A New Approach to Define and Diagnose Cardiometabolic Disorder in Children
Table 3
Distribution of children according to the number of risk factors1. The two next columns display the proportion of children having 4 or more risk factors and the cutoff point in the continuous -score2, which select the same number of children at risk. The last column displays proportion having MetS according to IDF definition3.
Cohort
Number with the risk factors waist, sysBP, 1/HDL, TG, and HOMA
Total
Proportion (%)
Mean -score2
Proportion (%) using IDF definition3
0 RF
1 RF
2 RF
3 RF
4 RF
5 RF
4 + 5 RF
Denmark 9 yr (EYHS)
302
306
191
85
36
8
928
4.74
0.83
0.0
Denmark 15 yr (EYHS)
260
261
200
67
36
7
831
5.17
0.88
0.1
Portugal 9 yr (EYHS)
374
271
171
105
52
22
995
7.44
0.63
0.5
Portugal 15 yr (EYHS)
231
240
150
66
30
8
725
5.24
0.46
0.2
Estonia 9 yr (EYHS)
178
177
110
64
26
5
560
5.54
0.76
0.0
Estonia 15 yr (EYHS)
184
190
122
66
21
9
592
5.07
0.82
0.2
Denmark 6 yr (CoSCIS)
153
137
118
48
9
2
467
2.36
0.80
0.0
Denmark 9 yr (CoSCIS)
160
132
80
37
15
8
432
5.32
0.91
0.2
Denmark 13 yr (CoSCIS)
156
132
83
41
23
10
445
7.42
0.81
0.0
USA 10–14 yr (NHANES)
158
132
53
43
28
12
426
9.39
1.36
3.0
USA 14–18 yr (NHANES)
351
241
124
83
49
22
870
8.42
1.29
4.1
Norway 9 yr (EYHS 2005)
352
289
191
92
48
21
893
6.95
0.72
0.8
Norway 15 yr (EYHS 2005)
242
241
148
67
33
11
742
5.93
0.80
0.9
Switzerland 8 yr (KISS)
132
118
73
28
16
9
376
6.70
0.65
0.3
Switzerland 12 yr (KISS)
181
128
95
55
22
8
489
2.30
0.90
0.0
Total
3212
2793
1794
900
405
149
9871
6.20
0.85
0.9
At risk factor is defined as the upper quartile. 2Mean -score was calculated after ln-transformation of skewed risk factors. 3Proportion of children with MetS using IDF defined cutoff points as suggested by Zimmet et al. (2007) [6].