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Year : 2023  |  Volume : 2  |  Issue : 1  |  Page : 45-50

Relation between cardiometabolic risk factors and obesity differs in children and adults

1 Department of Endocrinology, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
2 Department of Biochemistry, Ibrahim Medical College, Dhaka, Bangladesh
3 Department of Medicine, Sir Salimullah Medical College, Dhaka, Bangladesh
4 Department of Neurology, Dhaka Medical College Hospital, Dhaka, Bangladesh

Correspondence Address:
Tahniyah Haq
Room No. 1620, 15th Floor, Block D, Department of Endocrinology, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka 1000
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/bjem.bjem_19_22

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Background: Obesity is a harbinger of cardiovascular disease. It is affecting individuals from an early age. Aim: The aim of the study was to compare cardiometabolic risk factors (CRFs) in obese children and adults; and to see their relationship with obesity. Materials and Methods: Two hundred and thirty-nine overweight and obese individuals (189 ≤20 and 50 >20 years) without secondary causes of obesity were included and data on their CRFs (blood pressure, plasma glucose, glycated hemoglobin, and lipid profile) were obtained from clinic records. Results: Mean age and body mass index (BMI) of ≤20 years of group were 13.77 ± 2.32 years and 33.29 ± 8.45 kg/m2, respectively. The mean age and BMI of >20-year group were 39 ± 1.41 years and 36.81 ± 2.40 kg/m2, respectively. Participants in the ≤20-year group had a lower rate of abnormal glucose tolerance (28.9% vs. 61.9%, P < 0.001) and hypertension (3.6% vs. 15.4%, P < 0.001), but a higher rate of dyslipidemia (98.8% vs. 97.5%, P < 0.001) than the ≤20 years of group. After adjusting for all cardiovascular risk factors, diastolic blood pressure was significantly related to obesity (BMI β = 0.380, P = 0.001; waist circumference β = 0.499, P < 0.001; fat mass index β = 0.407, P = 0.001; waist height ratio β = 0.356, P = 0.004) in the ≤20-year group, while fasting plasma glucose was related to BMI (β = 1.086, P = 0.001) in the >20-year group. Conclusion: There is a high rate of dyslipidemia in young obese individuals. Blood pressure is associated with obesity at a younger age, while dysglycemia is associated with increasing BMI in adults.

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