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ORIGINAL ARTICLE
Korean J Pediatr 2011 June;54(6) :253-259.
doi:https://doi.org/10.3345/kjp.2011.54.6.253
The metabolic syndrome and body composition in childhood cancer survivors
Young Bae Sohn (Sohn YB)1, Su Jin Kim (Kim SJ)2, Sung Won Park (Park SW)1, Se-Hwa Kim (Kim SH)1, Sung-Yoon Cho (Cho SY)1, Soo Hyun Lee (Lee SH)1, Keon hee Yoo (Yoo Kh)1, Ki Woong Sung (Sung KW)1, Jae Hoon Chung (Chung JH)3, Hong Hoe Koo (Koo HH)1, Dong-Kyu Jin (Jin DK)1
1Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
2Center of Pediatric Oncology, National Cancer Center, Korea
3Division of Endocrinology and Metabolism, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
Corresponding Author: Dong-Kyu Jin ,Tel: +82-2-3410-3525, Fax: +82-2-3410-0043, Email: jindk@skku.edu
Copyright © 2011 by The Korean Pediatric Society
ABSTRACT
Purpose : Long-term survivors of childhood cancer appear to have an increased risk for the metabolic syndrome, subsequent type 2 diabetes and cardiovascular disease in adulthood compared to healthy children. The purpose of this study was to investigate the frequency of the metabolic syndrome and associated factors in childhood cancer survivors at a single center in Korea. Methods : We performed a retrospective review of medical records of 98 childhood cancer survivors who were diagnosed and completed anticancer treatment at Samsung Medical Center, Seoul, Korea between Jan. 1996 and Dec. 2007. Parameters of metabolic syndrome were evaluated between Jan. 2008 and Dec. 2009. Clinical and biochemical findings including body fat percentage were analyzed. Results : A total of 19 (19.4%) patients had the metabolic syndrome. The median body fat percentage was 31.5%. The body mass index and waist circumference were positively correlated with the cranial irradiation dose (r=0.38, P<0.001 and r=0.44, P<0.00, respectively). Sixty-one (62.2%) patients had at least one abnormal lipid value. The triglyceride showed significant positive correlation with the body fat percentage (r=0.26, P=0.03). The high density lipoprotein cholesterol showed significant negative correlation with the percent body fat (r=- 0.26, P=0.03). Conclusion : Childhood cancer survivors should have thorough metabolic evaluation including measurement of body fat percentage even if they are not obese. A better understanding of the determinants of the metabolic syndrome during adolescence might provide preventive interventions for improving health outcomes in adulthood.
Keywords: Cancer survivor | Metabolic syndrome | Body composition | Fat percentage
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