{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T02:18:05Z","timestamp":1769048285627,"version":"3.49.0"},"reference-count":48,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,2,18]],"date-time":"2019-02-18T00:00:00Z","timestamp":1550448000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000780","name":"European Union","doi-asserted-by":"crossref","award":["MIS 371406"],"award-info":[{"award-number":["MIS 371406"]}],"id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Eur J Clin Investigation"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Using telemedicine in the school setting in Greece, we screened a representative adolescent sample for MetS (International Diabetes Federation criteria) and explored its associations with anthropometric, sociodemographic and behavioural parameters.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and methods<\/jats:title><jats:p>Cross\u2010sectional data were obtained from 12\u2010 to 17\u2010year\u2010old high school students.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of MetS in 1578 adolescents (mean age\u00a0\u00b1\u00a0SD 14.4\u00a0\u00b1\u00a01.7\u00a0years) was 2.6% (3.4% among males; 2.0% among females), highest (4.3%) at age 13\u00a0years and lowest (1.3%) at 16\u00a0years. Adolescents with MetS had significantly higher mean body mass index (BMI)\u00a0\u00b1\u00a0SD than those without MetS (30.2\u00a0\u00b1\u00a04.2 vs 21.3\u00a0\u00b1\u00a03.2\u00a0kg\/m<jats:sup>2<\/jats:sup>, respectively; <jats:italic>P\u00a0<\/jats:italic>&lt;\u00a00.001); among participants with obesity, 31.6% had MetS. Abdominal obesity, elevated triglycerides, low HDL\u2010cholesterol, impaired fasting blood glucose (FBG) and elevated blood pressure (BP) were detected in 9.5%, 2.3%, 10.7%, 25.9% and 21.8% of participants, respectively. Additional analysis (modified NCEP:ATPIII youth criteria) demonstrated similar overall prevalence of MetS (2.9%). Statistically significant correlations were found between most anthropometric and MetS characteristics, with the exception of FBG, which was correlated only with systolic BP. BMI was strongly correlated with waist and hip circumferences (<jats:italic>r<\/jats:italic>\u00a0=\u00a00.818, <jats:italic>P\u00a0<\/jats:italic>&lt;\u00a00.001; <jats:italic>r<\/jats:italic>\u00a0=\u00a00.825, <jats:italic>P\u00a0<\/jats:italic>&lt;\u00a00.001, respectively). Single parenthood and older maternal age (&gt;60\u00a0years) were risk factors for MetS. Although counterintuitive, body image distortion, body dissatisfaction and bullying about weight were more prevalent in normal weight girls.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The overall prevalence of MetS was low but 12\u2010fold higher when obesity was taken into account. Impaired FBG and elevated BP were the most prevailing features. Telemedicine services were used effectively in Greek schools for screening youth MetS.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eci.13075","type":"journal-article","created":{"date-parts":[[2019,1,31]],"date-time":"2019-01-31T05:17:06Z","timestamp":1548911826000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Telemedicine screening adolescent metabolic syndrome in Greek schools"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1001-0926","authenticated-orcid":false,"given":"Flora","family":"Bacopoulou","sequence":"first","affiliation":[{"name":"Center for Adolescent Medicine and UNESCO Chair on Adolescent Health Care, First Department of Pediatrics, School of Medicine Aghia Sophia Children\u2019s Hospital, National and Kapodistrian University of Athens Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasiliki","family":"Efthymiou","sequence":"additional","affiliation":[{"name":"Center for Adolescent Medicine and UNESCO Chair on Adolescent Health Care, First Department of Pediatrics, School of Medicine Aghia Sophia Children\u2019s Hospital, National and Kapodistrian University of Athens Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Palaiologos","sequence":"additional","affiliation":[{"name":"Department of Clinical Biochemistry Aghia Sophia Children\u2019s Hospital Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2651-3579","authenticated-orcid":false,"given":"Konstantinos","family":"Tsarouhas","sequence":"additional","affiliation":[{"name":"Center for Adolescent Medicine and UNESCO Chair on Adolescent Health Care, First Department of Pediatrics, School of Medicine Aghia Sophia Children\u2019s Hospital, National and Kapodistrian University of Athens Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgios","family":"Landis","sequence":"additional","affiliation":[{"name":"Center for Adolescent Medicine and UNESCO Chair on Adolescent Health Care, First Department of Pediatrics, School of Medicine Aghia Sophia Children\u2019s Hospital, National and Kapodistrian University of Athens Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ioannis","family":"Fostiropoulos","sequence":"additional","affiliation":[{"name":"Center for Adolescent Medicine and UNESCO Chair on Adolescent Health Care, First Department of Pediatrics, School of Medicine Aghia Sophia Children\u2019s Hospital, National and Kapodistrian University of Athens Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Kaklea","sequence":"additional","affiliation":[{"name":"Department of Clinical Biochemistry Aghia Sophia Children\u2019s Hospital Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anastasios","family":"Rentoumis","sequence":"additional","affiliation":[{"name":"Center for Adolescent Medicine and UNESCO Chair on Adolescent Health Care, First Department of Pediatrics, School of Medicine Aghia Sophia Children\u2019s Hospital, National and Kapodistrian University of Athens Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2126-3251","authenticated-orcid":false,"given":"Ioannis","family":"Papassotiriou","sequence":"additional","affiliation":[{"name":"Department of Clinical Biochemistry Aghia Sophia Children\u2019s Hospital Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,2,18]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc07-1030"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.157.8.821"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2009.3"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa031049"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2006.04.009"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1515\/jpem-2013-0336"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.5144\/0256-4947.2014.46"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2008.00955.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.4274\/Jcrpe.1064"},{"key":"e_1_2_7_11_1","unstructured":"International Diabetes Federation.The IDF consensus worldwide definition of the metabolic syndrome.https:\/\/www.idf.org\/our-activities\/advocacy-awareness\/resources-and-tools\/60:idfconsensus-worldwide-definitionof-the-metabolic-syndrome.html. 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