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Metabolic Syndrome Risk Profiles Among African American Adolescents: National Health and Nutrition Examination Survey, 2003–2010

OBJECTIVE: Although African American adolescents have the highest prevalence of obesity, they have the lowest prevalence of metabolic syndrome across all definitions used in previous research. To address this paradox, we sought to develop a model of the metabolic syndrome specific to African America...

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Autores principales: Fitzpatrick, Stephanie L., Lai, Betty S., Brancati, Frederick L., Golden, Sherita H., Hill-Briggs, Felicia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Diabetes Association 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3554320/
https://www.ncbi.nlm.nih.gov/pubmed/23093663
http://dx.doi.org/10.2337/dc12-0828
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author Fitzpatrick, Stephanie L.
Lai, Betty S.
Brancati, Frederick L.
Golden, Sherita H.
Hill-Briggs, Felicia
author_facet Fitzpatrick, Stephanie L.
Lai, Betty S.
Brancati, Frederick L.
Golden, Sherita H.
Hill-Briggs, Felicia
author_sort Fitzpatrick, Stephanie L.
collection PubMed
description OBJECTIVE: Although African American adolescents have the highest prevalence of obesity, they have the lowest prevalence of metabolic syndrome across all definitions used in previous research. To address this paradox, we sought to develop a model of the metabolic syndrome specific to African American adolescents. RESEARCH DESIGN AND METHODS: Data from the National Health and Nutrition Examination Survey (2003–2010) of 822 nonpregnant, nondiabetic, African American adolescents (45% girls; aged 12 to 17 years) who underwent physical examinations and fasted at least 8 h were analyzed. We conducted a confirmatory factor analysis to model metabolic syndrome and then used latent profile analysis to identify metabolic syndrome risk groups among African American adolescents. We compared the risk groups on probability of prediabetes. RESULTS: The best-fitting metabolic syndrome model consisted of waist circumference, fasting insulin, HDL, and systolic blood pressure. We identified three metabolic syndrome risk groups: low, moderate, and high risk (19% boys; 16% girls). Thirty-five percent of both boys and girls in the high-risk groups had prediabetes, a significantly higher prevalence compared with boys and girls in the low-risk groups. Among adolescents with BMI higher than the 85th percentile, 48 and 36% of boys and girls, respectively, were in the high-risk group. CONCLUSIONS: Our findings provide a plausible model of the metabolic syndrome specific to African American adolescents. Based on this model, approximately 19 and 16% of African American boys and girls, respectively, are at high risk for having the metabolic syndrome.
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spelling pubmed-35543202014-02-01 Metabolic Syndrome Risk Profiles Among African American Adolescents: National Health and Nutrition Examination Survey, 2003–2010 Fitzpatrick, Stephanie L. Lai, Betty S. Brancati, Frederick L. Golden, Sherita H. Hill-Briggs, Felicia Diabetes Care Original Research OBJECTIVE: Although African American adolescents have the highest prevalence of obesity, they have the lowest prevalence of metabolic syndrome across all definitions used in previous research. To address this paradox, we sought to develop a model of the metabolic syndrome specific to African American adolescents. RESEARCH DESIGN AND METHODS: Data from the National Health and Nutrition Examination Survey (2003–2010) of 822 nonpregnant, nondiabetic, African American adolescents (45% girls; aged 12 to 17 years) who underwent physical examinations and fasted at least 8 h were analyzed. We conducted a confirmatory factor analysis to model metabolic syndrome and then used latent profile analysis to identify metabolic syndrome risk groups among African American adolescents. We compared the risk groups on probability of prediabetes. RESULTS: The best-fitting metabolic syndrome model consisted of waist circumference, fasting insulin, HDL, and systolic blood pressure. We identified three metabolic syndrome risk groups: low, moderate, and high risk (19% boys; 16% girls). Thirty-five percent of both boys and girls in the high-risk groups had prediabetes, a significantly higher prevalence compared with boys and girls in the low-risk groups. Among adolescents with BMI higher than the 85th percentile, 48 and 36% of boys and girls, respectively, were in the high-risk group. CONCLUSIONS: Our findings provide a plausible model of the metabolic syndrome specific to African American adolescents. Based on this model, approximately 19 and 16% of African American boys and girls, respectively, are at high risk for having the metabolic syndrome. American Diabetes Association 2013-02 2013-01-17 /pmc/articles/PMC3554320/ /pubmed/23093663 http://dx.doi.org/10.2337/dc12-0828 Text en © 2013 by the American Diabetes Association. Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details.
spellingShingle Original Research
Fitzpatrick, Stephanie L.
Lai, Betty S.
Brancati, Frederick L.
Golden, Sherita H.
Hill-Briggs, Felicia
Metabolic Syndrome Risk Profiles Among African American Adolescents: National Health and Nutrition Examination Survey, 2003–2010
title Metabolic Syndrome Risk Profiles Among African American Adolescents: National Health and Nutrition Examination Survey, 2003–2010
title_full Metabolic Syndrome Risk Profiles Among African American Adolescents: National Health and Nutrition Examination Survey, 2003–2010
title_fullStr Metabolic Syndrome Risk Profiles Among African American Adolescents: National Health and Nutrition Examination Survey, 2003–2010
title_full_unstemmed Metabolic Syndrome Risk Profiles Among African American Adolescents: National Health and Nutrition Examination Survey, 2003–2010
title_short Metabolic Syndrome Risk Profiles Among African American Adolescents: National Health and Nutrition Examination Survey, 2003–2010
title_sort metabolic syndrome risk profiles among african american adolescents: national health and nutrition examination survey, 2003–2010
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3554320/
https://www.ncbi.nlm.nih.gov/pubmed/23093663
http://dx.doi.org/10.2337/dc12-0828
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