Caspian Journal of Internal Medicine
1
Caspian J Intern Med
Medical Sciences
http://caspjim.com
1
admin
2008-6164
2008-6172
8
10.22088/cjim
14
8888
13
en
jalali
1399
3
1
gregorian
2020
6
1
11
4
online
1
fulltext
en
Latent Class Analysis of the cardiometabolic risk factors in children and adolescents: the CASPIAN-V study
Endocrinology
Endocrinology
Original Article
Original Article
<span style="font-size:14px;"><span style="font-family:Times New Roman;"><strong><span style="color:#0000ff;"><em>Background:</em></span> </strong>Cardio-metabolic syndrome indicates the clustering of several risk factors. The aims of this study were to identify the subgroups of the Iranian children and adolescents on the basis of the components of the cardio-metabolic syndrome and assess the role of demographic characteristics, socioeconomic status and life style related behaviors on the membership of participants in each latent class. <br>
<strong><span style="color:#0000ff;"><em>Methods:</em></span> </strong> This cross sectional study was performed on 3730 Iranian students in 2015 using stratified cluster. All students in each class completed anonymous and structured questionnaires. Abdominal obesity, high triglyceride (TG), low high-density lipoprotein (HDL), high blood pressure (BP), high fasting blood sugar (FBS), high low-density lipoprotein (LDL), high cholesterol and obesity were used for assessing pattern of cardio metabolic risk as a latent variable. Data analysis was performed using PROC LCA in SAS software.<br>
<strong><span style="color:#0000ff;"><em>Results:</em></span> </strong>Four latent classes were identified in this study; namely 1) healthy (59.6%), 2) low risk (20.4%), 3) moderate risk (13.7%) and 4) high risk (6.4%). Being girl (OR=0.59, 95% CI: 0.46-0.74), living in rural area (OR=0.45, 95% CI;0.33-0.60), high screen time (OR=1.56, 95% CI:1.09-2.24), and parental obesity (OR=1.52, 95% CI: 1.18-1.95) were associated with moderate risk class. Only living in rural area (OR=0.71, 95% CI; 0.51-0.99) was associated with high risk class.<br>
<span style="color:#0000ff;"><em><strong>Conclusion:</strong></em></span> About 20% of the students are in the moderate risk and high risk classes. Design and implementation of interventions according to risk-based class seems necessary with considering probably risk and protective factors for prevention of complications of cardiometabolic syndrome.</span></span>
cardiometabolic, metabolic syndrome, latent class analysis, children and adolescents, Iran
370
376
http://caspjim.com/browse.php?a_code=A-10-1357-1&slc_lang=en&sid=1
Abbas
Abbasi-Ghahramanloo
abbasi.abbas49@yahoo.com
100319475328460024903
100319475328460024903
No
Department of public health, School of Health, Ardabil University of Medical Sciences, Ardabil, Iran
Ramin
Heshmat
rheshmaat@tums.ac.ir
100319475328460024904
100319475328460024904
No
Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
Amir-masood
Rafiemanzelat
am_rafiemanzelat@yahoo.com
100319475328460024905
100319475328460024905
No
School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Kimia
Ghaderi
kimia.ghaderi386@gmail.com
100319475328460024906
100319475328460024906
No
Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Mohammad Esmaeil
Motlagh
motlagh@health.gov.ir
100319475328460024907
100319475328460024907
No
Department of Pediatrics, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
Zeinab
Ahadi
ahadi.ze@gmail.com
100319475328460024908
100319475328460024908
No
Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
Gita
Shafiee
gshafiee.endocrine@gmail.com
100319475328460024909
100319475328460024909
No
Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
Armita
Mahdavi-Gorabi
armitamahdavi61@gmail.com
100319475328460024910
100319475328460024910
No
Department of Basic and Clinical Research, Tehran Heart Center, Tehran University of Medical Sciences, Tehran, Iran
Mostafa
Qorbani
mqorbani1379@yahoo.com
100319475328460024911
100319475328460024911
No
Non-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
Roya
Kelishadi
roya.kelishadi@gmail.com
100319475328460024912
100319475328460024912
Yes
Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran