| 초록 |
To optimize diagnosis and treatment of metabolic syndrome in adolescents with exogenously-constitutional obesity We Selected 29 adolescents with exogenously- constitutional obesity of varying seventy were examined the average age was 13.0-2.6 years living in Bhaktapur Nepal diagnosis of the metabolic syndrome was carried out on the basis of diagnostic ceriteria IDF 2008.the risk of developing the metabolic syndrome was calculated using the computer program developed around the waist circumferencein children and adolescents of the Nepali population. The treatment was carried out using a hypocaloric diet developed for children and adolescents depending on the age talking into account the national cuisine. In assessing the components of the metabolic syndrome of children and adolescents with exogenously constiutive obesity, WC>90 and BMI >97 percentiles were found in all 29 subject metabolic syndrome is diagnosed in 6 (24.0%) adolescents 10-16 years with exogenously-constitutional obesity. violation of carbohydrate metabolism(fasting glycemia)5.0mmol )was detected in 3 (10.3%)of the examined .an increase in blood pressure above the IDF criterion (SMP>130/DBP 85 mmhg ) was detected in 3 (10.3%)patients. Dyslipidemia in particular. Hypertriglyceridemia in 4 (13.8%) a decrease in high density lipoproteins <1.03mmol/L was detected in 6 (20.7%) against the background of hypocaloric diet after correction of diet and lifestyle the normalization of fasting glycemia in2 (6.9%) the level of triglycericles decreased by half the level of high density lipoproteins also increased 2 fold after 3 months all subject had normal hemodynamic index. Our study initial metabolic syndrome was diagnosed in 6 (24.0%)against a background of lifestyle correction and a hypocaloric diet devloped in 2 of them the metabolic syndrome was not diagnosed. |