As the number of children with obesity continues to grow, the health implications of the condition are becoming increasingly evident: an unprecedented epidemic of type 2 diabetes is emerging in obese and overweight young people. At the time of diagnosis of diabetes, cardiovascular disease may already be present, even in young adults. The close association between type 2 diabetes and cardiovascular disease led to the hypothesis that the two may arise from a common antecedent, the metabolic syndrome – a cluster of metabolic disorders. This syndrome affects up to 30% people in many populations and clearly has enormous importance in terms of clinical and public health, even at its earliest stages. Sonia Caprio looks at the development and impact of the metabolic syndrome in young people and makes a call for unified paediatric definition of the condition.
children, obesity, paediatrics, cardiovascular risk,