Beijing Children and Adolescents Metabolic Syndrome Study (BCAMS Study) (BCAMS)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Children aged 6 to 18 years old from Beijing area in China
Exclusion Criteria:
- Children or their parents refused to participate in the study
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Metabolic syndrome
Time Frame: Baseline
|
The presence of pediatric metabolic syndrome (MS) at baseline was defined by the modified criteria of Adult Treatment Panel III (ATP III).
|
Baseline
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Metabolic syndrome
Time Frame: At 10-year follow-up
|
Metabolic syndrome in adolescents and adults after follow-up was defined by the harmonized definition.
|
At 10-year follow-up
|
|
Obesity
Time Frame: Baseline
|
The participants' height and weight were measured under standardized conditions by trained staff.
Body mass index (BMI) was calculated as weight (kg) divided by height squared (m^2).
Normal weight, overweight and obesity were defined by age- and gender-specific BMI percentiles according to the criteria from the Working Group on Obesity in China.
|
Baseline
|
|
Obesity
Time Frame: At10-year follow-up
|
The participants' height and weight were measured under standardized conditions by trained staff.
Body mass index (BMI) was calculated as weight (kg) divided by height squared (m^2).
|
At10-year follow-up
|
|
Insulin resistance
Time Frame: Baseline
|
Insulin resistance index was calculated by homeostasis model assessment of insulin resistance (HOMA-IR), HOMA-IR = fasting insulin (mU/L) × FG (mmol/L) / 22.5.
|
Baseline
|
|
Insulin resistance
Time Frame: At 10-year follow-up
|
Insulin resistance index was calculated by homeostasis model assessment of insulin resistance (HOMA-IR), HOMA-IR = fasting insulin (mU/L) × FG (mmol/L) / 22.5.
|
At 10-year follow-up
|
|
Hypertension
Time Frame: Baseline
|
Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured in the right arm three times, 10 minutes apart, and the average of the three measurements was used in the analysis.Hypertension is defined by SBP / DBP ≥ 90th percentile for age, gender for subjects less than 18 years.
|
Baseline
|
|
Hypertension
Time Frame: At 10-year follow-up
|
Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were measured in the right arm three times, 10 minutes apart, and the average of the three measurements was used in the analysis.Hypertension is defined by SBP ≥ 130 mmHg or DBP ≥ 85 mmHg for adults.
|
At 10-year follow-up
|
|
Hyperglycemia
Time Frame: Baseline
|
The concentrations of plasma glucose (mmol/L).
|
Baseline
|
|
Hyperglycemia
Time Frame: At 10-year follow-up
|
The concentrations of plasma glucose (mmol/L).
|
At 10-year follow-up
|
|
Triglyceride (TG)
Time Frame: Baseline
|
The concentrations of plasma triglyceride (TG) (mmol/L).
|
Baseline
|
|
Triglyceride (TG)
Time Frame: At 10-year follow-up
|
The concentrations of plasma triglyceride (TG) (mmol/L).
|
At 10-year follow-up
|
|
Total cholesterol (TC)
Time Frame: Baseline
|
The concentrations of plasma total cholesterol (TC) (mmol/L).
|
Baseline
|
|
Total cholesterol (TC)
Time Frame: At 10-year follow-up
|
The concentrations of plasma total cholesterol (TC) (mmol/L).
|
At 10-year follow-up
|
|
High-density lipoprotein cholesterol(HDL-C)
Time Frame: Baseline
|
The concentrations of plasma high-density lipoprotein cholesterol(HDL-C) (mmol/L).
|
Baseline
|
|
High-density lipoprotein cholesterol(HDL-C)
Time Frame: At 10-year follow-up
|
The concentrations of plasma high-density lipoprotein cholesterol(HDL-C) (mmol/L).
|
At 10-year follow-up
|
|
Low-density lipoprotein cholesterol (LDL-C)
Time Frame: Baseline
|
The concentrations of plasma triglyceride low-density lipoprotein cholesterol (LDL-C) (mmol/L).
|
Baseline
|
|
Low-density lipoprotein cholesterol (LDL-C)
Time Frame: At 10-year follow-up
|
The concentrations of plasma triglyceride low-density lipoprotein cholesterol (LDL-C) (mmol/L).
|
At 10-year follow-up
|
|
Left ventricular mass
Time Frame: At 10-year follow-up
|
Assessment by a non-invasive transthoracic echocardiogram using a LOGIQ P5 B-mode ultrasonogram equipped (LOGIQ P5, GE Ultrasound, Korea) with a 2.5-3.5 MHz probe.
|
At 10-year follow-up
|
|
Non Alcoholic Fatty Liver Disease
Time Frame: At 10-year follow-up
|
Nonalcoholic fatty liver disease (NAFLD) was diagnosed by B ultrasonography according to the 2010 Prevention and Treatment Guidelines for NAFLD published by the Society of Hepatology, Chinese Medical Association.
|
At 10-year follow-up
|
|
Self-concept
Time Frame: At 10-year follow-up
|
The Chinese version of the Self-Description Questionnaire II (SDQ-II) was used to assess self-concept.
|
At 10-year follow-up
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Ming Li, MD, Peking Union Medical College Hospital
Publications and helpful links
General Publications
- Li L, Yin J, Cheng H, Wang Y, Gao S, Li M, Grant SF, Li C, Mi J, Li M. Identification of Genetic and Environmental Factors Predicting Metabolically Healthy Obesity in Children: Data From the BCAMS Study. J Clin Endocrinol Metab. 2016 Apr;101(4):1816-25. doi: 10.1210/jc.2015-3760. Epub 2016 Feb 25.
- Wang Q, Yin J, Xu L, Cheng H, Zhao X, Xiang H, Lam HS, Mi J, Li M. Prevalence of metabolic syndrome in a cohort of Chinese schoolchildren: comparison of two definitions and assessment of adipokines as components by factor analysis. BMC Public Health. 2013 Mar 21;13:249. doi: 10.1186/1471-2458-13-249.
- Li L, Fu J, Yu XT, Li G, Xu L, Yin J, Cheng H, Hou D, Zhao X, Gao S, Li W, Li C, Grant SFA, Li M, Xiao Y, Mi J, Li M. Sleep Duration and Cardiometabolic Risk Among Chinese School-aged Children: Do Adipokines Play a Mediating Role? Sleep. 2017 May 1;40(5):zsx042. doi: 10.1093/sleep/zsx042.
- Feng D, Zhang J, Fu J, Wu H, Wang Y, Li L, Zhao Y, Li M, Gao S. Association between sleep duration and cardiac structure in youths at risk for metabolic syndrome. Sci Rep. 2016 Dec 14;6:39017. doi: 10.1038/srep39017.
- Li G, Xu L, Zhao Y, Li L, Fu J, Zhang Q, Li N, Xiao X, Li C, Mi J, Gao S, Li M. Leptin-adiponectin imbalance as a marker of metabolic syndrome among Chinese children and adolescents: The BCAMS study. PLoS One. 2017 Oct 11;12(10):e0186222. doi: 10.1371/journal.pone.0186222. eCollection 2017.
- Fu J, Li G, Li L, Yin J, Cheng H, Han L, Zhang Q, Li N, Xiao X, Grant SFA, Li M, Gao S, Mi J, Li M. The role of established East Asian obesity-related loci on pediatric leptin levels highlights a neuronal influence on body weight regulation in Chinese children and adolescents: the BCAMS study. Oncotarget. 2017 Aug 24;8(55):93593-93607. doi: 10.18632/oncotarget.20547. eCollection 2017 Nov 7.
- Fu J, Hou C, Li L, Feng D, Li G, Li M, Li C, Gao S, Li M. Vitamin D modifies the associations between circulating betatrophin and cardiometabolic risk factors among youths at risk for metabolic syndrome. Cardiovasc Diabetol. 2016 Oct 6;15(1):142. doi: 10.1186/s12933-016-0461-y.
- Li G, Yin J, Fu J, Li L, Grant SFA, Li C, Li M, Mi J, Li M, Gao S. FGF21 deficiency is associated with childhood obesity, insulin resistance and hypoadiponectinaemia: The BCAMS Study. Diabetes Metab. 2017 Jun;43(3):253-260. doi: 10.1016/j.diabet.2016.12.003. Epub 2017 Jan 27.
- Wang D, Feng D, Wang Y, Dong P, Wang Y, Zhong L, Li B, Fu J, Xiao X, Speakman JR, Li M, Gao S. Angiopoietin-Like Protein 8/Leptin Crosstalk Influences Cardiac Mass in Youths With Cardiometabolic Risk: The BCAMS Study. Front Endocrinol (Lausanne). 2022 Jan 25;12:788549. doi: 10.3389/fendo.2021.788549. eCollection 2021.
- Wu Y, Zhong L, Li G, Han L, Fu J, Li Y, Li L, Zhang Q, Guo Y, Xiao X, Qi L, Li M, Gao S, Willi SM. Puberty Status Modifies the Effects of Genetic Variants, Lifestyle Factors and Their Interactions on Adiponectin: The BCAMS Study. Front Endocrinol (Lausanne). 2021 Dec 24;12:737459. doi: 10.3389/fendo.2021.737459. eCollection 2021.
- Li Y, Feng D, Esangbedo IC, Zhao Y, Han L, Zhu Y, Fu J, Li G, Wang D, Wang Y, Li M, Gao S, Willi SM. Insulin resistance, beta-cell function, adipokine profiles and cardiometabolic risk factors among Chinese youth with isolated impaired fasting glucose versus impaired glucose tolerance: the BCAMS study. BMJ Open Diabetes Res Care. 2020 Feb;8(1):e000724. doi: 10.1136/bmjdrc-2019-000724.
- Fu J, Wang Y, Li G, Han L, Li Y, Li L, Feng D, Wu Y, Xiao X, Li M, Grant SFA, Li M, Gao S. Childhood sleep duration modifies the polygenic risk for obesity in youth through leptin pathway: the Beijing Child and Adolescent Metabolic Syndrome cohort study. Int J Obes (Lond). 2019 Aug;43(8):1556-1567. doi: 10.1038/s41366-019-0405-1. Epub 2019 Jul 8.
- Wu Y, Yu X, Li Y, Li G, Cheng H, Xiao X, Mi J, Gao S, Willi SM, Li M. Adipose Tissue Mediates Associations of Birth Weight with Glucose Metabolism Disorders in Children. Obesity (Silver Spring). 2019 May;27(5):746-755. doi: 10.1002/oby.22421. Epub 2019 Feb 27.
- Li G, Han L, Wang Y, Zhao Y, Li Y, Fu J, Li M, Gao S, Willi SM. Evaluation of ADA HbA1c criteria in the diagnosis of pre-diabetes and diabetes in a population of Chinese adolescents and young adults at high risk for diabetes: a cross-sectional study. BMJ Open. 2018 Aug 8;8(8):e020665. doi: 10.1136/bmjopen-2017-020665.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- BCAMS
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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