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International Journal of Endocrinology
Volume 2016, Article ID 1823561, 7 pages
Research Article

The Prevalence of Metabolic Syndrome and Cardiovascular Risk Factors in Obese Children and Adolescents in Dalmatia: A Hospital Based Study

1Department of Pediatrics, University Hospital Split, Spinčićeva 1, 21000 Split, Croatia
2Department of Pathophysiology, University of Split, School of Medicine, Šoltanska 2, 21000 Split, Croatia
3Department of Obstetrics and Gynecology, University Hospital Split, Spinčićeva 1, 21000 Split, Croatia

Received 12 May 2016; Revised 12 August 2016; Accepted 30 August 2016

Academic Editor: Andrea Tura

Copyright © 2016 Marko Šimunović et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Obesity and metabolic syndrome (MS) are one of the biggest public health issues in child and adolescent population. To the best of the authors’ knowledge, this hospital based study is the first report on the prevalence of MS in obese children and adolescents in Dalmatia, the Mediterranean part of Croatia. The objectives of this study were to determine the prevalence of individual cardiovascular risk factors and MS. Between January 2009 and June 2014, 201 obese subjects aged 6 to 18 were analyzed retrospectively from our Pediatric Endocrine Unit database. The subjects were then classified in two groups of obesity; subjects with BMI score 2.0–3.0 were classified as moderately obese and subjects with BMI score > 3.0 were classified as severely obese. The overall prevalence of MS using the modified IDF criteria was 30.3%. The most common component of MS in both groups was arterial hypertension, while impaired fasting glucose was the least common component of MS. Our finding of high prevalence of MS underlines the importance of early childhood obesity treatment.