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Acta clinica Croatica, Vol. 60. No. 1., 2021.

Original scientific paper

https://doi.org/10.20471/acc.2021.60.01.01

Cardiometabolic Risk among Montenegrin Urban Children in Relation to Obesity and Gender

Milica Martinović orcid id orcid.org/0000-0003-3802-8781 ; Faculty of Medicine, Department of Pathophysiology and Laboratory Medicine, University of Montenegro, Podgorica, Montenegro
Goran Belojević orcid id orcid.org/0000-0002-5463-4397 ; Faculty of Medicine, Institute of Hygiene and Medical Ecology, University of Belgrade, Belgrade, Serbia
Marina Jakšić orcid id orcid.org/0000-0003-1432-9598 ; Institute for Children’s Diseases, Department of Laboratory Diagnostics, Podgorica, Montenegro
Nebojša Kavarić ; Primary Health Care Centre, Podgorica, Montenegro
Aleksandra Klisić orcid id orcid.org/0000-0001-7870-0996 ; Primary Health Care Centre, Podgorica, Montenegro

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Abstract

Considering 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.

Keywords

Cardiometabolic risk; Childhood obesity; Hypertension; Metabolic syndrome

Hrčak ID:

259805

URI

https://hrcak.srce.hr/259805

Publication date:

1.3.2021.

Article data in other languages: croatian

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