Artículos de revistas
Frequency Of Obesity And Related Risk Factors Among School Children And Adolescents In A Low-income Community. A Cross-sectional Study [frequência De Obesidade E Fatores De Risco Relacionados Em Escolares E Adolescentes Em Uma Comunidade De Baixa Renda. Um Estudo Transversal]
Registro en:
Sao Paulo Medical Journal. Associacao Paulista De Medicina, v. 133, n. 2, p. 125 - 130, 2015.
15163180
10.1590/1516-3180.2014.8960412
2-s2.0-84929667822
Institución
Resumen
CONTEXT AND OBJECTIVE: The frequency of obesity at an early age may contribute to atherosclerosis and cardiovascular disease (CVD) in adults. This study measured the frequency of obesity and cardiovascular risk factors in children and adolescents aged 6 to 17 years. DESIGN AND SETTING: Cross-sectional study in a school located in a region of low income and socioeconomic status in Santa Rita do Sapucai, Minas Gerais, Brazil. METHODS: A total of 175 students were classified using body mass index (BMI) and their waist circumference, blood pressure, number of hours of sedentary behavior and school meals were evaluated. Serum concentrations of fasting blood glucose, total cholesterol (TC), triglycerides (TG), low-density lipoprotein (LDL-C) and high-density lipoprotein (HDL-C) were analyzed. RESULTS: 37.2% of the students had BMI above the 85th percentile and had significantly lower age, higher prevalence of hypertension, higher serum TC, LDL-C and TG, and greater waist circumference than those with BMI below the 85th percentile. Hypertension was observed in 2.9% of the students; 5.1% presented impaired glucose tolerance, 40% had two risk factors for atherosclerosis and 26.9% had three risk factors. A sedentary lifestyle was significantly less prevalent among subjects with BMI above the 85th percentile and was significantly correlated with serum TC and LDL-C. The school meals were hypoglycemic, hyperproteic and hyperlipidemic. CONCLUSION: One third of the children and adolescents had weights greater than or equal to the age-adjusted weight, and this was associated with greater waist circumference, hypertension and prevalence of dyslipidemia. © 2015, Associacao Paulista de Medicina. All right reserved. 133 2 125 130 Ross, R., Atherosclerosis--an inflammatory disease (1999) N Engl J Med, 340 (2), pp. 115-126 Oliveira, C.L., Fisberg, M., Obesity in children and adolescent: A true epidemiology (2003) Arq Bras Endocrinol Metab, 47 (2), pp. 107-108 Mendis, S., Lindholm, L.H., Mancia, G., World Health Organization (WHO) and International Society of Hypertension (ISH) risk prediction charts: Assessment of cardiovascular risk for prevention and control of cardiovascular disease in low and middle-income countries (2007) J Hypertens, 25 (8), pp. 1578-1582 Baena, C.P., Chowdhury, R., Schio, N.A., Ischaemic heart disease deaths in Brazil: Current trends, regional disparities and future projections (2013) Heart, 99 (18), pp. 1359-1364 Ferraz, M.L., Nascimento, D.M., Rorato, J.P., Correlation of lifetime progress of atherosclerosis and morphologic markers of severity in humans: New tools for a more sensitive evaluation (2012) Clinics (Sao Paulo), 67 (9), pp. 1071-1075 Thom, T., Haase, N., Rosamond, W., Heart disease and stroke statistics--2006 update: A report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee (2006) Circulation, 113 (6), pp. e85-e151 Romaldini, C.C., Issler, H., Cardoso, A.L., Diament, J., Forti, N., Risk factors for atherosclerosis in children and adolescents with family history of premature coronary artery disease (2004) J Pediatr (Rio J), 80 (2), pp. 135-140 Williamson, D.F., Madans, J., A, R.F., Recreational physical activity and ten-year weight change in a US national cohort (1993) Int J Obes Relat Metab Disord, 17 (5), pp. 279-286 Lis, S., Chen, W., Srinivasan, S.R., Childhood cardiovascular risk factors and carotid vascular changes in adulthood: The Bogalusa Hearth Study (2003) JAMA, 290 (17), pp. 2271-2276 Coutinho, W., Latin America consensus on obesity (1999) Arq Bras Endocrinol Metab, 43 (1), pp. 21-67 Chinn, S., Rona, R.J., Prevalence and trends in overweight and obesity in three cross sectional studies of British Children, 1974-94 (2001) BMJ, 322 (7277), pp. 24-26 Leão, L., Araújo, L., Moraes, L., Assis, A.M., Prevalence of obesity in school children from Salvador, Bahia (2003) Arq Bras Endocrinol Metab, 47 (2), pp. 151-157 Holmbäck, U., Fridman, J., Gustafsson, J., Overweight more prevalent among children than among adolescents (2007) Acta Paediatr, 96 (4), pp. 577-581 Petersen, S., Brulin, C., Bergström, E., Increasing prevalence of overweight in young schoolchildren in Umeå, Sweden, from 1986 to 2001 (2003) Acta Paediatr, 92 (7), pp. 848-853 Dietz, W.H., Periods of risk on childhood for the development of adult obesity--what do we need to learn? (1997) J Nutr, 127 (9), pp. 1884S-1886S http://www.censo2010.ibge.gov.br/sinopse/index.php?uf=31, Brasil. Instituto Brasileiro de Geografia e Estatística. Sinopse do Censo demográfico 2010. População residente, total, urbana total e urbana na sede municipal, em números absolutos e relativos, com indicação da área total e densidade demográfica, segundo as Unidades da Federação e os municípios-2010. Available from, Accessed in 2014 (Nov 18)Santos, R.D., III Brazilian Guidelines on Dyslipidemias and Guideline of Atherosclerosis Prevention from Atherosclerosis Department of Sociedade Brasileira de Cardiologia (2001) Arq Bras Cardiol, 77, pp. 1-48 Suñé, F.R., Dias-Da-Costa, J.S., Olinto, M., Pattussi, M.P., Prevalence of overweight and obesity and associated factors among schoolchildren in a southern Brazilian city (2007) Cad Saude Publica, 23 (6), pp. 1361-1371 Bolzan, A., Guimarey, L., Frisancho, A.R., Study of growth in rural school children from Buenos Aires, Argentina using upper arm muscle area by height and other anthropometric dimensions of body composition (1999) Ann Hum Biol, 26 (2), pp. 185-193 De Onis, M., Onyango, A.W., Borghi, E., Development of a WHO growth reference for school-aged children and adolescents (2007) Bull World Health Organ, 85 (9), pp. 660-667 Casey, V.A., Dwyer, J.T., Berkey, C.S., The distribution of body fat from childhood to adulthood in a longitudinal study population (1994) Ann Hum Biol, 21 (1), pp. 39-55 Freedman, D.S., Serdula, M.K., Srinivasan, S.R., Berenson, G.S., Relation of circumferences and skinfold thicknesses to lipid and insulin concentrations in children and adolescents: The Bogalusa Heart Study (1999) Am J Clin Nutr, 69 (2), pp. 308-317 Falkner, B., Daniels SR. Summary of the Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents (2004) Hypertension, 44 (4), pp. 387-388 (2011), http://www.ibge.gov.br/home/estatistica/populacao/condicaodevida/pof/2008_2009_composicao_nutricional/pofcomposicao.pdf, Brasil. Instituto Brasileiro de Geografia e Estatística. Pesquisa de orçamentos Familiares 2008-2009. Tabela de composição nutricional dos alimentos consumidos no Brasil. Rio de Janeiro: IBGE, Available from, Accessed in 2014 (Nov 19)Bantle, J.B., Wylie-Rosett, J., Nutrition recommendations and interventions for diabetes: A position statement of the American Diabetes Association (2008) Diabetes Care, 31, pp. S61-S78. , American Diabetes Association I Diretriz de Prevenção da Aterosclerose na Infância e na Adolescência (2005) Arq Bras Cardiol, 85, pp. 3-36. , Sociedade Brasileira de Cardiologia Sociedade Brasileira de Cardiologia Sociedade Brasileira de Pediatria;, et al (2000), Institute of Medicine (US) Subcommittee on Interpretation and Uses of Dietary Reference Intakes, Institute of Medicine (US) Standing Committee on the Scientific Evaluation of Dietary Reference Intakes. DRI Dietary Reference Intakes: Applications in Dietary Assessment. Washington: National Academies PressCoronelli, C.L., De Mourab, E.C., Hipercolesterolemia em escolares e seus fatores de risco [Hypercholesterolemia and its risk factors among schoolchildren] (2003) Rev Saude Publica, 37 (1), pp. 24-31 Barja, S., Barrios, X., Arnaiz, P., Niveles de lípidos sanguíneos em escolares chilenos de 10 a 14 años de edad [Blood lipids in Chilean children 10-14 years of age] (2013) Nutr Hosp, 28 (3), pp. 719-725 Bucher, B.S., Tschumi, S., Simonetti, G.D., Childhood’s determinants for high blood pressure in adulthood (2012) Ther Umsch, 69 (5), pp. 295-298 Rover, M., Kupek, E., Delgado, R., Souza, L.C., Perfil lipídico e sua relação com fatores de risco para a aterosclerose em crianças e adolescentes [Lipid profile and its relationship atherosclerosis risk factors in children and adolescents] (2010) Rev Bras Anal Clín, 42 (3), pp. 191-195 Costa, J.V., Silva, A., Moura, I.H., Análisis de los factores de riesgo para hipertensión arterial en adolescentes escolares [An analysis of risk factors for arterial hypertension in adolescent students] (2012) Rev Latinoam Enferm, 20 (2), pp. 289-295 Scherr, C., Magalhães, C.K., Malheiros, W., Análise do perfil lipídico em escolares [Lipid profile analysis in school children] (2007) Arq Br Cardiol, 89 (2), pp. 73-78 Moser, D.C., Milano, G.E., Brito, L., Titski, A., Leite, N., Pressão arterial elevada, excesso de peso e obesidade abdominal em crianças e adolescentes [High blood pressure, overweigth and abdominal obesity in children and adolescentes] (2011) Rev Educ Fis, 22 (4), pp. 591-600 Silva, J., Giorgetti, K.S., Colosio, R.C., Obesidade e sedentarismo como fatores de risco para doenças cardiovasculares em crianças e adolescentes de escolas públicas de Maringá, PR (2009) Revista Saúde E Pesquisa, 2 (1), pp. 41-51. , http://www.cesumar.br/pesquisa/periodicos/index.php/saudpesq/article/viewFile/868/721, Available from, Accessed in 2014 (Oct 16) Lung, and Blood Institute. Expert panel on integrated guidelines for cardiovascular health and risk reduction in children and adolescents: Summary report (2011) Pediatrics, 128, pp. S213-SS56. , Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents National Heart Grillo, L.P., Crispim, S.P., Siebert, A.N., Perfil lipídico e obesidade em escolares de baixa renda [Lipid profile and obesity in low income school children] (2005) Rev Bras Epidemiol, 8 (1), pp. 75-81 Halpern, A., Mancini, M.C., Magalhães, M.E., Metabolic syndrome, dyslipidemia, hypertension and type 2 diabetes in youth: From diagnosis to treatment (2010) Diabetol Metab Syndr, 2, p. 55 Vásquez, F., Díaz, E., Lera, L., Impacto del ejercicio de fuerza muscular en la prevención secundaria de la obesidad infantil intervención al interior del sistema escolar [Impact of strength training exercise on secondary prevention of childhood obesity an intervention within the school system] (2013) Nutr Hosp, 28 (2), pp. 347-356