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The hypertriglyceridemic-waist phenotype(Htg-WP), the combination of an increased waist circumference and hypertriglyceridemia, could be a useful and inexpensive screening tool to identify people who are at an increased risk of coronary artery disease and type 2 diabetes. (1-3). The concept of the Htg-WP was introduced by Lemieux and colleagues who suggested that this simple phenotype could be a useful marker for cardiovascular risk and a better predictor of cardiovascular disease. (4) Imaging studies using techniques such as computed tomography or magnetic resonance imaging have shown that, among equally obese individuals, those with an excess of intraabdominal or visceral adipose tissue have metabolic abnormalities and are at an increased risk for coronary artery disease and type 2 diabetes (5,6 ). The systematic measurement of waist circumference has been proposed as a crude anthropometric correlate of intraabdominal adiposity (7). Because waist circumference cannot fully discriminate intraabdominal from subcutaneous abdominal adiposity, it has been previously suggested that the presence of elevated triglyceride levels could be used as a marker of metabolic abnormalities in people with an increased waistline(4,8). An association between parental metabolic syndrome and metabolic syndrome in their offspring has been observed among Korean adolescents (9). Family risk factors include their genetic history as well as their shared environment (9). Parents are in a key position to shape the environments of children, and there is an increasing interest in the contribution of parental behaviors to cardiovascular risk. Maternal feeding practices have received particular attention as a risk factor for childhood OB. A previous study of our group showed that mother’s waist circumference predicted their child’s metabolic syndrome (10); however, as maternal Htg-WP includes two metabolic disorders, it could increase risk of her child’s cardiovascular risk. As far as we know, there are no large studies in elementary school children showing the role that maternal Htg-WP plays in relation to the development of children’s Htg-WP. The objective of this study was to determine the association between mothers’ Htg-WP and the presence of Htg-WP in their offspring.

Association Between the Hypertriglyceridemic-Waist Phenotype in Mothers and in Their Offspring