Metabolic syndrome (MetS) is a cluster of metabolic abnormalities that include
hypertension, altered glucose metabolism, dyslipidemia, and abdominal obesity
and is strongly associated with an increased risk for diabetes and
cardiovascular disease onset in obese adults and children. A progressively
greater number of children and adolescents are being affected by this syndrome
due to the constant increase in the prevalence of obesity. Like obesity,
childhood MetS highly tracks to adulthood. The pathogenesis of MetS includes the
interaction between obesity, insulin resistance, and inflammation. Early
diagnosis and intervention are important in order to conduct lifestyle
modification. In this article, we review the definition and pathophysiology of
MetS, the importance of screening, and prevention and treatment options for MetS
in childhood.
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