• Acta clinica Croatica · Mar 2021

    CARDIOMETABOLIC RISK AMONG MONTENEGRIN URBAN CHILDREN IN RELATION TO OBESITY AND GENDER.

    • Milica Martinović, Goran Belojević, Marina Jakšić, Nebojša Kavarić, and Aleksandra Klisić.
    • 1Faculty of Medicine, Department of Pathophysiology and Laboratory Medicine, University of Montenegro, Podgorica, Montenegro; 2Faculty of Medicine, Institute of Hygiene and Medical Ecology, University of Belgrade, Belgrade, Serbia; 3Institute for Children's Diseases, Department of Laboratory Diagnostics, Podgorica, Montenegro; 4Primary Health Care Centre, Podgorica, Montenegro.
    • Acta Clin Croat. 2021 Mar 1; 60 (1): 3-9.

    AbstractConsidering previously reported discrepant results in the literature, we aimed to investigate the impact of gender and overweight/obesity on cardiometabolic risk (CMR) among Montenegrin urban children. The cross-sectional study included random sample of 201 schoolchildren aged 7-12 years (64% of boys) from Podgorica. Children's nutritional status was determined according to the International Obesity Task Force criteria. CMR was assessed using a sum of z values of the following five indicators: glucose, total cholesterol, inverted value of high-density lipoprotein cholesterol, triglycerides, and hypertension. Higher CMR was found among both overweight and obese boys compared to normal weight boys (p<0.001). The effect size of the difference in CMR between overweight and obese girls and normal weight counterparts was less prominent (p<0.05). Logistic regression analysis revealed that body mass index was independent predictor of high CMR [odds ratio (OR)=1.06; 95% confidence interval (CI)=1.02-1.10); p=0.002]. On the contrary, we found no impact of socioeconomic status, physical activity or sedentary time on CMR in the examined cohort of schoolchildren. In conclusion, both overweight and obesity even among young population are related to higher CMR and this effect is more prominent among boys as compared to girls.

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