Research Article

TG : HDL-C Ratio Is a Good Marker to Identify Children Affected by Obesity with Increased Cardiometabolic Risk and Insulin Resistance

Table 4

Comparison of metabolic syndrome-associated risk factors between children with metabolic syndrome (MetS) and elevated TG : HDL-C ratio (TG : HDL-C ≥ 1.11).

Biochemical/clinical parametersBoys (n = 45)Girls (n = 42)
Elevated TG : HDL-C ≥1.11 (n = 32, 71.1%)MetS (n = 13, 28.9%) valueTG : HDL-C ≥1.11 (n = 32, 75%)MetS (n = 10, 25%) value

Age12.6 ± 1.9713.1 ± 1.260.48212.6 ± 1.913.2 ± 1.50.46
Cardiovascular risk factors
Obesity
 Mean BMI z-score2.9 ± 0.92.88 ± 0.60.952.6 ± 0.72.5 ± 0.50.78
 Mean body fat (%)38.5 ± 7.339.7 ± 4.90.62342.6 ± 4.943.9 ± 3.70.337
Blood lipids
 Mean total cholesterol (mmol/l)4.68 ± 0.784.37 ± 0.90.2534.5 ± 0.914.67 ± 0.90.623
 Mean LDL-C (mmol/l)3.33 ± 0.843.2 ± 1.140.6363.2 ± 0.983.4 ± 0.740.439
Blood pressure
 Mean systolic blood pressure (mmHg)112 ± 9116 ± 110.26108 ± 12111 ± 90.476
 Mean diastolic blood pressure (mmHg)73 ± 875 ± 80.46869 ± 1070 ± 70.885
Insulin resistance markers
 Mean TG : HDL-C1.44 ± 0.331.69 ± 0.830.171.34 ± 0.251.66 ± 0.770.045
 Mean insulin21.68 ± 13.4422.54 ± 22.540.84420.6 ± 11.926.7 ± 23.270.28
Liver enzymes/NAFLD blood markers
 Mean ALT (U/l)22.6 ± 17.319.23 ± 19.40.5714.8 ± 10.922.2 ± 27.20.229
 Mean AST (U/l)32 ± 28.2427.7 ± 24.760.63423.3 ± 16.425.1 ± 21.60.80
 Mean GGT (U/l)34.0 ± 25.343.23 ± 64.90.50721.2 ± 13.230.7 ± 19.90.09
 Mean AST : ALT1.64 ± 1.11.64 ± 0.620.982.36 ± 3.141.7 ± 1.10.64

value was obtained from comparison of means using the independent-group t-test; NA: not available.