Lipid profile in schoolchildren in Vitória – Brazil
DOI:
https://doi.org/10.7322/jhgd.110989Palavras-chave:
Dyslipidaemias. Child. Paediatric obesity.Resumo
Introduction: The growing prevalence of obesity is currently considered the most important nutritional disorder. It is characterized, according to the World Health Organization (WHO) as a worldwide epidemic in developing and developed countries. In an associated form, there is an increasing prevalence of dyslipidaemia. Aiming to improve the current situation and prevent the progression of the epidemic, the American Academy of Pediatrics recently reinforced the need for cholesterol screening in overweight children older than two years. Objective: To determine overweight and lipid profi le in children aged between six and nine years. Methods: A descriptive, cross-sectional study with children from Vitoria, ES. For nutritional classifi cation the Z-score > + 1 SD body mass index-for-age (according to WHO / 2007) was used; for the lipid profi le the Atherosclerosis Prevention Guidelines in Childhood were used. Anthropometric measurements (weight, height, waist circumference and triceps skinfold thickness) followed the standard techniques described by WHO. Data were organized and analysed using SPSS, version 8.5 and calculated the absolute, relative and mean (SD) frequencies and the association between overweight, lipid profile and other variables is adopted as signifi cant when p < 0.05. Results: The sample comprised a total of 511 children of both sexes (46.7% male), with a mean age of 101.6 ± 11.1 months. Overweight was found in 197 (38.5%) children: overweight in 71 (13.9%) and obesity in 126 (24.6%). Total cholesterol was elevated in 167 (32.7%) as were high LDL-C (136–27%). High triglycerides were found in 21 participants (4.1%). Signifi cant association was found between waist circumference and high levels of triglycerides (p = 0.019) and HDL-C (p = 0.033). Conclusion: Excess weight of the sample investigated is considered high and its health effects are important, with an increased total cholesterol greater than 32%. The high levels of HDL-C are protectivefactors for coronary heart disease, although the lipid profi le had been changed.
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Pedroni JL, Rech RR, Halpern R, Marin S, Roth LR, Sirtoli MM et al. Prevalência de obesidade abdominal e excesso de gordura em escolares de uma cidade serrana no sul do Brasil. Ciênc Saúde Coletiva. 2013;18(5):1417-25. DOI: http://dx.doi.org/10.1590/S1413-81232013000500027
Cabrera TFC, Correia IFL, Santos DO, Pacagnelli FL, Prado MTA, Silva TD, et al. Analisys of the prevalence of overweight and obesity and the level of physical activity in children and adolescents of a southwestern city of São Paulo. J Hum Growth Dev. 2014;24(1):66-72. DOI: http://dx.doi.org/10.7322/jhgd.73455
Azambuja APO, Netto-Oliveira ER, Oliveira AAB, Azambuja MA, Rinaldi W. Prevalência de sobrepeso/obesidade e nível econômico de escolares. Rev Paul Pediatr 2013;31(2):166-71. DOI: http://dx.doi.org/10.1590/S0103-05822013000200006
Alcântara Neto ODA, Silva RCR, Assis AMO, Pinto EJ. Factors associated with dyslipidemia in children and adolescents enrolled in public schools of Salvador, Bahia. Rev Bras Epidemiol. 2012;15(2):335-45. DOI: http://dx.doi.org/10.1590/S1415-790X2012000200011
Ribas SA, Silva LCS. Anthropometric indices: predictors of dyslipidemia in children and adolescents from north of Brazil. Nutr Hosp. 2012;27(4):1228-35. DOI: http://dx.doi.org/10.3305/nh.2012.27.4.5798.
Molina MCB, Faria CP, Monteiro MP, Cade NG, Mill JG. Fatores de Risco cardiovascular em crianças de 7 – 10 anos de área urbana, Vitória, Espírito Santo, Brasil. Cad Saúde Pública. 2010;26(5):909-17. DOI: http://dx.doi.org/10.1590/S0102-311X2010000500013
Brasil. Ministério da Saúde. Secretaria de Políticas de Saúde. Departamento de Atenção Básica. Saúde da criança: acompanhamento do crescimento e desenvolvimento infantil. Brasília: Ministério da Saúde; 2002.
World Health Organization (WHO). The WHO Child Growth Standards for 5-19 age children. WHO; 2007.
Freedman DS, Serdula MK, Srinivasan SR, Berenson GS. Relation of circumferences and skinfold thicknesses to lipid and insulin concentrations in children and adolescents: the Bogalusa Heart Study. Am J Clin Nutr. 1999;69(2):308-1.
Seltzer CC, Mayer JA. Simplified criteria for obesity. Postgrad Med. 1965;38:A101-7.
Sociedade Brasileira de Cardiologia. A “V Diretriz Brasileira de Dislipidemias e Prevenção da Aterosclerose”. Arq Bras Cardiol. 2013;101(4 Supl.1):1-22. DOI: http://dx.doi.org/10.5935/abc.2013S010e
Kruger GRO, Ribas-Silva RC. Perfil lipídico e índice de massa corporal de escolares de um colégio estadual da região centro-ocidentarl do Paraná. Adolesc Saude. 2014;11(4):54-60.
Manios Y, Magkos F, Christakis G, Kafatos AG. Changing relationships of obesity and dyslipidemia in Greek children: 1982-2002. Prev Med. 2005;41(5-6):846-51. DOI: http://dx.doi.org/10.1016/j.ypmed.2005.08.008
Miller S, Manlhiot C, Chahal N, Cullen-Dean G, Bannister L, McCrindle BW. Impact of increasing adiposity in hyperlipidemic children. Clin Pediatr (Phila). 2008;47(7):679-84. DOI: http://dx.doi.org/10.1177/0009922808315214
Solano L, Velasquez E, Naddaf G, Paez M. Lipid profile from low socioeconomic level preschool children. Valencia, Venezuela. Acta Cient Venez. 2003;54(4):254-62.
Lavrador MSF, Abbes PT, Escrivão MAMS, Taddei JAAC. Riscos cardiovasculares em adolescentes com diferentes graus de obesidade. Arq Bras Cardiol. 2011;96(3):205-11. DOI: http://dx.doi.org/10.1590/S0066-782X2010005000166
Pereira PB, Arruda IKG, Cavalcanti AMTS, Diniz AS. Perfil Lipídico em Escolares de Recife – PE. Arq Bras Cardiol. 2010;95(5):606-13. DOI: http://dx.doi.org/10.1590/S0066-782X2010005000136
Novaes JF, Franceschini SCC, Priore SE. Obesidade infantil: um distúrbio nutricional em ascensão no mundo moderno. Nutrire Rev Soc Bras Aliment Nutr. 2007;32(1):59-75.
Seki MO, Matsuo T, Seki M. Colesterol não-HDL em escolares de 7 a 17 anos em um município brasileiro. Rev Panam Salud Publica. 2007;21(5):307-12. DOI: http://dx.doi.org/10.1590/S1020-49892007000400006
Carvalho DF, Paiva AA, Melo ASO, Ramos AT, Medeiros JS, Medeiros CCM, et al. Perfil lipídico e estado nutricional de adolescentes. Rev Bras Epidemiol. 2007;10(4):4911-8. DOI: http://dx.doi.org/10.1590/S1415-790X2007000400007
Silva JR, Enes CC. Relação entre estado nutricional e perfil lipídico de adolescentes escolares. Anais do IV Encontro de Iniciação em Desenvolvimento Tecnológico e Inovação. Campinas: PUC; 2014.
Giuliano ICB, Coutinho MSSA, Freitas SFT, Pires MMS, Zunino JN, Ribeiro RQC. Lipides séricos em crianças e adolescentes de Florianopolis, SC – Estudo Floripa Saudável 2024. Arq Bras Cardiol. 2005;85(2):85-91. DOI: http://dx.doi.org/10.1590/S0066-782X2005001500003
Ribeiro RQC, Lotufo PA, Lamounier JA, Oliveira RG, Soares JF, Botter DA. Fatores adicionais de risco cardiovascular associados ao excesso de peso em crianças e adolescentes. O estudo do coração de Belo Horizonte. Arq Bras Cardiol. 2006;86(6):408-18. DOI: http://dx.doi.org/10.1590/S0066-782X2006000600002
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