{
  "abstract": "Background\n\nChildhood obesity is a growing public health challenge and is closely linked to metabolic syndrome, a cluster of cardiometabolic abnormalities that predispose to type 2 diabetes and cardiovascular disease. Data on the prevalence and determinants of metabolic syndrome among Indian children, particularly in underserved regions, remain limited.Objective\n\nThe aim of the study is to estimate the prevalence and predictors of metabolic syndrome among overweight and obese children attending a tertiary care hospital in Jharkhand, India.Methods\n\nA hospital-based cross-sectional study was conducted between January 2024 and March 2025 among 250 overweight and obese children aged 5-15 years at AIIMS Deoghar. Anthropometric measures, blood pressure, and fasting biochemical parameters (glucose, triglycerides, high-density lipoprotein, low-density lipoprotein, and total cholesterol) were assessed. Metabolic syndrome was defined using the Indian Academy of Pediatrics (IAP) criteria. Statistical analyses included chi-square tests, t-tests, and logistic regression to determine independent predictors.Results\n\nThe prevalence of metabolic syndrome was 38% (n=95; 95% CI: 31.9-44.1). Significant risk factors included family history of obesity (OR: 1.7, 95% CI: 1.22-2.48), excess junk food intake (OR: 1.58, 95% CI: 1.18-2.11), abnormal developmental history (OR: 2.07, 95% CI: 1.39-3.08), low physical activity (<1 hour/day; OR: 1.67, 95% CI: 1.07-2.59), screen time >2 hours/day (OR: 1.44, 95% CI: 1.01-2.07), and birth weight <2.5 kg (adjusted OR: 1.43, 95% CI: 1.09-1.88). Protective factors included exclusive breastfeeding for six months (p<0.001). No significant association was observed with gender or parental education.Conclusion\n\nMetabolic syndrome is highly prevalent among overweight and obese children in Jharkhand, with both lifestyle-related (diet, physical activity, and screen time) and perinatal (low birth weight and maternal diabetes/hypertension) factors contributing. Early interventions targeting modifiable risk factors through lifestyle modification and health education are essential to reduce long-term cardiometabolic risks in this population.",
  "abstract_shown": true,
  "affiliations": [
    "Pediatrics, All India Institute of Medical Sciences, Jharkhand, IND.",
    "Community and Family Medicine, All India Institute of Medical Sciences, Jharkhand, IND.",
    "Pulmonary Medicine, All India Institute of Medical Sciences, Jharkhand, IND."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Mandeep Kaur"
    },
    {
      "affs": [
        0
      ],
      "name": "Sarthak Das"
    },
    {
      "affs": [
        1
      ],
      "name": "Vinayagamoorthy Venugopal"
    },
    {
      "affs": [
        0
      ],
      "name": "Saroj K Tripathy"
    },
    {
      "affs": [
        0
      ],
      "name": "Ehtesham Ansari"
    },
    {
      "affs": [
        0
      ],
      "name": "Soumi Kundu"
    },
    {
      "affs": [
        2
      ],
      "name": "Archana Malik"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/7ytavt34qrmpf.bib",
  "cited_by": 0,
  "doi": "10.7759/cureus.116684",
  "fulltext_url": "https://europepmc.org/articles/PMC13688278",
  "id": "7ytavt34qrmpf",
  "issns": [
    "2168-8184"
  ],
  "landing_url": "https://europepmc.org/article/MED/42923918",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2739|Obesity, Physical Activity, Diet"
    ]
  ],
  "openalex": "W7213964882",
  "pdf_url": "https://europepmc.org/articles/PMC13688278?pdf=render",
  "pmcid": "PMC13688278",
  "pmid": "42923918",
  "published": "2026-09-21",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/7ytavt34qrmpf.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:21:02Z",
      "native_id": "MED:42923918",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42923918"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2739|Obesity, Physical Activity, Diet",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Metabolic Syndrome Among Overweight and Obese Children Visiting Tertiary Care Hospital of Jharkhand: A Cross-Sectional Study.",
  "title_text": "Metabolic Syndrome Among Overweight and Obese Children Visiting Tertiary Care Hospital of Jharkhand: A Cross-Sectional Study.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:21:02Z",
  "url": "https://research.draconitic.com/paper/7ytavt34qrmpf",
  "venue": "Cureus",
  "versions": []
}