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Updated: Jul 11, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Prevalence of metabolic complications in children with severe obesity
Masako Sei1, Tadanori Nakatsu, Kyoko Yuasa
1Department of Human Genetics and Public Health, Graduate School of Medical Science, The University of Tokushima, Tokushima, Japan.
Insights
Severely obese children frequently experience metabolic complications, with over 80% having at least one abnormality. Early intervention is crucial for preventing lifestyle-related diseases in pediatric obesity.
Area of Science:
- Pediatric Endocrinology
- Metabolic Health
- Public Health
Background:
- Childhood obesity is a growing global concern.
- Metabolic complications are significant health risks associated with severe obesity in children.
- Understanding the prevalence of these complications is vital for effective public health strategies.
Purpose of the Study:
- To determine the prevalence of metabolic complications in severely obese Japanese children.
- To analyze anthropometric and metabolic parameters in this cohort.
- To establish baseline data for intervention strategies.
Main Methods:
- A cross-sectional study involving 367 severely obese Japanese children (grades 1-9).
- Participants were >150% of standard weight for sex and height.
- Analysis included body fat percentage, lipid profiles, glucose, insulin, liver enzymes, and blood pressure.
Main Results:
- The prevalence of metabolic abnormalities was significantly higher than in the general population.
- A high correlation was observed between various metabolic variables.
- 80.4% of severely obese children exhibited at least one metabolic complication.
Conclusions:
- Severely obese children present with diverse metabolic abnormalities at an early age.
- These findings underscore the need for early detection and management of metabolic risks.
- Collaborative intervention by healthcare providers and schools is recommended to prevent lifestyle-related diseases.
Background:
The purpose of the present paper was to clarify the prevalence of metabolic complications in severely obese children.
Methods:
The subjects of the present study were 367 severely obese Japanese children in Tokushima, who were more than 150% of the standard weight for their sex and height (school grades 1-9; age range, 6-16 years). Data concerning anthropometric and metabolic parameters (body fat %, total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, triglycerides, uric acid, blood glucose, serum insulin, alanine aminotransferase, and blood pressure) were analyzed.
Results:
The prevalence of each abnormality in obese children was high compared with that in the general population. Metabolic variables were correlated with each other. A total of 80.4% of severely obese children had at least one complication.
Conclusion:
Severely obese children have various metabolic abnormalities even during their early school years. Intervention by primary physicians in cooperation with schools is needed for the prevention of lifestyle-related diseases.
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