[Incidence of complex metabolic disorders among young people--preliminary report]

The incidence of metabolic disorders and predispositions to development of civilization diseases in general population is well known, but there is a little data about presence of these disorders among young, potentially healthy people.

To conduct an assessment of incidence metabolically disorders among young people.

In examination 45 young volunteers, students of Wroclaw Medical University were included. At the beginning, each participant filled the questionnaire, then anthropometric measurements were made, and carbohydrate and lipid related laboratory parameters were determined in fasting serum or plasma.

According to Polish Diagnostics Laboratory Association (PTDL), Polish Cardiology Association (PTK), Polish Diabetes Association (PTD), International Diabetes Federation (IDF) recommendations and data from publications, we have shown that the most participants (90%) had appropriate body mass (BMI<25 kg/m2), but more than one fourth of them characterized overly large waist circumference. The rarest observed disorder was the increased blood pressure and too low HDL cholesterol concentration (depending on the applied criteria), whereas insulin resistance was identified the most frequent. Occurrence of at least one of "classic" metabolic disorders was indicated in more than half of participants, whereas coexistence three or more these disorders in the same person was observed in 7% of volunteers. Metabolic syndrome was identified with the same frequency, while one fourth of participants showed features which enabled to diagnose MONW (metabolically obese normal weight).

The complex metabolic disturbances were observed at very large percent of young, potentially health and not family burdened people. We concluded that it is necessary to undertake various actions, like screening examinations, including insulin resistance parameters, in purpose to early identification of these metabolic disturbances, especially towards diagnosis of MONW syndrome.