A carregar...
Publicação
Síndrome metabólica em escolares brasileiros : prevalência com diferentes critérios de diagnóstico
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 2.73 MB | Adobe PDF |
Autores
Orientador(es)
Resumo(s)
Objetivo: O presente trabalho tem por objetivo identificar a prevalência de Síndrome Metabólica (SM) em escolares e comparar diferentes critérios de diagnóstico. Metodologia: Trata-se de um estudo transversal, no qual foram analisados dados de 290 escolares de seis a dez anos matriculados em escolas públicas de Itaúna, Minas Gerais, Brasil. Foram coletados dados antropométricos e bioquímicos, além da pressão arterial. Os escolares foram classificados pela presença de SM de acordo com três critérios Cook et al. (2003), Boney et al. (2005) e Ferreira et al. (2007) identificando a prevalência de SM e realizando uma comparação entre os critérios. Os dados foram analisados com auxilio dos softwares Excel e EpiInfo. Resultados: Em relação ao estado nutricional 25,8% dos escolares apresentaram excesso de peso (sobrepeso + obesidade), sendo 8,9% com sobrepeso e 16,9% com obesidade. A prevalência de SM nos critérios de Cook, Boney e Ferreira foi de 6,2%, 3,1% e 3,1%, respectivamente. Quando consideramos apenas a amostra com excesso de peso a prevalência de SM foi de 21,3%, 12% e 10,7% para Cook, Boney e Ferreira, respectivamente. A obesidade, caracterizada pela circunferência abdominal ou IMC, e o aumento de TG foram os fatores mais alterados em todos os critérios. Não encontramos associação entre o sexo da criança e o desenvolvimento de SM. Para o excesso de peso, o risco de SM aumentou consideravelmente nos critérios de Cook e Ferreira. Analisando os critérios em pares a concordância entre Boney e Cook foi intermediária, já entre Boney e Ferreira, e Cook e Ferreira foi considerada boa. Conclusões: Entre os três critérios de diagnóstico utilizados no estudo, há diferença na prevalência de acordo com o critério utilizado, mas encontramos uma concordância de intermediária a boa, o que facilita tanto o diagnóstico em grupos quanto a comparação de estudos. Porém mais estudos são necessários para a definição de um critério geral e um diagnóstico mais preciso, principalmente para o diagnóstico individual.
Objective: This study aims to identify the prevalence of metabolic syndrome (MS) in schoolchildren and compare different diagnostic criteria. Methodology: This is a cross-sectional study in which the data of 290 schoolchildren were analyzed. The Schoolchildren are from six to ten years old and are enrolled in public schools in Itaúna, Minas Gerais, Brazil. Anthropometric and biochemical data were collected, as well as blood pressure. The schoolchildren were classified by the presence of MS according to three criteria Cook et al. (2003), Boney et al. (2005) and Ferreira et al. (2007) identifying the prevalence of MS and performing a comparison criteria. The data were analyzed with the aid of Excel and EpiInfo software. Results: In relation to nutritional status 25.8% of the schoolchildren were with excess weight (overweight + obesity), 8.9% were overweight and 16.9% were obese. The prevalence of MS in Cook criteria, Boney and Ferreira was 6.2%, 3.1% and 3.1%, respectively. When we consider only the sample with excess weight the prevalence of MS was 21.3%, 12% and 10.7% to Cook, Boney and Ferreira, respectively. The obesity, characterized by abdominal circumference or BMI, and the increase in TG were the most affected factors in all the criteria. We found no association between gender of the child and the development of MS. For the excess of weight, the risk of MS increased considerably in the criteria of Cook and Ferreira. Analyzing the criteria in pairs the correlation between Boney and Cook was intermediate, but between Boney and Ferreira, and Cook and Ferreira was considered good. Conclusions: Among the three diagnostic criteria used in the study, there is difference in prevalence according to the criteria used, but we found an agreement between intermediate and good, which facilitates the Diagnostic groups as well as the comparison studies. However more studies are needed to define a general criterion and a more accurate diagnosis, principally for individual diagnosis.
Objective: This study aims to identify the prevalence of metabolic syndrome (MS) in schoolchildren and compare different diagnostic criteria. Methodology: This is a cross-sectional study in which the data of 290 schoolchildren were analyzed. The Schoolchildren are from six to ten years old and are enrolled in public schools in Itaúna, Minas Gerais, Brazil. Anthropometric and biochemical data were collected, as well as blood pressure. The schoolchildren were classified by the presence of MS according to three criteria Cook et al. (2003), Boney et al. (2005) and Ferreira et al. (2007) identifying the prevalence of MS and performing a comparison criteria. The data were analyzed with the aid of Excel and EpiInfo software. Results: In relation to nutritional status 25.8% of the schoolchildren were with excess weight (overweight + obesity), 8.9% were overweight and 16.9% were obese. The prevalence of MS in Cook criteria, Boney and Ferreira was 6.2%, 3.1% and 3.1%, respectively. When we consider only the sample with excess weight the prevalence of MS was 21.3%, 12% and 10.7% to Cook, Boney and Ferreira, respectively. The obesity, characterized by abdominal circumference or BMI, and the increase in TG were the most affected factors in all the criteria. We found no association between gender of the child and the development of MS. For the excess of weight, the risk of MS increased considerably in the criteria of Cook and Ferreira. Analyzing the criteria in pairs the correlation between Boney and Cook was intermediate, but between Boney and Ferreira, and Cook and Ferreira was considered good. Conclusions: Among the three diagnostic criteria used in the study, there is difference in prevalence according to the criteria used, but we found an agreement between intermediate and good, which facilitates the Diagnostic groups as well as the comparison studies. However more studies are needed to define a general criterion and a more accurate diagnosis, principally for individual diagnosis.
Descrição
Tese de mestrado, Doenças Metabólicas e Comportamento Alimentar, Universidade de Lisboa, Faculdade de Medicina, 2016
Palavras-chave
Síndrome metabólica Pediatria Escolares Teses de mestrado - 2016