Background Several authors have correlated the increase of cardiovascular risk with the
nutritional status, however there are different criteria for the classification of
overweight and obesity in children. Objectives To evaluate the performance of three nutritional classification criteria in
children, as definers of the presence of obesity and predictors of high blood
pressure in schoolchildren. MethodsEight hundred and seventeen children ranging 6 to 13 years old, enrolled in public
schools in the municipality of Vila Velha (ES) were submitted to anthropometric
evaluation and blood pressure measurement. The classification of the nutritional
status was established by two international criteria (CDC/NCHS 2000 and IOTF 2000)
and one Brazilian criterion (Conde e Monteiro 2006). ResultsThe prevalence of overweight was higher when the criterion of Conde e Monteiro
(27%) was used, and inferior by the IOTF (15%) criteria. High blood pressure was
observed in 7.3% of children. It was identified a strong association between the
presence of overweight and the occurrence of high blood pressure, regardless of
the test used (p < 0.001). The test showing the highest sensitivity in
predicting elevated BP was the Conde e Monteiro (44%), while the highest
specificity (94%) and greater overall accuracy (63%), was the CDC criterion. ConclusionsThe prevalence of overweight in Brazilian children is higher when using the
classification criterion of Conde e Monteiro, and lower when the criterion used is
IOTF. The Brazilian classification criterion proved to be the most sensitive
predictor of high BP risk in this sample.
Overweight and family history constitute the main risk markers of high BP in children. The low frequency of BP measurement in children observed in this municipality contributes to the underdiagnosis of the disease, with irreversible consequences for these individuals.
Objectives: To evaluate the association between 3111T/C polymorphism of the CLOCK gene and the presence of obesity and sleep duration in children aged 6-13 years. In adults, this genetic variant has been associated with duration of sleep, ghrelin levels, weight, and eating habits. Although short sleep duration has been linked to obesity in children, no study has aimed to identify the possible molecular mechanisms of this association to date. Methods: Weight, height, and circumferences were transformed into Z-scores for age and gender. Genotyping was performed using TaqMan methodology. A questionnaire regarding hours of sleep was provided to parents. The appropriate statistical tests were performed. Results: This study evaluated 370 children (45% males, 55% females, mean age 8.5 ± 1.5 years). ଝ Como citar este artigo: Giovaninni NP, Fuly JT, Moraes LI, Coutinho TN, Trarbach EB, Jorge AA, et al. Study of the association between 3111T/C polymorphism of the CLOCK gene and the presence of overweight in schoolchildren. J Pediatr (Rio J). 2014;90:500---5. ଝଝ Study conducted at the Universidade Vila Velha (UVV),
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