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Updated: Jun 23, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
[Metabolic abnormalities in obese French children]
B Maisonneuve1, C Auclair, M Ali
1Service de pédiatrie, CHU de Clermont-Ferrand, Hôtel-Dieu, 63001 Clermont-Ferrand, France.
Metabolic abnormalities are common in obese children, with nearly all exhibiting abdominal obesity and many showing insulin resistance. Younger obese children had a higher prevalence of these metabolic issues.
Area of Science:
- Pediatrics
- Endocrinology
- Metabolic Disorders
Background:
- Childhood obesity is a growing public health concern.
- Obesity is associated with increased risk of metabolic abnormalities.
- Early identification of metabolic issues in obese children is crucial.
Purpose of the Study:
- To determine the prevalence of metabolic abnormalities in obese children.
- To assess the frequency of metabolic syndrome (MS) and insulin resistance.
- To investigate the relationship between age and metabolic abnormalities in obese children.
Main Methods:
- Retrospective analysis of 244 obese children referred between 2003 and 2007.
- Metabolic syndrome assessed using National Cholesterol Education Program (NCEP) Adult Treatment Panel III (ATP III) criteria.
- Insulin resistance defined by Homeostasis Model Assessment-Insulin Resistance (HOMA-IR) > 75th percentile.
Main Results:
- High prevalence of abdominal obesity (95.9%) and insulin resistance (69.6%).
- 11.5% of children met criteria for metabolic syndrome.
- Younger obese children showed higher BMI Z-scores and more metabolic abnormalities.
Conclusions:
- Metabolic abnormalities are highly prevalent in obese children, especially younger ones.
- Management of obesity is the priority, with metabolic interventions secondary.
- Early screening for metabolic issues in pediatric obesity is warranted.
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