Prevalência da síndrome metabólica nos estágios pubertários de escolares do sexo feminino

Abstract

Objective To analyze the prevalence of metabolic syndrome (MS) in pubertal stages of female students. Methods Cross-sectional study of 449 school children between eight and 18 years, stratified by pubertal stage, body mass index (BMI) and body fat percentage (BF %). The MS was classified according to the International Diabetes Federation. The analysis by frequency distribution, confidence intervals (95 %), Chi-square and odds ratio for associations was performed. Results The prevalence of MS was 3.3 % (CI:2 %-5 %) and 2.5 % (CI: 0.1 - 5 %) in pubertal and 7.9% (CI:3.2 % - 12.6 %) in the post-pubescent, with a significant association of this group with MS (X² = 5.2 [p <0.02]). The odds ratio shows that post-pubescent girls (3.3 [CI: 1.2 to 5]) and obese girls (2.1 [CI: 2 - 2.2]) are more likely to have MS, indicating significant linear association between BMI and the outcome (X²=29.4 [p<0.001]). Pubescent children under 10 years of age with MS had higher %G. The prevalent components were altered waist circumference (27.2 % [CI23 %-31 %]) and low HDL cholesterol (39.6 % [CI 35 % - 44 %]), as well as prevalence of systemic hypertension in post-pubertal girls. Conclusions MS begins in the pubertal stage, with prevalence in the post-pubertal stage. Excess fat is a trigger in children under 10 years of age. Prevention strategies are needed for the population of children and adolescents.

Metabolic syndrome as the main risk factor associated with the development of type 2 Diabetes Mellitus and cardiovascular pathologies

“…Furthermore, more than one-third of the adult population in the US had MS in 2012 [7]. Currently, MS affects 33% of the adult population in Brazil [4], mainly women, people with low education levels [5,6], and the elderly [6], being considered a disease of modernity, since it is related to harmful habits typical of modern society, such as un-healthy diets based on processed foods, sedentary lifestyles, and low consumption of fruits and vegetables, a habit that is considered protective within MS [8].…”