According to the World Health Organization 68% of the causes of global mortality are due to noncommunicable diseases, that include cardiovascular pathology obesity, atherosclerosis and diabetes mellitus. The combination of abdominal obesity, hypertension, hyperglycemia and hyperlipidemia on the background of insulin resistance and chronic subclinical inflammation are components metabolic syndrome (MetS). MetS in pediatric population is also complex problem associated with the potential cardiovascular risk in young adults. There are lot of debates around definitions and diagnostic cut-offs for the MetS components due to age dependent fluctuations of the metabolic and cardiovascular parameters. This leads to the unclear incidence of the syndrome in children. Meantime, healthy lifestyle, nutrition and sleep are best strategies for both preventing and treating MetS in children and adolescents. Despite the large number of studies in this area, pediatric metabolic syndrome remains the subject of controversy.
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