Open AccessMetabolically obese normal-weight children
Author(s) -
Fernando GuerreroRomero,
Martha Rodrı́guez-Morán
Publication year - 2012
Publication title -
world journal of clinical pediatrics
Language(s) - Uncategorized
Resource type - Journals
ISSN - 2219-2808
DOI - 10.5409/wjcp.v1.i4.37
Subject(s) - medicine , obesity , hypertriglyceridemia , family history , disease , diabetes mellitus , pediatrics , metabolic syndrome , type 2 diabetes , endocrinology , triglyceride , cholesterol
Non-obese children with elevated serum insulin levels and metabolic disorders such as, hyperglycemia, hypertension, and/or hypertriglyceridemia are a subset of children in high risk of developing cardiovascular disease later in life. Since usually the health policies for the prevention of the obesity associated disorders in children are based on the screening focused on the obese, frequently the metabolically obese normal-weight (MONW) children are not identified in primary care setting. Given that characterization of the MONW children is an important public health issue, and that a large amount of resources might be unnecessarily used in the screening of metabolic risk of nonobese children; we review data regarding criteria for the early recognition of this subset of children in high risk of developing cardiovascular disease. Results of our review suggests that the presence of family history of type 2 diabetes and/or hypertension, the elevated percentage of body fat, and the high birth-weight should be taken into account as criteria of high cardiovascular risk, irrespective of obesity.