Relationship between Metabolic Syndrome and Mediterranean Diet in Adolescents: A Cross-Sectional Study Metabolic Syndrome and Mediterranean Diet

Main Article Content

Feray Çağıran Yılmaz

Keywords

Mediterranean diet, Metabolic syndrome, Adolescents, KIDMED

Abstract

Objectives: The objective of the present study is to investigate the relationship between Metabolic
Syndrome (MetS) and Mediterranean Diet in adolescents. Methods: This cross sectional study included 367
adolescents who visited Primary Health Service Centers in 7 cities in Turkey. Participants’ biochemical parameters, anthropometric measurements and blood pressures were measured. The level of adherence to Mediterranean Diet was evaluated by a clinical questionnaire, the Mediterranean Diet Quality Index for children
and adolescents (KIDMED). Results: A poor adherence to Mediterranean diet was seen in 31,9% of subjects,
while 68,1% had a medium-high compliance. In total, 51,2% adolescents with MetS had poor adherence
to a Mediterranean diet. Although the data were not statistically significant, most of the participants with
metabolic syndrome physically inactive and skipped meals. In this study the prevalence of MetS was 21,8%.
IFG, hypertension and abdominal obesity were more frequent in girls compared to boys (p<0,001). A poor
adherence to Mediterranean diet group showed the highest level of triglycerides level when compared with
those with medium-high adherence to a Mediterranean diet. Conclusions: A poor adherence to Mediterranean
diet is associated with MetS. Results support the need to engage adolescents in regular physical activity and
adherence to the Mediterranean diet.

Abstract 371 | PDF Downloads 217

References

1. World Health Organisation (WHO). Interim Report Of The Commission On Ending Childhood Obesity. Geneva: Switzerland; 2015.

2. Turkey Nutrition and Health Survey (TBSA). Report on the Assessment of Nutrition Status and
Habits. T. R. Ministry of Health, Ankara; 2014.

3. Kelly AS, Barlow SE. Severe obesity in children and adolescents: identification, associated health risks, and treatment approaches. Circulation 2013; 128(5): 1689-1712.

4. Pacifico LC, Anania F, Martino F, Poggiogalle E, Chiarelli F, Arca M, Chiesa, C. Management of metabolic syndrome in children and adolescents. Nutrition, metabolism and cardiovascular diseases 2011; 21(6): 455-466.

5. Cruz ML, Goran MI. The metabolic syndrome in children and adolescents. Current diabetes reports 2004; 4(1): 53-62.

6. Srinivasan SR, Frontini MG, Berenson GS. Longitudinal changes in risk variables of insulin resistance syndrome from childhood to adulthood in offspring of parents with type 2 diabetes: The Bogalusa Heart Study. Metabolism 2003; 52(4): 443–450.

7. Grosso G, Marventano S. Factors associated with adherence to the Mediterranean diet among adolescents living in Sicily. Southern Italy. Nutrients 2013; 5(12): 4908-4923.

8. Serra-Majem L, Ribas L. Food, youth and the Mediterranean diet in Spain. Development of KIDMED, Mediterranean Diet Quality Index in children and adolescents. Public health nutrition 2004; 7(7): 931-935.

9. Willett WC, Sacks F. Mediterranean diet pyramid: a cultural model for healthy eating. The American journal of clinical nutrition 1995; 61(6): 1402-1406.

10. Velázquez-López, L, Santiago-Díaz G, Nava-Hernández J, Muñoz-Torres AV, Medina-Bravo P, Torres-Tamayo M. Mediterranean-style diet reduces metabolic syndrome components in obese children and adolescents with obesity. BMC pediatr 2014; 14(1): 175.

11. Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, Sallis JF. International physical activity questionnaire: 12-country reliability and validity. Medicine & science in sports & exercise 2003; 35(8): 1381-1395.

12. Mindell J, Biddulph JP, Hirani V, Stamatakis E, Craig R, Nunn S, Shelton N. Cohort profile: the health survey for England. International journal of epidemiology 2012; 41(6): 1585-1593.

13. World Health Organization (WHO). AnthroPlus for personal computers manual: software for assessing growth of the world’s children and adolescents. Geneva; 2009.

14. Sorof J, Daniels S. Obesity hypertension in children. Hypertension 2002; 40(1): 441-447.

15. National Heart, Lung and Blood Institute (NHLBI). Expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents: summary report. Pediatrics 2011; 128(5): 213.

16. Lurbe E, Agabiti-Rosei E, Cruickshank JK, Dominiczak A, Erdine S, Hirth A. European Society of Hypertension guidelines for the management of high blood pressure in children and adolescents. J Hypertens 2006; 34(10): 1887–920.

17. Cook S, Weitzman M, Auinger P et al. Prevalence of a metabolic syndrome phenotype in adolescents: findings from the third National Health and Nutrition Examination Survey, 1988-1994. Archives of pediatrics & adolescent medicine 2003; 157(8): 821-827.

18. Duncan GE, Li SM, Zhou X.-H. Prevalence and trends of a metabolic syndrome phenotype among us adolescents, 1999–2000. Diabetes care 2004; 27(10): 2438-2443.

19. Zimmet P, Alberti KG, Kaufman F, Tajima N, Silink M, Arslanian S, Wong G, Bennett P, Shaw J, Caprio S. The metabolic syndrome in children and adolescents–an idf consensus report. Pediatric diabetes 2007; 8(5): 299-306.

20. Sarrafzadegan N, Gharipour M, Sadeghi M, Nouri F, Asgary S, Zarfeshani S. Differences in the prevalence of metabolic syndrome in boys and girls based on various definitions. ARYA atherosclerosis 2013; 9(1): 70-76.

21. Esmaillzadeh A, Mirmiran P, Azadbakht L, Etemadi A, Azizi. F. High prevalence of the metabolic syndrome in Iranian adolescents. Obesity 2006; 14(3): 377-382.

22. Singh N, Parihar RK, Saini G, Mohan SK, Sharma N, Razaq M. Prevalence of metabolic syndrome in adolescents aged 10-18 years in Jammu, J and K. Indian journal of endocrinology and metabolism 2013; 17(1): 133-137.

23. Çağiran Yilmaz F, Çağiran D, Özçelik AÖ. Adolescent obesity and its association with diet quality and cardiovascular risk factors. Ecology of food and nutrition 2019; 58(3): 207-218.

24. Linardakis M, Bertsias G, Sarri K, Papadaki A, Kafatos A. Metabolic syndrome in children and adolescents in Crete, Greece, and association with diet quality and physical fitness. Journal of public health 2008; 16(6): 421-428.

25. De Oliveira RG, Guedes DP. Physical activity, sedentary behavior, cardiorespiratory fitness and metabolic syndrome in adolescents: systematic review and meta-analysis of observational evidence. PloS one 2006; 11(12): e0168503.

26. Tarp J, Child A, White T, Westgate K, Bugge A, Grøntved A. Physical activity intensity, bout-duration, and cardiometabolic risk markers in children and adolescents. International journal of obesity 2018; 42(9): 1639-1650.

27. Sekokotla MA, Goswami N, Sewani-Rusike CR, Iputo JE, Nkeh-Chungag BN. Prevalence of metabolic syndrome in adolescents living in Mthatha, South Africa. Therapeutics and clinical risk management 2017; 13(1): 131-137.

28. Martino F, Puddu PE, Pannarale G, Colantoni C, Zanoni C, Martino E, Barilla F. Metabolic syndrome among children and adolescents from Southern Italy: contribution from the Calabrian Sierras Community Study (CSCS). International journal of cardiology 2014; 177(2): 455-460.