Background: The present study was designed to evaluate association of psychosocial distress with cardio\r\nmetabolic risk factors and liver enzymes in Iranian children and adolescents.\r\nMethod: This nationwide study was conducted as the third survey of the school-based surveillance system that was\r\nconducted among 5593 school students, 10ââ?¬â??18 years in Iran. High triglyceride (TG), high fasting blood sugar (FBS), high\r\ntotal cholesterol (TC), high low-density lipoprotein cholesterol (LDL-C), low high-density lipoprotein cholesterol (HDL-C),\r\nhypertension (HTN), generalized obesity and abdominal obesity were considered as cardio metabolic risk factors and\r\nalanine transaminase (ALT) and aspartate aminotransferase (AST) were considered as liver enzymes. Data were analyzed\r\nusing multiple logistic regression (MLR) analysis.\r\nResult: Psychosocial distress was detected in2027 (71.2%) of boys and 1759 (63.3%) of girls. Among boys, the mean of\r\nLDL, AST and DBP were higher and the mean FBS and HDL were lowering those with psychiatric distress than their\r\nother counterparts. Girls with psychosocial distress had significantly higher mean of HDL and FBS than those without\r\npsychiatric distress. Psychosocial distress significantly increased the odds of high LDL (OR = 2.36, 95%CI 1.53, 3.64), high\r\nFBS (OR = 1.23, 95%CI 1.02, 1.49) and low HDL (OR = 1.65, 95%CI 1.41, 1.95).\r\nConclusion: Psychosocial distress in adolescents is associated with increased risk of some cardio metabolic risk factors.
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