Table 2. Clinical and biochemical data of 58 obese children stratified by metabolic syndrome status.
Characteristic | Nonmetabolic syndrome (n=40) | Metabolic syndrome (n=18) | P value |
---|---|---|---|
Male sex | 26 (65) | 12 (66.6) | 0.902 |
Age (yr) | 11.2 (8.5–13.7) | 13.8 (11.8–14.9) | 0.009 |
Weight (kg) | 64.8 (47.6–82.6) | 80.6 (75.4–108) | 0.001 |
Height (cm) | 149.0 (131.5–158.1) | 160.5 (153.5–163) | 0.000 |
BMI z score | 3.1 (3.3–5.9) | 3.3 (4–8.2) | 0.850 |
Waist circumference (cm) | 95 (86.6–99) | 106 (98–109) | 0.001 |
Prepubertal stage | 18 (45) | 2 (11.1) | 0.016 |
Glucose homeostasis | |||
Fasting blood sugar (mg/dL) | 87.5 (82–90.2) | 81.0 (78.0–91) | 0.070 |
Impaired fasting glucose | 0 (0) | 1 (5.5) | 0.133 |
Diabetes | 0 (0) | 0 (0) | 1.000 |
2-Hour Glucose During OGTT (mg/dL) | 111.5 (102.8–126.2) | 114 (105–121) | 0.853 |
Impaired glucose tolerance | 8 (20) | 1 (5.5) | 0.160 |
Diabetes | 0 (0) | 0 (0) | 1.000 |
Insulin | |||
Fasting insulin (µU/mL) | 17.8 (11.2–24.4) | 25.9 (19.5–35.6) | 0.005 |
Fasting insulin >15 µu/mL | 20 (50.0) | 16 (88.8) | 0.005 |
2-Hour insulin during OGTT (µu/mL) | 109.8 (57.4–154.9) | 171.1 (90.3–293.8) | 0.026 |
>75 µU/mL | 28 (70) | 16 (88.8) | 0.120 |
Index for insulin resistance | |||
HOMA-IR | 3.4 (2.4–5) | 4.9 (3.9–7.2) | 0.020 |
>3.16 | 20 (50) | 15 (83.3) | 0.016 |
Lipid profiles | |||
Cholesterol (mg/dL) | 178 (150.3–200.5) | 172.0 (157–223) | 0.528 |
Hypercholesterolemia | 11 (27.5) | 6 (33.3) | 0.652 |
LDL-cholesterol (mg/dL) | 119 (89.3–132.8) | 105 (93–158) | 0.451 |
Elevated LDL-cholesterol | 11 (27.5) | 7 (38.8) | 0.386 |
Inflammatory markers | |||
IL-6 (pg/mL) | 7 (2–48.1) | 5.4 (2.3–13.6) | 0.102 |
TNF-α (pg/mL) | 4.62 (1.7–11.9)(n=38) | 4.68 (1.9–7.6)(n=15) | 0.538 |
hs-CRP (mg/L) | 3.7 (2.3–7.8) | 3.7 (1–7.8) | 0.267 |
>3 mg/L | 28 (70) | 12 (66.6) | 0.800 |
Values are presented as number (%) or median (interquartile range).
BMI, body mass index; OGTT, oral glucose tolerance test; HOMA-IR, homeostasis model assessment of insulin resistance; LDL, low-density lipoprotein; IL-6, interleukin-6; TNF-α, tumor necrosis factor-alpha; hs-CRP, high-sensitivity C-reactive protein.