Indicadores Antropométricos Como Preditores Da Síndrome Metabólica Em Adolescentes

Abstract

RESUMO Objetivo: predizer a síndrome metabólica em adolescentes a partir de indicadores antropométricos por análise de sensibilidade e especificidade dos pontos de corte. Método: estudo transversal e descritivo em uma amostra estratificada de 716 adolescentes de 10 a 19 anos selecionados por amostragem aleatória simples em 30 escolas públicas municipais e estaduais localizadas em Picos, Piauí, na Região Nordeste do Brasil, a coleta de dados ocorreu no período de agosto a dezembro de 2014 e março de 2015. Investigaram-se os fatores índice de massa corporal e índice de conicidade. A síndrome metabólica foi identificada a partir dos critérios adaptados para a idade. Resultados: observou-se a prevalência de estudantes do sexo feminino 61,3%, a prevalência de síndrome metabólica foi de 3,2%. A área sobre a curva de Características de Operação do Receptor mostrou que o índice de massa corporal e o índice de conicidade se mostraram eficientes para a predição de síndrome metabólica tanto na amostra total, quanto na estratificação por sexo. Conclusão: os indicadores antropométricos índice de massa corporal e índice de conicidade foram bons preditores da síndrome metabólica nessa população.

Síndrome metabólica: análise conceitual no contexto da enfermagem

“…These factors can vary and be aggravated when related to family history of cardiovascular disease 33,37 -38 , in addition to genetic predisposition to cardiometabolic changes, widely described in the literature 19-20,26-27,31,33,35,37-39,49 . However, longitudinal and experimental studies are still incipient, studies which should focus on the understanding on the relationship between these factors and the phenomenon, in which nursing is inserted in this collaboration to the progress of science on the subject.…”

“…In the category of Essential Features, clinical and biochemical indicators have been recurrent and are essential for the clinical management of the syndrome, but other relevant features were more clearly perceived to define and broadly understand this concept. Thus, more important than add or modify indicators, we must be able to identify them in the clinical practice, to invest in health education and prevention measures, and to encourage good life habits, with the exchange of experiences and adoption of good health practices 19 . These actions can be effectively carried out by nurses when they understand the magnitude of the phenomenon under their care and seek to improve knowledge, whether by searching evidence-based interventions or by researching to identify the best practice in scientific basis within several disciplines.…”

“…The categorized features enabled the creation of an operational definition for the metabolic syndrome concept as a nursing phenomenon, in order to be used in the planning and implementation of nursing care and in the field of teaching and research, in such a way to reduce the antecedents and the respective outcomes of short, medium, and long term – and in these last we evidenced high frequency of the outcome related to the occurrence of cardiovascular disease and diabetes mellitus type 2 14,19-53 . We understand that such outcome comprises a relevant susceptibility to prevention, when performed effectively and comprehensively, being inserted into nursing in primary-level services, through evidence-based care, aiming at reducing the burden of the disease.…”

Factores asociados con síndrome metabólico y calidad de vida de adultos en un municipio noreste de brasileño

“…For the assessment of MS, the criteria of the National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATPIII) and of the International Diabetes Federation (IDF) were used; following the NCEP-ATPIII criteria, the presence of at least three metabolic changes is necessary: blood glucose fasting increased when ≥ 100 mg/dl or drug treatment for diabetes; increased triglycerides ≥ 150 mg/dl or drug treatment for hypertriglyceridemia; HDL cholesterol decreased when < 40 mg/dl (male), < 50 mg/dl (female) or drug treatment for low HDL; high abdominal circumference when ≥ 102 cm (male) and ≥ 88 cm (female); increased systolic blood pressure ≥ 130 mmHg and/or diastolic blood pressure ≥ 85 mmHg or drug treatment for hypertension 8,[10][11][12][13] . The use of medication was assessed in the interview by asking for a prescription and/or card for the outpatient follow-up at the Basic Health Unit (BHU).…”

Transversal Study Describing the Applicability of the Conicity Index in the Age Group of Children

“…In the 1990s, the Conicity Index (CI) was developed by Rodolfo Valdez, which represents an indicator of abdominal obesity, and is considered as a great alternative to assess the propensity or not of cardiovascular risks in adults, children and adolescents. makes use of WC [17]; [18]; [19]; [20]; [21].…”