Diabetes, Metabolic Syndrome and Obesity (Nov 2023)
Criteria in the Diagnosis of Metabolic Syndrome in Children: A Scoping Review
Abstract
Jorge Luis Díaz-Ortega,1,2 Irma Luz Yupari-Azabache,1 Joao Alonzo Caballero Vidal,1,2 Nelson Enrique Conde-Parada,1,3 Abigail Fernanda Rojas Gamboa1,2 1Grupo de investigación en Síndrome Metabólico, Universidad César Vallejo, Trujillo, Perú; 2Escuela Profesional de Nutrición, Universidad César Vallejo, Trujillo, Perú; 3Programa de Nutrición y Dietética, Universidad Mariana, San Juan de Pasto, ColombiaCorrespondence: Jorge Luis Díaz-Ortega, Universidad César Vallejo, Av. Larco 1770, Trujillo, 13001, Perú, Tel +51 944897194, Email [email protected]: Currently, there is no consensus on the criteria for identifying metabolic syndrome in children, as observed in the diversity of research developed. For this reason, a scoping review was developed in this work, in order to compare the criteria for the diagnosis of metabolic syndrome (MetS) applied in children, described in observational, descriptive cross-sectional studies. The databases PubMed, Scopus, Web of Science and the search engine Google Scholar were used. The search terms “metabolic syndrome”, “cardiometabolic syndrome”, “child”, “children” and “childhood” were considered, as well as the names of organizations or authors proposing identification criteria for MetS to establish search relationships using the Boolean connectors “AND” and “OR”. Likewise, two reviewers carried out the evaluation and selection of articles, of which 26 articles were included in which children aged 6 to 12 participated. It was found that the most commonly used criteria for identifying MetS since 2015 are those of Cook et al, IDF, NCEP ATPIII, and De Ferranti et al, in that order. Specific criteria, such as those proposed by Cook et al, are being chosen to enhance the accuracy of identifying MetS in children. The most common risk factors in children with MetS are abdominal circumference and BMI, followed by triglycerides, HDL, blood pressure, and blood glucose. The prevalence of MetS in children varies according to the criteria used, being higher with De Ferranti et al.Keywords: metabolic syndrome, child, diagnosis, cholesterol, triglycerides, obesity (thesaurus: DeCS/MeSH)
