Metabolic syndrome and associated factors in children and adolescents of a Brazilian municipality

Metabolic syndrome and associated factors in children and adolescents of a Brazilian municipality

Alternative title  Síndrome metabólico y factores asociados en niños y adolescentes de un municipio brasileño
Author Dias Pitangueira, Jacqueline Costa Google Scholar
Silva, Luciana Rodrigues Google Scholar
Portela de Santana, Monica Leila Google Scholar
Monteiro da Silva, Maria da Conceicao Google Scholar
Farias Costa, Priscila Ribas de Google Scholar
D'Almeida, Vânia Autor UNIFESP Google Scholar
Oliveira Assis, Ana Marlucia de Google Scholar
Institution Univ Fed Reconcavo Bahia
Universidade Federal da Bahia (UFBA)
Univ Fed Bahia
Universidade Federal de São Paulo (UNIFESP)
Abstract Background: the risk factors associated to metabolic syndrome (MS) have been extensively studied in adults, but in children and adolescents it is poorly explored.Objective: To identify the prevalence of MS and associated factors in children and adolescents.Methods: A cross-sectional study with 540 children and adolescents from 7 to 14 years of age. the socioeconomic, demographic and lifestyle data and the family history of chronic diseases were reported by the individual and/or guardian and recorded in a structured questionnaire. Biochemical tests (fasting blood glucose, triacylglycerols, reduced high-density lipoprotein, very-low-density lipoprotein, homocysteine and cysteine), an anthropometric assessment and a blood pressure measurement were performed. MS was defined according to the criteria of the National Cholesterol Education Program Adult Treatment Panel III adapted by Ferranti. A Poisson regression was used to identify the factors statistically associated with MS.Results: the MS prevalence was 12.8%, in which the most frequent component was a decreased high-density lipoprotein level (58.2%), followed by hypertriglyceridemia (41.8%), elevated blood pressure (29.1%), increased waist circumference (26.7%) and hyperglycemia (7.2%). Associations between metabolic syndrome and overweight [prevalence ratio (PR): 2.2 (1.22-3.95)], father education [PR: 2.19 (1.10-4.37)], serum very low-density lipoprotein concentration [PR: 1.08 (1.04-1.11)] and concomitantly increased serum homocysteine and cysteine concentrations [PR: 2.58(1.32-5.04)] were observed.Conclusions: the MS prevalence is high in children and adolescents and it is increased in patients with overweight, higher father education, increased serum very-low-density lipoprotein concentrations and a concomitant serum homocysteine and cysteine high levels.
Keywords Metabolic syndrome X
Obesity
Homocysteine
Cysteine
Children
Language English
Sponsor Fundacao de Amparo a Pesquisa do Espirito Santo (FAPESB)
Grant number Fundacao de Amparo a Pesquisa do Espirito Santo (FAPESB): 8814/2006
Date 2014-04-01
Published in Nutricion Hospitalaria. Madrid: Aula Medica Ediciones, v. 29, n. 4, p. 865-872, 2014.
ISSN 0212-1611 (Sherpa/Romeo, impact factor)
Publisher Aula Medica Ediciones
Extent 865-872
Origin http://dx.doi.org/10.3305/nh.2014.29.4.7206
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000334259100020
URI http://repositorio.unifesp.br/handle/11600/37582

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