PMID- 23334584 OWN - NLM STAT- MEDLINE DCOM- 20131211 LR - 20211021 IS - 0973-7693 (Electronic) IS - 0019-5456 (Linking) VI - 80 Suppl 1 DP - 2013 Mar TI - Childhood obesity and the metabolic syndrome in developing countries. PG - S28-37 LID - 10.1007/s12098-012-0923-5 [doi] AB - Rapidly changing dietary practices accompanied by an increasingly sedentary lifestyle predispose to nutrition-related non-communicable diseases, including childhood obesity. Over the last 5 y, reports from several developing countries indicate prevalence rates of obesity (inclusive of overweight) >15 % in children and adolescents aged 5-19 y; Mexico 41.8 %, Brazil 22.1 %, India 22.0 % and Argentina 19.3 %. Moreover, secular trends also indicate an alarming increase in obesity in developing countries; in Brazil from 4.1 % to 13.9 % between 1974 and 1997; in China from 6.4 % to 7.7 % between 1991 and 1997; and in India from 4.9 % to 6.6 % between 2003-04 to 2005-06. Other contributory factors to childhood obesity include: high socio-economic status, residence in metropolitan cities and female gender. Childhood obesity tracks into adulthood, thus increasing the risk for conditions like the metabolic syndrome, type 2 diabetes mellitus (T2DM), polycystic ovarian syndrome, hypertension, dyslipidemia and coronary artery disease later in life. Interestingly, prevalence of the metabolic syndrome was 35.2 % among overweight Chinese adolescents. Presence of central obesity (high waist-to-hip circumference ratio) along with hypertriglyceridemia and family history of T2DM increase the odds of T2DM by 112.1 in young Asian Indians (< 40 y). Therapeutic lifestyle changes and maintenance of regular physical activity are most important strategies for preventing childhood obesity. Effective health awareness educational programs for children should be immediately initiated in developing countries, following the successful model program in India (project 'MARG'). FAU - Gupta, Nidhi AU - Gupta N AD - Department of Pediatrics, Children's Hospital of Michigan, Detroit, MI, USA. FAU - Shah, Priyali AU - Shah P FAU - Nayyar, Sugandha AU - Nayyar S FAU - Misra, Anoop AU - Misra A LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130120 PL - India TA - Indian J Pediatr JT - Indian journal of pediatrics JID - 0417442 SB - IM MH - Adolescent MH - Child MH - Child, Preschool MH - Cross-Cultural Comparison MH - Cross-Sectional Studies MH - *Developing Countries MH - Feeding Behavior MH - Female MH - *Health Transition MH - Humans MH - India MH - Life Style MH - Male MH - Metabolic Syndrome/*epidemiology/ethnology/etiology MH - Overweight/epidemiology/ethnology/etiology MH - Pediatric Obesity/*epidemiology/ethnology/etiology MH - Risk Factors EDAT- 2013/01/22 06:00 MHDA- 2013/12/16 06:00 CRDT- 2013/01/22 06:00 PHST- 2012/01/19 00:00 [received] PHST- 2012/10/19 00:00 [accepted] PHST- 2013/01/22 06:00 [entrez] PHST- 2013/01/22 06:00 [pubmed] PHST- 2013/12/16 06:00 [medline] AID - 10.1007/s12098-012-0923-5 [doi] PST - ppublish SO - Indian J Pediatr. 2013 Mar;80 Suppl 1:S28-37. doi: 10.1007/s12098-012-0923-5. Epub 2013 Jan 20.