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Ann Pediatr Endocrinol Metab > Volume 10(1); 2005 > Article
A Case of Metabolic Syndrome in a Child with Normal Weight.
Hyung Geun Park, So Chung Chung, Min Hee Kim, Kyo Sun Kim, Jeong Hee Park, Hae Jeong Jeon, Bo Kyoung Seo
1Department of Pediatrics, College of Medicine, Konkuk University, Seoul, Korea. scchung@kuh.ac.kr
2Department of Radiology, College of Medicine, Konkuk University, Seoul, Korea.
Abstract
The worldwide obesity epidemic is realized during the past few decades. The risk of developing metabolic syndrome increases steeply with increasing obesity. Increasing childhood obesity heralds a greater health burden in adult life. The metabolic syndrome associated with obesity includes insulin resistance, dyslipidemia, hypertension, fatty liver, coronary heart disease and stroke. Excessive fat is a well known risk factor of insulin resistance. Not only the amount of fat, also its pattern of regional distribution is important. Moreover in Asia, there is a demand for a more limited range for normal BMIs because of the high prevalence of obesity related diseases, particularly diabetes and hypertension. Asian populations have a greater percent body fat even at a low BMI and progression in the prevalence of diabetes with increasing BMI is seen. Anthropometric measurement such as height, weight and BMI is not enough to predict the disease risk, body composition analysis should be followed. Here we report a case of metabolic syndrome in a child with weight within normal range with the review of literatures to emphasize the importance body composition analysis.
Keywords: Body composition;Fat distribution;Metabolic syndrome;Children


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