systolic blood pressure and diastolic blood pressure were 142.24 ± 27.53, 80.35 ± 12.48 mmHg; The prevalence of hyperglycemia was 28%, the average value blood glucose was 4.9 ± 1.19 mmol/l; The prevalence of triglyceride increase was 34.1%, the average value triglyceride was 1.59 ± 0.84 mmol/l. The prevalence of HDL-C increase was 47.1%, the average value HDL-C was 1.24 ± 0.33 mmol/l. Conclusion: The prevalence of metabolic syndrome in dialysis patients is very high, in which hypertension and HDL disturbances are the highest. Key words: chronic renal failure, dialysis, metabolic syndrome


2019 ◽  
pp. 68-73
Author(s):  
Trong Nghia Nguyen ◽  
Thi Nhan Nguyen ◽  
Thi Dua Dao

Background: The metabolic syndrome is a constellation of cardiometabolic risk factors that tend to cluster together in affected individuals more often than predicted by chance. The presence of the metabolic syndrome substantially increases the risk of developing type 2 diabetes and cardiovascular disease, and is associated with a range of adverse clinical outcomes, many of which are closely associated with aging. Current estimates suggest that approximately 20 - 25% of the world’s population is affected by the metabolic syndrome. The prevalence of the metabolic syndrome rises with age and more than 45% of people aged over 60 years have the metabolic syndrome. Recent studies show that low vitamin D status is very common in the world and this is a risk factor of metabolic syndrome. Objective: (1) Plasma 25-hydroxyvitamin D concentration in subjects with metabolic syndrome. (2) Cut off value of plasma 25-hydroxyvitamin D concentration for predicting metabolic syndrome. Material and method: A cross-sectional study with control group on 318 adult subjects for health examinations at International Medical Center at Hue Central Hospital, including 139 subjects with metabolic syndrome and control group of 179 healthy subjects. Metabolic syndrome was defined according to the IDF, NHLBI, AHA, WHF, IAS, IASO (2009). Plasma hydroxyvitamin D concentration was measured using chemiluminescent microparticle immunoassay. Reciever operating characteristic (ROC) curve were generated to assess sensitivity and specificity for different cut off value of 25-hydroxyvitamin D concentration for predicting metabolic syndrome. Results: Plasma 25-hydroxyvitamin D concentration in subjects with metabolic syndrome was 26.4 ng/ml, incidence of plasma 25-hydroxyvitamin D deficiency (59.7%) was significantly higher than in control group (23.5%) (p < 0.001). The optimal cut off point for 25-OH-D concentration for predictor of metabolic syndrome as 26.4 ng/ml (AUC=0.657, sensitivity=53.4%, specificity=71.6%). Conclusion: In 139 subjects with metabolic syndrome, the plasma 25-hydroxyvitamin D concentration was 26.4 ng/ml and the incidence of 25-hydroxyvitamin D deficiency in the metabolic syndrome group was 59.7%. The optimal cut off point for plasma 25-hydroxyvitamin D concentration for predictor of metabolic syndrome as 26.4 ng/ml. Key words: Metabolic syndrome, 25-hydroxyvitamin D


Author(s):  
James D. Yates ◽  
Jeffrey W. F. Aldous ◽  
Daniel P. Bailey ◽  
Angel M. Chater ◽  
Andrew C. S. Mitchell ◽  
...  

Hypertension and metabolic syndrome (METSYN) are reportedly high in police forces. This may contribute to health deterioration and absenteeism in police personnel. Police forces comprise of staff in ‘operational’ and ‘non-operational’ job types but it is not known if job type is associated to hypertension and METSYN prevalence. This study aimed to explore the prevalence of hypertension and METSYN, the factors associated with the risk of hypertension and METSYN, and compare physiological, psychological, and behavioural factors between operational and non-operational police personnel. Cross-sectional data was collected from 77 operational and 60 non-operational police workers. Hypertension and METSYN were prevalent in 60.5% and 20% of operational and 60.0% and 13.6% of non-operational police personnel, respectively (p > 0.05). Operational job type, moderate organisational stress (compared with low stress) and lower high-density lipoprotein cholesterol were associated with lower odds of hypertension, whereas increasing body mass index was associated with increased odds of hypertension (p < 0.05). None of the independent variables were significantly associated with the odds of METSYN. Operational police had several increased cardiometabolic risk markers compared with non-operational police. Given the high prevalence of hypertension and METSYN in operational and non-operational personnel, occupational health interventions are needed for the police and could be informed by the findings of this study.


2020 ◽  
Vol 13 (1) ◽  
pp. 19-22
Author(s):  
Sarita Tuladhar ◽  
Jamuna Gurung

Introduction: Conjunctivitis is a common health problem in Nepal. It is inflammation of conjunctiva presenting as red eye. It is a communicable eye disease. Health education to the students and proper management can help spread of the disease. Knowledge of conjunctivitis among school students will help in prevention of the disease. So the study was carried out to assess the knowledge of conjunctivitis among high school students in Pokhara valley of Western Nepal. Materials/ Methods: A school based cross sectional study was performed among six government schools in western Nepal from May 2019 to June 2019. Students from grade eight, nine and ten were included in the study. Data was collected using structured questionnaire including demographic data, knowledge regarding sign symptoms of conjunctivitis, treatment, prevention, complication of conjunctivitis. Data was analysed using SPSS version 11.6. Result: A total of 523 students were included in the study. The mean age of the students was 14.7 ± 1.2 years with majority of females (53%). Nearly 2/3rd of the students (61.6%) had heard of conjunctivitis. Majority of the students (87.4%) of the students mentioned that it is communicable while 80.3% of the students correctly mentioned its etiology. Majority of the students (97.9%) mentioned that it is curable with treatment as first option (97.5%). Majority of the students (98.3%) correctly responded to the preventive measures but majority of the students (83.2%) wrongly mentioned mode of transmission. Conclusion: Secondary school students in Western Nepal have poor knowledge of conjunctivitis. Appropriate eye health education should be given to school students to prevent rapid spread of infective conjunctivitis.  


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