I think that the sample size was good and the age groups used were adequate. The parameters that they initially checked in each individual are essential part of metabolic syndrome weight as well as the waist circumference was checked and the BMI was calculated based on weight to height ratio. Blood samples were collected to know the triglyceride, glucose and HDL level of each individual. Systolic blood pressure and the puberty level based on the tanner staging was also taken into consideration. Later the physical activity was measured based on accelerometer. The results showed that children with higher level of physical activity had lower chances of getting metabolic syndrome. I believe the limitations of the study was it being a cross sectional and was followed for a very short time frame which might be insufficient for the population to agree that risk of getting metabolic syndrome can be decreased by getting more physical activity. It would have been nice if along with physical fitness dietary restrictions were also included in the study. We all have heard that 80% of the weight loss occurs by making dietary changes. It would have been perfect if we were able to prove the additive effect of the diet and physical activity in reducing the risk of metabolic syndrome by this study.
Longitudinal study that followed the children from the age of 5 to 14 year old had a good sample size and the duration of the study was adequate. I personally believe that …show more content…
If we consider the longitudinal study it seems that the best age to start the intervention would be around kindergarten as the incidence increase by 40 percent. On the other hand I believe it is never too late to start educating the patient about the consequences of