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Association of Short Stature and Obesity With Cardio-Metabolic Risk Factors in Iranian Children and Adolescents: The Caspian-V Study Publisher



Safari O1 ; Ejtahed HS2, 3 ; Namazi N4 ; Heshmat R5 ; Arjmand R6 ; Karbalahi Saleh S7 ; Seif E8 ; Shahsanai A9 ; Motlagh ME10 ; Esmaeili Abdar M11 ; Qorbani M1, 5 ; Kelishadi R9
Authors
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Authors Affiliations
  1. 1. Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
  2. 2. Obesity and Eating Habits Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Diabetes Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Social Determinants of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
  7. 7. Department of Cardiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Student Research Committee, Alborz University of Medical Sciences, Karaj, Iran
  9. 9. Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran
  10. 10. Pediatrics Department, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  11. 11. Dietary Supplements and Probiotic Research Center, Alborz University of Medical Sciences, Karaj, Iran

Source: Journal of Diabetes and Metabolic Disorders Published:2021


Abstract

Purpose: The object of the present study was to examine the relationship of short stature and obesity with cardio-metabolic risk factors in children and adolescents from Iran. Methods: Present nationwide cross-sectional study was conducted as a part of the fifth survey of CASPIAN study on 7 to 18 years old children and adolescents from 30 provinces of Iran in 2015. Short stature and excess weight were defined as age and sex-specific height lower than 5th percentile and BMI higher than 85th percentile respectively. The multivariate logistic regression model was applied to assess the aim of the study. Results: A total of 3844 children and adolescents (52.4%: boys, 72.2%: urban areas) with an average age of 12.45 ± 3.04 years were enrolled in this study. The prevalence of short stature, excess weight and combined-short stature and excess weight was estimated as 15.8%, 17.6% and 2.2%. Odds of abdominal obesity in children with only short stature (OR: 2.11, 95%CI: 1.59–2.80), only excess weight (OR: 17.38, 95%CI: 13.89–21.75) and combined-short stature and excess weight (OR: 22.83, 95%CI: 13.93–37.39) were higher than children with normal-height and weight. Moreover, odds of high BP and metabolic syndrome were further in the students with combined excess weight and short stature compared to the normal-height and weight group. Conclusion: We found that abdominal obesity, hypertension, and metabolic syndrome in short stature and obese children and adolescents were greater than those with normal-height and weight. Further prospective evaluations are required to clarify the association between short stature and cardio-metabolic risk factors. © 2021, Springer Nature Switzerland AG.
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