Freqüência de síndrome metabólica em crianças e adolescentes com sobrepeso e obesidade

Buff, Caroline de Gouveia; Ramos, Eliete; Souza, Fabíola Isabel Suano de; Sarni, Roseli Oselka Saccardo

doi:10.1590/s0103-05822007000300005

Cited by 26 publications

(34 citation statements)

References 25 publications

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“…To calculate the sample size, we initially considered the prevalence of overweight and obesity of 25% 4 and later, the prevalence of MS of 42% among Brazilian children and adolescents with this condition 14 , totaling 194 children and adolescents after adding 20% for eventual losses.…”

Section: Methodological Proceduresmentioning

confidence: 99%

Resistência insulínica e sua relação com os componentes da síndrome metabólica

Medeiros¹,

Ramos²,

Cardoso³

et al. 2011

Arq. Bras. Cardiol.

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Section: Methodological Proceduresmentioning

confidence: 99%

Resistência insulínica e sua relação com os componentes da síndrome metabólica

Medeiros¹,

Ramos²,

Cardoso³

et al. 2011

Arq. Bras. Cardiol.

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“…(5) . For calculating patients who had been seen at the COI, initially the prevalence of overweight and obesity of 25% was considered (12) followed, later, by MS of 42% (13) . (14) .…”

Section: Introductionmentioning

confidence: 99%

Nursing care in childcare services: Acantose nigricans as a marker for metabolic risk

Vieira

Mariz

Medeiros

et al. 2013

Rev. Latino-Am. Enfermagem

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OBJECTIVE: to analyze the association between the presence of Acantose nigricans and metabolic changes in overweight adolescents, so as to ascertain the relevance of the identification of this marker in the nursing consultation. METHOD: a cross-sectional study undertaken between April 2009 and April 2010 with 118 adolescents who were service users of the Center for Child Obesity in Campina Grande in the Brazilian State of Paraíba (PB). The presence of Acantose nigricans, and the subjects' anthropometric measurements, were investigated. The following exams were made: insulin, triglycerides, HDL-Cholesterol, Glucose and the homeostatic model of assessment (HOMA-IR). RESULTS: there was association between the presence of Acantose nigricans and participants with insulin resistance (p=0.008), metabolic syndrome (p=0.031), elevated triglycerides (p=0.045) and altered HDL (p=0.002). CONCLUSIONS: the suggestion is supported that the detection/identification of Acantose nigricans may be used in the nursing consultation as a tool for identifying overweight adolescents with greater risk of metabolic changes.

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“…Buff et al 27 in a study involving 59 children whose mean age was 10.9±0.48 years in São Paulo, state of São Paulo, Brazil, using the same criteria.…”

Section: Discussionmentioning

confidence: 99%

Esteatose hepática em crianças e adolescentes obesos

Duarte¹,

Silva²

2011

J. Pediatr. (Rio J.)

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Objective: To assess the frequency of hepatic steatosis and metabolic syndrome among obese children and adolescents.Method: A descriptive case series was conducted with 77 patients, aged 2 to 13 years and 11 months, who were followed up from February to July 2007. Obesity was defined as body mass index ≥ P 95 adjusted for age and sex. Liver ultrasound was performed to diagnose hepatic steatosis. Metabolic syndrome was defined according to the modified criteria suggested by Cook et al. Results:Hepatic steatosis was diagnosed in 33/77 patients (42.9%), 25/33 (75.8%) with mild steatosis and 8/33 (24.2%) with moderate steatosis. Those aged less than 10 years showed only mild steatosis, and the moderate degree of the disease was restricted to adolescents. Aminotransferase alterations were found in 9.1% (3/33) of patients with hepatic steatosis and in 4.9% (2/41) of those without the disorder. Mean waist circumference was 84.74±2.84 cm for patients with hepatic steatosis and 78.24±1.60 cm for those without the disease (p = 0.04). Metabolic syndrome was diagnosed in 27.3% (21/77) of obese patients, 47.6% (10/21) of them having steatosis, 60% had mild steatosis and 40% had a moderate degree of the disorder. Conclusions:The frequency of hepatic steatosis and metabolic syndrome was high. The association of larger waist circumference with hepatic steatosis highlights the importance of taking this parameter into consideration when investigating obese patients. The histological examination of a liver fragment is considered to be the gold standard method for assessment, but it is not done often in children and adolescents because it is an invasive technique. 6 Therefore, in this population, J Pediatr (Rio J)

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Freqüência de síndrome metabólica em crianças e adolescentes com sobrepeso e obesidade

Cited by 26 publications

References 25 publications

Resistência insulínica e sua relação com os componentes da síndrome metabólica

Resistência insulínica e sua relação com os componentes da síndrome metabólica

Nursing care in childcare services: Acantose nigricans as a marker for metabolic risk

Esteatose hepática em crianças e adolescentes obesos

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