Author(s): Assia Cherfaoui*, Amel Hadji and Rachida Boukari
Introduction: Metabolic syndrome is one of the complications of obesity with a significant impact on health. This MS is diagnosed according to the International Diabetes Federation 2007 in children aged 10 to 16 years with waist circumference > 90th percentile according to the curves of McCarthy and two of the following metabolic characteristics: HDL C < 40 mg/dL, TG≥150 mg/dL, blood glucose ≥ 100 mg/dL and blood pressure≥130/85mmHg. Goals: We performed a retrospective and prospective study at the pediatric obesity consultation. The main objective is to assess the metabolic syndrome in a population of obese children and adolescents. The secondary objectives are the evaluation of the various criteria of the metabolic syndrome, and the impact of the degree of obesity, the search for comorbidities and their repercussions, and finally the evaluation of the care.
Results: The survey involved 74 children and adolescents, from January 2011 to December 2021.
The frequency of metabolic syndrome is 35.1%. with an average age around puberty of 12.92 years. There is no significant difference in frequency by sex.This frequency increases with the degree of obesity. Insulin resistance remains the first factor responsible for the genesis of MS, Dyslipidemia affects more than a third of these children. Arterial hypertension is noted in 14% of subjects. For glycemic abnormalities, 16.21% of children have fasting hyperglycemia for complications the non-alcoholic fatty liver disease NAFLD affects approximately 33 %of these children, the obstructive sleep apnea OSA was only confirmed in 4% of these children.
