Diagnosis of metabolic syndrome in pediatric practice
https://doi.org/10.34680/2076-8052.2025.2(140).323-331
Abstract
Obesity and metabolic syndrome in the pediatric population are an urgent problem of modern pediatric science. This pathology carries short-term and long-term problems. At the same time, early detection and treatment, as a rule, neutralize serious health problems, since they are initially functional in nature. The article discusses the prevalence, cardinal symptoms of metabolic syndrome in pediatric practice, the relevance of the issue under consideration is highlighted from the standpoint of world experience. The symptom complex of metabolic syndrome combines abdominal obesity, arterial hypertension, impaired lipid spectrum and insulin resistance. The presence of these metabolic disorders increases the risk of developing heart disease and type 2 diabetes. The authors conclude that a multi-level approach, starting with preventive measures in primary care, to therapeutic ones in specialized centers and hospitals, including both medical and educational activities, can effectively help such patients. Early detection of metabolic syndrome components in children can reduce future morbidity and mortality.
About the Authors
N. G. Larina
Yaroslav-the-Wise Novgorod State University
Russian Federation
Russian Federation
Veliky Novgorod
K. E. Kudryavtsev
Yaroslav-the-Wise Novgorod State University
Russian Federation
Russian Federation
Veliky Novgorod
L. V. Secheneva
Yaroslav-the-Wise Novgorod State University
Russian Federation
Russian Federation
Veliky Novgorod
D. V. Larin
Yaroslav-the-Wise Novgorod State University; Regional children's clinical hospital
Russian Federation
Russian Federation
Veliky Novgorod
References
1. Cvetković B., Cvetković M., Petrušič T., Đorđić V., Bubanj S., Popović B., Andrašić S., Buišić S., Bogataj Š. Nutrition and physical activity behavior in 11–14-year-old schoolchildren in Serbia // Children (Basel). 2021. 8 (8). 625. DOI: 10.3390/children8080625
2. Almukhanova A. B., Raisova A. E., Zainutdinova N. R., Zinbai F. A. Prevalence of metabolic syndrome in children and adolescents (literature review) // Bulletin of KazNMU. 2021. 1. 78–80. DOI: 10.53065/kaznmu.2021.92.14.018 (In Russian).
3. Samoshkina E. S., Balykova, L. A., Shirokova A. A., Krasnopolskaya A. V., Soldatov O. M., Urzyaeva L. N. Metabolic syndrome in children and adolescents: the current state of the problem // Pediatria. Journal named after G. N. Speransky. 2022. 101 (6). 138–145. DOI: 10.24110/0031-403X-2022-101-6-138-145 (In Russian).
4. Pavlova A. A., Klyuchnikov S. O., Tarasova M. S., Feshchenko V. S., Zholinsky A. V., Parastaev S. A. Metabolic syndrome: risks in children's and youth sports // Medicine of extreme situations. 2023. 2. 33–39. DOI: 10.47183/mes.2023.014 (In Russian).
5. Reaven G. M. Banting lecture. Role of insulin resistance in human disease // Diabetes. 1988. 37 (12). 1595–1607. DOI: 10.2337/diab.37.12.1595
6. Atlas of Childhood Obesity. World Obesity Federation (WOF). London UK, 2019.
7. Jebeile H., Kelly A. S., O’Malley G., Baur L. A. Obesity in children and adolescents: epidemiology, causes, assessment, and management // Lancet diabetes and endocrinology. 2022. 10 (5). 351–365. DOI: 10.1016/S2213-8587(22)00047-X
8. Cai J., Zhao Y., Wang J., Wang L. Influencing factors of children’s physical activity in family // BMC public health. 2022. 22 (1). 787. DOI: 10.1186/s12889-022-13235-4
9. Zakharova I. N., Malyavskaya S. I., Tvorogova T. M., Vasilyeva S. V., Dmitrieva Yu. A., Pshenichnikova I. I. Metabolic syndrome in children and adolescents // Medical advice. 2016. 16. 103–109. (In Russian).
10. Leister K. R., Cilhoroz B. T., Rosenberg J., Brown E. C., Kim J. Y. Metabolic syndrome: operational definitions and aerobic and resistance training benefits on physical and metabolic health in children and adolescents // Diabetes and metabolic syndrome. 2022. 16 (6). 102530. DOI: 10.1016/j.dsx.2022.102530
11. Dusupova A., Dusupova B., Dusupov A., Espenbetova M., Abylkhairov K., Ospanova A., Omarova G. Early diagnosis of metabolic syndrome in children and adolescents in the city of Semey // Science and Healthcare. 2018. 20 (2). 42–53. DOI: 10.34689/SH.2018.20.2.004 (In Russian).
12. Bokova T. A., Kartashova D. A., Bevz A. S., Bokova O. A. Metabolic syndrome in children: algorithms for diagnostic and therapeutic measures // Experimental and clinical gastroenterology. 2022. 202 (6). 19–26. DOI: 10.31146/1682-8658-ecg-202-6-19-26 (In Russian).
13. Sibirskaya E. V., Karachentsova I. V., Kandykov E. V., Ziborova V. R. Metabolic syndrome in adolescents // Effective pharmacotherapy. 2024. 20 (6). 52–55. DOI: 10.33978/2307-3586-2024-20-6-52-55 (In Russian).
14. Reisinger C., Nkeh-Chungag B. N., Fredriksen P. M., Goswami N. The prevalence of pediatric metabolic syndrome-a critical look on the discrepancies between definitions and its clinical importance // International journal of obesity. 2021. 45 (1). 12–24. DOI: 10.1038/s41366-020-00713-1
15. Dadaeva V. A., Alexandrov A. A., Drapkina O. M. Prevention of obesity in children and adolescents // Preventive medicine. 2020. 23 (1). 142–147. DOI: 10.17116/profmed202023011142 (In Russian).
16. Almukhanova A. B., Raisova A. E., Zainutdinova N. R., Zinbai F. A. Predictors of the development of metabolic syndrome among adolescents // Bulletin of KazNMU. 2021. 1. 81–85. DOI: 10.53065/kaznmu.2021.67.68.019 (In Russian).
17. Jankowska A., Brzeziński M., Romanowicz-Sołtyszewska A., Szlagatys-Sidorkiewicz A. Metabolic syndrome in obese children-clinical prevalence and risk factors // International journal of environmental research and public health. 2021. 18 (3). 1060. DOI: 10.3390/ijerph18031060
18. Aalemi A. K., Hamdard A. G., Chen H. Association of metabolic syndrome with pediatric psoriasis: a case-control study in Kabul, Afghanistan // International journal of dermatology. 2020. 59 (4). 451–456. DOI: 10.1111/ijd.14805
19. Scudiero O., Pero R., Ranieri A., Terracciano D., Fimiani F., Cesaro A., Gentile L., Leggiero E., Laneri S., Moscarella E., Mazzaccara C., Frisso G., D'Alicandro G., Limongelli G., Pastore L., Calabrò P., Lombardo B. Childhood obesity: an overview of laboratory medicine, exercise and microbiome // Clinical chemistry and laboratory medicine. 2020. 58 (9). 1385–1406. DOI: 10.1515/cclm-2019-0789
20. Burakova L. N., Nikolenko M. V., Shkolnikova M. N., Rozhnov E. D., Plotnikov D. A. The influence of nutrition factor on the development of metabolic syndrome // Polzunovsky bulletin. 2024. 3. 82–89. DOI: 10.25712/ASTU.2072-8921.2024.03.012 (In Russian).
21. Bitew Z. W., Alemu A., Ayele E. G., Tenaw Z., Alebel A., Worku T. Metabolic syndrome among children and adolescents in low and middle income countries: a systematic review and meta–analysis // Diabetology and metabolic syndrome. 12. 93. DOI: 10.1186/s13098-020-00601-8
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For citations:
Larina N.G., Kudryavtsev K.E., Secheneva L.V., Larin D.V. Diagnosis of metabolic syndrome in pediatric practice. Title in english. 2025;(2(140)):323-331. (In Russ.) https://doi.org/10.34680/2076-8052.2025.2(140).323-331
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