Metabolic Syndrome X Clinical Trial
Official title:
Study of Chronic Degenerative Diseases, Translational Medicine Approach
The prevalence of obesity and type 2 diabetes mellitus (DM) in children have been increasing
in parallel at an alarming rate. In particular, the increasing prevalence of type 2 DM is
attributable to genetic factors, clinical (waist circumference, adiposity and physical
condition) and biochemical (insulin secretion and sensitivity, lipids and inflammation)
risk, each of which represents an independent risk.
As has already studied and published in the investigators' group, the child population of
Toluca has greater expression of cardiovascular risk factors than their counterparts in
Bogota, Colombia. The metabolic characterization of the young population of Toluca and
Bogota with new biomarkers such as homocysteine and leptin is an activity that aims to
provide more metabolic data affecting young people.
Hypothesis:
After six months of follow-up there will be a greater relative risk in Mexican population to
have identified another component of metabolic syndrome compared to the young population of
Colombia.
Objective:
To compare the expression levels of cardiovascular risk markers in young people between 5
and 12 years of Toluca, Mexico and Bogota, Colombia.
Material and methods:
Type of study: prospective, descriptive, comparative, and longitudinal.
Sample Calculation:
For a cohort study and taking into account that in the investigators' previous publication
in the Colombian population only 13% (sick rate in unexposed group) had an altered metabolic
parameter; accepting an alpha risk of 0.05 and a beta of 0.2 on a risk bilateral contrast,
57 subjects were required in the exposed group (Mexican population) and 57 in unexposed to
detect a minimum relative risk of 3 to find other alteration to metabolic syndrome after six
months follow-up.
Measurements:
The International Physical Activity Questionnaire (IPAQ) will be applied to all children.
Dietary history of three days and physical examination (height in cm , weight in kg and
waist circumference in centimeters) and blood pressure (mmHg) data will be recorded. Blood
samples will be taken to analyze glucose, cholesterol, HDL, triglycerides, homocysteine and
leptin.
Statistics:
Variables will be tested for normality through the Kolmogorov-Smirnov and Shapiro-Wilk
formulas. Variables related to the physiological and metabolic functions and anthropometric
measurements will be reported in mean and standard deviation. The differences in the
laboratorial and anthropometrical variables will be analyzed with the Student t test. A
difference will be considered significant with a p value ≤ 0.05. The statistical program
used is the Statistical Package for the Social Sciences (SPSS) version 19.
;
Observational Model: Cohort, Time Perspective: Prospective
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