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RESEARCH |
L Soriano-guillen, PEDIATRICS, FUNDACION JIMENEZ DIAZ, MADRID, MADRID, Spain
B Hernandez-garcia, PEDIATRICS, FUNDACION JIMENEZ DIAZ, MADRID, Spain
J Pita, LABORATORY OF ENDOCRINOLOGY, FUNDACION JIMENEZ DIAZ, MADRID, Spain
N Dominguez-garrido, PEDIATRICS, FUNDACION JIMENEZ DIAZ, MADRID, Spain
G Del Rio-camacho, PEDIATRICS, FUNDACION JIMENEZ DIAZ, MADRID, Spain
A Rovira, ENDOCRINOLOGY, FUNDACION JIMENEZ DIAZ, MADRID, Spain
Correspondence: Leandro Soriano-guillen, Email: leansor4{at}hotmail.com
Abstract
Objective: We intend to assess the utility of the high-sensitivity c-reactive protein (hs-CRP) as a marker of cardiovascular risk in obese children and adolescents.
Methods: The study included children and adolescents between 6 and 18 years old with a body mass index BMI higher than 2 SDS. All the patients had their blood pressure taken and high-sensitivity c-reactive protein, hepatic function, lipid profile and uric acid were determined after 12 hours of fasting. Likewise, an oral glucose tolerance test was performed, determining basal glucose and insulin levels and after stimulus. We considered the presence of metabolic syndrome when the obese children and teenagers showed at least two of the following conditions: decreased HDL-cholesterol, hypertriglyceridemia, hypertension or alteration in glucose metabolism.
Results: Of the 115 obese children studied, 24% showed signs of metabolic syndrome. Those with metabolic syndrome presented higher levels of hs-CRP (mean: 3.8 mg/L; 95% CI: 2.8-4.8) in comparison with obese patients who did not show signs of metabolic syndrome (mean: 2 mg/L; 95% CI: 1.5-2.5). After a multivariate analysis, the variables that appear to influence the changes of hs-CRP were BMI, triglycerides and HDL-cholesterol levels.
Conclusion: The hs-CRP is a useful tool for early diagnosis of cardiovascular risk in obese children and teenagers.
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