CONNECTION BETWEEN METABOLIC SYNDROME COMPONENTS AND EATING BEHAVIOR IN ADOLESCENTS BORN PREMATURELY

The study aims to determine the nature of the connection between eating behavior and clinical and metabolic disorders that form the metabolic syndrome. Material and methods. The main group (n = 58) consisted of adolescents born prematurely. Comparison group (n = 66) included adolescents born on time. The components of the metabolic syndrome were assessed according to the criteria of the International Diabetes Federation. Eating behavior was investigated using the Dutch Eating Behavior Questionnaire (DEBQ). Statistical analysis of the data was carried out using the SPSS 20.0 software. Results. In adolescents born prematurely, obesity was more often recorded (31 % versus 9 %, OR 4.0; 95 % CI 2.9–7.7; χ2 = 9.28; p = 0.002) and abdominal fat deposition was 36 % in the main group versus 6 % in the comparison group (OR 8.6; 95 % CI 2.8–27.2; χ2 = 17,1, p < 0.0001); grade 1 arterial hypertension in 34.5 % of the main group and in 1.5 % in the comparison group (OR 33.7; 95 % CI 4.3–261.2, p < 0.05). In adolescents who were born prematurely, disorders of the restrictive type were more pronounced (p < 0.05). Eating disorders in adolescents born prematurely have gender differences: boys (73 %) are more likely to develop these disorders than girls (36 %) (OR = 4.4; 95 % CI 1.5–13.2, p < 0.05). In prematurely born girls, there is no relationship between the components of metabolic syndrome and eating disorders. Prematurely born boys, along with connection of parameters characterizing the abdominal type of fat deposition (waist circumference, waist-to-hip ratio), blood pressure indicators with indicators of fat and carbohydrate metabolism (triacylglycerides, glucose, Tyg index, insulin, HOMA-IR indices), have associations of the above components of the metabolic syndrome with eating disorders: with the external type in the prepubertal age, as well as with the external and restrictive type in the prepubertal period.

adolescents born prematurely, metabolic syndrome, eating disorders.

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