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논문 기본 정보

자료유형
학술저널
저자정보
양혜란 (서울대학교) 최형수 (분당서울대학교병원) 이대용 (분당서울대학교병원)
저널정보
대한의학회 Journal of Korean Medical Science Journal of Korean Medical Science Vol.29 No.12
발행연도
2014.12
수록면
1,672 - 1,677 (6page)

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초록· 키워드

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This study was done to evaluate the efficacy of health check-ups in children in detectingmetabolic syndrome and non-alcoholic fatty liver disease (NAFLD) by comparing thepediatric health promotion center with the pediatric obesity clinic. Children who visited apediatric health promotion center (n = 218) or a pediatric obesity clinic (n = 178) wereincluded. Anthropometric data, blood pressure, laboratory tests, and abdominalultrasonography were evaluated. Two different criteria were applied to diagnose metabolicsyndrome. The prevalence of metabolic syndrome in the 2 units was 3.2%-3.7% in apediatric health promotion center and 23%-33.2% in a pediatric obesity clinic. Significantdifferences were observed in the prevalence of each component of metabolic syndromebetween the 2 units including abdominal adiposity, blood pressure, serum triglycerides,and fasting blood glucose (P < 0.05). The prevalence of NAFLD was 8.7% and 71.9% inthe 2 units according to liver enzymes and 5.9% and 61.8% according to ultrasonography(P < 0.05). The prevalence of metabolic syndrome and NAFLD was higher among patientsvisiting the obesity clinic targeting obese children than that among patients visiting thehealth promotion center offering routine check-ups. An obesity-oriented approach isrequired to prevent obesity-related health problems in children.

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