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Comparison of Diagnostic Models to Estimate the Risk of Metabolic Syndrome in a Chilean Pediatric Population: A Cross-Sectional Study
Indexado
WoS WOS:000941511700001
Scopus SCOPUS_ID:85148877061
DOI 10.3390/METABO13020293
Año 2023
Tipo artículo de investigación

Citas Totales

Autores Afiliación Chile

Instituciones Chile

% Participación
Internacional

Autores
Afiliación Extranjera

Instituciones
Extranjeras


Abstract



The pediatric population has various criteria for measuring metabolic syndrome (MetS). The diversity of consensus for diagnosis has led to different non-comparable reported prevalence. Given the increase in its prevalence in pediatric ages, it is necessary to develop efficient methods to encourage early detection. Consequently, early screening for the risk of MetS could favor timely action in preventing associated comorbidities in adulthood. This study aimed to establish the diagnostic capacity of models that use non-invasive (anthropometric) and invasive (serum biomarkers) variables for the early detection of MetS in Chilean children. A cross-sectional study was carried out on 220 children aged 6 to 11. Multivariate logistic regressions and discriminant analyses were applied to determine the diagnostic capacity of invasive and non-invasive variables. Based on these results, four diagnostic models were created and compared: (i) anthropometric, (ii) hormonal (insulin, leptin, and adiponectin), (iii) Lipid A (high-density cholesterol lipoprotein [HDL-c] and triglycerides [TG]) and (iv) Lipid B (TG/HDL-c). The prevalence of MetS was 26.8%. Lipid biomarkers (HDL-c and TG) and their ratio (TG/HDL-c) presented higher diagnostic capacity, above 80%, followed by body mass index (BMI, 0.71-0.88) and waist-to-height ratio (WHtR, 0.70-0.87). The lipid model A was the most accurate (sensitivity [S] = 62.7%, specificity [E] = 96.9%, validity index 87.7%), followed by the anthropometric model (S = 69.5%, E = 88.8% and validity index = 83.6%). In conclusion, detecting MetS was possible through invasive and non-invasive methods tested in overweight and obese children. The proposed models based on anthropometric variables, or serum biomarkers of the lipid model A, presented acceptable validity indices. Moreover, they were higher than those that measured adipokines, leptin, and adiponectin. The anthropometric model was the most cost-effective and easy to apply in different environments.

Revista



Revista ISSN
Metabolites 2218-1989

Métricas Externas



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Disciplinas de Investigación



WOS
Biochemistry & Molecular Biology
Scopus
Molecular Biology
Endocrinology, Diabetes And Metabolism
Biochemistry
SciELO
Sin Disciplinas

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Publicaciones WoS (Ediciones: ISSHP, ISTP, AHCI, SSCI, SCI), Scopus, SciELO Chile.

Colaboración Institucional



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Autores - Afiliación



Ord. Autor Género Institución - País
1 Solorzano, Marlin Hombre Universidad de Concepción - Chile
Pontificia Universidad Católica de Chile - Chile
2 Granfeldt, Gislaine Mujer Universidad de Concepción - Chile
3 ULLOA-MUNOZ, NATALIA Mujer Universidad de Concepción - Chile
4 Molina-Recio, Guillermo Hombre Maimonides Biomed Res Inst Cordoba IMIB - España
UNIV CORDOBA - España
Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - España
Universidad de Córdoba - España
5 Molina-Luque, Rafael Hombre Maimonides Biomed Res Inst Cordoba IMIB - España
UNIV CORDOBA - España
Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - España
Universidad de Córdoba - España
6 AGUAYO-TAPIA, CLAUDIO RODRIGO Hombre Universidad de Concepción - Chile
7 Petermann-Rocha, Fanny Mujer Universidad Diego Portales - Chile
Facultad de Medicina - Chile
8 MARTORELL-PONS, MIQUEL Hombre Universidad de Concepción - Chile

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Financiamiento



Fuente
INNOVA CORFO
INNOVA

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Agradecimientos



Agradecimiento
This work was also supported by INNOVA CORFO, grant number 07CN131SM-19. MM wants to thank ANID FONDECYT Iniciacion 11190641.
This work was also supported by INNOVA CORFO, grant number 07CN131SM-19. MM wants to thank ANID FONDECYT Iniciación 11190641.

Muestra la fuente de financiamiento declarada en la publicación.