Article
Health promotion initiatives at school related to overweight, insulin resistance, hypertension and dyslipidemia in adolescents: a cross-sectional study in Recife, Brazil
Registro en:
BEZERRA, Myrtis Katille de Assunção et al. Health promotion initiatives at school related to overweight, insulin resistance, hypertension and dyslipidemia in adolescents: a cross-sectional study in Recife, Brazil. BMC Public Health, v. 18, p. 1-12, 2018.
1471-2458
10.1186/s12889-018-5121-6
Autor
Bezerra, Myrtis Katille de Assunção
Carvalho, Eduardo Freese de
Oliveira, Juliana Souza
Cesse, Eduarda Ângela Pessoa
Lira, Pedro Israel Cabral de
Cavalcante, Jonathan Galvão Tenório
Leal, Vanessa Sá
Resumen
Department of Science and Technology of the Secretary of Science,
Technology and Strategic Inputs of the Brazilian Ministry of Health (Decit/
SCTIE/MS); Health Sector Fund (CT-Saúde) of the Brazilian Ministry of Science,
Technology and Innovation (MCTI) (FINEP Protocol: 01090421 and CNPq
565037/2010–2 and 405.009/2012–7). The author Bezerra Assunção, MK is a
fellow of CNPq (Process Process 444138 / 2014–5). Background: The emergence of diseases such as dyslipidemia, systemic arterial hypertension, insulin resistance and metabolic syndrome in children and adolescents has brought about a change in the epidemiologic profile of the pediatric population. As action to promote health in the school environment is a useful tool for changing the pattern of health/disease in the young population, the present study aimed to identify schools that promote healthy eating and physical activity and to study the relationship between these practices and the prevalence of overweight, hypertension, insulin resistance and hypercholesterolemia in adolescents. Methods: A cross-sectional population-based study was conducted with 2400 adolescents aged from 12 to 17 years old and participating in the “Study of Cardiovascular Risk in Adolescents” (ERICA – Estudo de Riscos Cardiovasculares em Adolescente). The association between dependent (overweight, insulin resistance, hypertension and dyslipidemia) and independent variables (implementation of health promoting initiative in schools) was investigated using the chi-square test and prevalence ratio (PR) with a confidence index (CI) of 95%. Results: The unsatisfactory implementation of a “health promoting environment” (PR = 1.02; CI 95%: 1.0; 1.04) and “partnerships with the health sector” (PR = 1.03; CI 95%: 1.01; 1.05) were linked to a high prevalence of overweight in adolescents. Hypercholesterolemia was found to be higher in the schools with unsatisfactory implementation of “healthy eating and health on the scholar curriculum” (PR = 1.71; CI 95%: 1.22; 2.44) and those lacking a “healthy-eating promoting environment” (PR = 1.29; CI 95%: 1.10; 1.54). Schools with unsatisfactory implementation of a “health-eating promoting environment” (PR = 1.36; CI 95%: 1.04; 1.79) and those lacking “partnership with the health sector” (PR = 2.12; CI 95%: 1.38; 3.24) had more adolescents with insulin resistance. There was no association between hypertension and any other component studied. Conclusion: Schools which have implemented adequate health promotion in their curriculums showed a lower prevalence of overweight, insulin resistance and hypercholesterolemia in adolescents.