Highlights From the North American Society for the Study of Obesity Annual Meeting: A Physician's View

Raymond A. Plodkowski, MD


December 01, 2003

In This Article

Adolescent Obesity and the Dysmetabolic Syndrome

Unfortunately, the rising incidence of obesity and its complications is not limited to adults. The incidence of overweight and obesity in children is increasing, and studies have examined various aspects of this problem. Because of increasing adolescent obesity, the dysmetabolic syndrome is increasing in this population. The imbalance of energy intake and output is not the only predisposing factor. A thought-provoking study by Cook and colleagues[7] examined a national sample of 2430 patients aged 12-19 years. The NCEP-ATPIII criteria were used to determine that the dysmetabolic syndrome is found in 4.1% of US teens. An interesting finding in the study was that teens who smoked had higher rates of dysmetabolic syndrome. The dysmetabolic syndrome was found in 1.2% of nonexposed teens (cotinine level < .05 ng/mL), 4.6% of those passively exposed (0.05-10 ng/mL), and 5.8% of actively smoking teens (cotinine > 10 ng/mL). Family histories of diabetes or heart attack were not statistically significant factors in the analysis. The authors pointed out that this is the first evidence that passive and active smoking increases the risk of dysmetabolic syndrome among the nation's youth.


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