Nitric oxide and clustering of metabolic syndrome components in pediatrics Authors
First Online: 22 August 2009 Received: 18 March 2009 Accepted: 06 August 2009 DOI:
Cite this article as: Ghasemi, A., Zahediasl, S. & Azizi, F. Eur J Epidemiol (2010) 25: 45. doi:10.1007/s10654-009-9382-3
This study was performed to determine the risk factor pattern of the metabolic syndrome (MetS) in association with serum nitric oxide metabolites (NO
) in children and adolescents. The study included 851 children and adolescents, aged 4–19 years. The MetS was defined according to modified Adult treatment Panel III criteria. Cluster analysis was performed using principle components analysis with varimax orthogonal rotation to examine the risk factor pattern of the MetS. The prevalence of MetS was 10.8 and 10.0% in males and females, respectively. Age-and sex-adjusted odds ratio of having MetS was significantly higher in the upper quartile of NO x
compared to the lower quartile (2.2, 95% CI: 1.1–4.7, x
p = 0.029). In the whole population, three factors were identified including blood pressure/obesity, lipid/obesity, and glucose/NO
. Stratifying for sex, again three factors were retained; however, in males NO x
was loaded in two factors. In conclusion, serum NO x
was associated and loaded with other MetS components in cluster analysis of metabolic risk factors. x
Adult Treatment Panel III
Diastolic blood pressure
Endothelial nitric oxide synthase
Fasting plasma glucose
High-density lipoprotein cholesterol
Inducible nitric oxide synthase
Monitoring of trends and determinants in cardiovascular disease mRNA
Messenger ribonucleic acid
Measure of sampling adequacy
Nitric oxide metabolites
Systolic blood pressure
Tehran Lipid and Glucose Study
World Health Organization
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