The healthier trend of declining MetS severity in adolescents is due to favorable increases in HDL and decreases in fasting triglyceride measurements.

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There was a decreasing trend of metabolic syndrome severity due to increased consumption of good cholesterol (HDL) among adolescents in the U.S.
They found a decreasing trend in metabolic syndrome among the teens. But their BMI score was higher and had no changes in physical activity levels. The decrease in triglycerides and increase in lipoproteins were the main reason for the decline of MetS.
Researchers found that the rate of metabolic syndrome among the teens held steady during the study period. But the severity of the syndrome decreased. Children consumed lesser amount of carbohydrates, calories and higher levels of good cholesterol (HDL).
“While we don't know for sure why these improvements occurred, we saw that over time, children have eaten healthier diets, eating fewer calories overall, less carbohydrates and more food with unsaturated fat. This supports the important idea that changes to your lifestyle choices are the key to improving cardiovascular risk status,” said study author Dr. Mark DeBoer, an associate professor of pediatrics, University of Virginia.
Reference: Mark D. DeBoer et al. “Trends in Metabolic Syndrome Severity and Lifestyle Factors Among Adolescents,” Pediatrics, DOI:10.1542/peds.2015-3177.
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