Prevalência de síndrome metabólica em amostra ambulatorial de crianças e adolescentes com sobrepeso e obesidade: análise comparativa de diferentes definições clínicas

Rodrigues, Lúcia Gomes; Mattos, Ana Paula; Koifman, Sérgio

doi:10.1590/s0103-05822011000200008

Cited by 5 publications

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“…Moreover, the problem of overweight and obesity has tripled in the last five decades 13 and this rapid increase has been characterized as a global epidemic. 20 According to Rodrigues et al, 21 Brazil has been marked by an increase Table 2. Classification of the nutritional status of preschoolers, school children and adolescents according to the height/age index (H/A).…”

Section: Discussionmentioning

confidence: 98%

Nutritional status of children and adolescents: case-study in Southeastern, Brazil / Estado nutricional de crianças e adolescentes: estudo de caso no sudeste brasileiro

Domiciano¹,

Machado

Castro

et al. 2018

Rev Cienc Saude

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Introduction: The nutritional status in cases of overweight and obesity in children and adolescents is considered a global health reference for future trends and for enabling strategic planning. The main reason for this is the increase in the consumption of low-nutrient and high-calorie food. Aims: The present study aimed at verifying the nutritional status of children and adolescents, as well as demonstrating nutritional trends. Methods: Some schools in the city of São Gonçalo do Sapucaí, southeastern Brazil, were visited. The student’s weight, height and age were assessed in a total of 646 students, from which 198 were preschoolers, 369 schoolchildren and 79 adolescents. Results: Nutritional assessment uses diagnostic methods to assess factors of nutritional disorders. Tested by a chi-square, the evaluation shows that overweight, which is considered one of the most alarming public health problems in Brazil, is the current problem. Conclusion: It was concluded that there was a low rate of child malnutrition and an actual overweight rate. The relation among health, sports and leisure and education departments is very relevant to create nutritional intervention programs which are associated with the practice of physical activity linked to nutritional education aiming at reducing overweight rates and childhood obesity.Keywords: Overweight; Obesity; Anthropometry; Nutritional transitionRESUMOIntrodução: O estado nutricional em casos de sobrepeso e obesidade em crianças e adolescentes é considerado uma referência global de saúde para tendências futuras e para possibilitar o planejamento estratégico. A principal razão para isso é o aumento no consumo de alimentos com baixo teor de nutrientes e alto teor calórico. Objetivos: O presente estudo teve como objetivo verificar o estado nutricional de crianças e adolescentes, bem como demonstrar tendências nutricionais. Métodos: Algumas escolas foram visitadas na cidade de São Gonçalo do Sapucaí, Sudeste, Brasil. O peso, altura e idade foram avaliados em um total de 646 alunos, sendo 198 pré-escolares, 369 escolares e 79 adolescentes. Resultados: A avaliação nutricional usa métodos diagnósticos para avaliar fatores de distúrbios nutricionais. Testada pelo teste qui-quadrado, a avaliação mostra que o excesso de peso, considerado um dos problemas de saúde pública mais alarmantes no Brasil, é o problema atual. Conclusão: Concluiu-se que havia uma baixa taxa de desnutrição infantil e uma taxa real de excesso de peso. A relação entre os departamentos de saúde, esporte e lazer e educação é muito relevante para criar programas de intervenção nutricional que estão associados à prática de atividade física vinculada à educação nutricional visando reduzir as taxas de sobrepeso e a obesidade infantil.Palavras-Chave: Sobrepeso; Obesidade; Antropometria; Transição nutricional

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Section: Discussionmentioning

confidence: 98%

Nutritional status of children and adolescents: case-study in Southeastern, Brazil / Estado nutricional de crianças e adolescentes: estudo de caso no sudeste brasileiro

Domiciano¹,

Machado

Castro

et al. 2018

Rev Cienc Saude

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“…Поширеність типового МС за критеріями IDF серед обстежених нами пацієнтів склало 49,10 % серед хлопців з ожирінням, та у 16,36 % хлопців з НМТ, що безумовно є досить значущим, проте співзвучне з іншими науковими дослідженнями [33,34,35,36].…”

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Metabolically Healthy and Unhealthy Obesity in Children From the Point of View of Evidence-Based Medicine

Furdela

Smiian

Furdela

2020

EUMJ

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Introduction. Childhood obesity and associated metabolic comorbidities is a major global health concern. Metabolic syndrome (MS) is a cluster of metabolic abnormalities that confers a substantial increase in cardiovascular disease risk. In the context of the childhood obesity pandemic, a distinct subgroup of youth with obesity less prone to the development of metabolic disturbances, called “metabolically healthy obese” (MHO), recently has come into focus. However, the diagnostic criteria of both conditions are still controversial in children. Therefore, the purpose of our research is to estimate the prevalence of metabolic syndrome and metabolically healthy obesity in school-age boys using international reference standards and to recognize the most sensitive metabolic markers. Materials and methods. This study was carried out at the Ternopil regional hospital (Western Ukraine) and involved randomly chosen 112 boys from rural and urban population; aged 10–17 years (mean ± SD, 14.6 ± 0.25). Height, weight and waist and hip circumferences were measured by standard methods in each patient. Body mass index (BMI, kg/m2), waist-to-height ratio (WtHR), waist-to-hip ratio (WHR) were calculated by common formulas. Obesity was defined as a BMI ≥ 2SD for age and gender. Blood pressure was measured and estimated according to European Society of Hypertension guidelines (2016). Biomarkers of carbohydrate and lipid metabolism were tested. Discussion. The study identified prominent physical and metabolic differences in groups of patients with MHO and manifested MS, as well as in the high-risk group for the realization of MS. As a result of this project, MHO and MS were confirmed in 49.11 % and 9.82 % surveyed boys, respectively. The rest of teenagers (32.14 %) based on metabolic disturbances, formed a cluster of the high-risk realization of MS. Moreover, fasting hyperglycemia and glucose intolerance were identified only in patients with manifested MS in 10.91 % and 5.45 % cases, respectively. It was found that the waist-to-height ratio > 0.5 is an informative test of obesity in general, and the waist-to-hip ratio > 0.9 is a sensitive screening tool for abdominal obesity in boys in our population. Based on the results, the triglyceride index is the most sensitive biomarker of insulin resistance compared to triglyceride-to-high density lipids cholesterol ratio and atherogenic coefficient in school-age boys. The results can be applied in pediatric practice for early identification of patients with metabolically unhealthy obesity with WHR and the triglyceride index at the early preclinical stage of MS manifestation. Keywords children, metabolically healthy obesity, metabolic syndrome, triglyceride index.

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Prevalence of Overweight, Obesity, Paediatric Metabolic Syndrome and Associated Risk Factors Among Children in the Age Group of 10-16 Years in Private Schools of Shimla City

Gupta¹,

Sachdeva²,

Sharma³

et al. 2017

jebmh

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BACKGROUND Paediatric obesity is a complex and growing global problem which is escalating much more rapidly in developing countries like India and considered an important predecessor to NCD multi-morbidity due to changing life style as a result of rapid urbanisation and mechanisation. The aim of this study was to estimate the prevalence of overweight, obesity, paediatric metabolic syndrome and associated risk factors among children in the age group of 10-16 years in private schools of Shimla city. MATERIALS AND METHODS At total of 2100 adolescents attending school (aged 10-16 years) participated in this cross-sectional study. All the anthropometric, clinical and biochemical assessment was done after proper consent. Prevalence of overweight and obesity was assessed by using IOTF guidelines and the metabolic syndrome was determined by the Paediatric International Diabetic Federation definition modified for age group. RESULTS The prevalence of overweight, obesity and paediatric metabolic syndrome was 14.5%, 4.1% & 4.3% respectively. In the groups with PMS, hypertension, waist circumference, and TG were significantly higher, and HDL-C was significantly lower. Significant difference was observed in gender, physical activity level, metabolic equivalent, consumption of junk food & time spent on TV in the distribution of overweight, obesity and metabolic syndrome. CONCLUSION Our study highlights the possible role of change in the dietary pattern and physical activity pattern in the development of obesity and metabolic syndrome in early stage of life. Collective efforts of parents and schools are required to institute early preventive measures to reduce progression towards obesity and its future complications.

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Prevalência de síndrome metabólica em amostra ambulatorial de crianças e adolescentes com sobrepeso e obesidade: análise comparativa de diferentes definições clínicas

Cited by 5 publications

References 30 publications

Nutritional status of children and adolescents: case-study in Southeastern, Brazil / Estado nutricional de crianças e adolescentes: estudo de caso no sudeste brasileiro

Nutritional status of children and adolescents: case-study in Southeastern, Brazil / Estado nutricional de crianças e adolescentes: estudo de caso no sudeste brasileiro

Metabolically Healthy and Unhealthy Obesity in Children From the Point of View of Evidence-Based Medicine

Prevalence of Overweight, Obesity, Paediatric Metabolic Syndrome and Associated Risk Factors Among Children in the Age Group of 10-16 Years in Private Schools of Shimla City

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