Critério da Associação Brasileira de Nutrologia para diagnóstico e tratamento da síndrome metabólica em crianças e adolescentes

Detalhes bibliográficos
Autor(a) principal: Nogueira-de-Almeida, Carlos Alberto
Data de Publicação: 2022
Outros Autores: Hirose, Thiago Santos, Zorzo, Renato Augusto, Vilanova, Karla Cristina Malta, Ribas Filho, Durval
Tipo de documento: Artigo
Idioma: eng
Título da fonte: International Journal of Nutrology (Online)
Texto Completo: https://ijn.zotarellifilhoscientificworks.com/index.php/ijn/article/view/200
Resumo: Introduction: Metabolic Syndrome is a set of biochemical, physiological, clinical and metabolic factors that start with peripheral insulin resistance and that, when concomitantly present, increase the risk of developing atherosclerosis, cardiovascular events, type 2 diabetes mellitus and mortality from any cause. In children, there is no consensus on diagnostic criteria and treatment, so the importance of their establishment and standardization. Objective: To publish a consensus of the Brazilian Association of Nutrology for the diagnosis and treatment of Metabolic Syndrome in children and adolescents. Methods: Literature review and discussion among authors. Results: For diagnosis, it is recommended to use the following parameters: excess body adiposity, dyslipidemia, alteration of glycemic-insulinemic profile and elevation of blood pressure. Adolescents and children aged seven years or older will be diagnosed with metabolic syndrome if present altered values in at least 3 of the 4 criteria. Lifestyle modifications, improvement in the quantity and quality of food and increased physical activity are used as initial therapy and the use of metformin is indicated for the control of insulin resistance when those strategies will be not sufficient. Liraglutide can be used in people over 12 years of age to promote weight loss and bariatric surgery is reserved for special cases of severe obesity. Conclusion: Early recognition and treatment of Metabolic Syndrome among children and adolescents provide prevention of cardiovascular adverse events and diabetes in patients and improves their quality of life and the present consensus seeks to standardize these conducts.
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spelling Critério da Associação Brasileira de Nutrologia para diagnóstico e tratamento da síndrome metabólica em crianças e adolescentesobesitymetabolic syndromechildrenadolescentsconsensusIntroduction: Metabolic Syndrome is a set of biochemical, physiological, clinical and metabolic factors that start with peripheral insulin resistance and that, when concomitantly present, increase the risk of developing atherosclerosis, cardiovascular events, type 2 diabetes mellitus and mortality from any cause. In children, there is no consensus on diagnostic criteria and treatment, so the importance of their establishment and standardization. Objective: To publish a consensus of the Brazilian Association of Nutrology for the diagnosis and treatment of Metabolic Syndrome in children and adolescents. Methods: Literature review and discussion among authors. Results: For diagnosis, it is recommended to use the following parameters: excess body adiposity, dyslipidemia, alteration of glycemic-insulinemic profile and elevation of blood pressure. Adolescents and children aged seven years or older will be diagnosed with metabolic syndrome if present altered values in at least 3 of the 4 criteria. Lifestyle modifications, improvement in the quantity and quality of food and increased physical activity are used as initial therapy and the use of metformin is indicated for the control of insulin resistance when those strategies will be not sufficient. Liraglutide can be used in people over 12 years of age to promote weight loss and bariatric surgery is reserved for special cases of severe obesity. Conclusion: Early recognition and treatment of Metabolic Syndrome among children and adolescents provide prevention of cardiovascular adverse events and diabetes in patients and improves their quality of life and the present consensus seeks to standardize these conducts.MetaScience Press2022-03-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionPeer-reviewed Articleapplication/pdfhttps://ijn.zotarellifilhoscientificworks.com/index.php/ijn/article/view/20010.1055/s-0040-1721663International Journal of Nutrology; Vol. 13 No. 3 (2020): International Journal of Nutrology (IJN) - December 2020; 54-682595-28541984-301110.1055/s-010-49986reponame:International Journal of Nutrology (Online)instname:Associação Brasileira de Nutrologia (ABRAN)instacron:ABRANenghttps://ijn.zotarellifilhoscientificworks.com/index.php/ijn/article/view/200/196Copyright (c) 2022 International Journal of Nutrologyinfo:eu-repo/semantics/openAccessNogueira-de-Almeida, Carlos AlbertoHirose, Thiago SantosZorzo, Renato AugustoVilanova, Karla Cristina MaltaRibas Filho, Durval2022-03-07T02:14:25Zoai:ojs2.ijn.zotarellifilhoscientificworks.com:article/200Revistahttps://ijn.zotarellifilhoscientificworks.com/index.php/ijnONGhttps://ijn.zotarellifilhoscientificworks.com/index.php/ijn/oaiijn@zotarellifilhoscientificworks.com || editorchief@zotarellifilhoscientificworks.com10.544482595-28541984-3011opendoar:2022-03-07T02:14:25International Journal of Nutrology (Online) - Associação Brasileira de Nutrologia (ABRAN)false
dc.title.none.fl_str_mv Critério da Associação Brasileira de Nutrologia para diagnóstico e tratamento da síndrome metabólica em crianças e adolescentes
title Critério da Associação Brasileira de Nutrologia para diagnóstico e tratamento da síndrome metabólica em crianças e adolescentes
spellingShingle Critério da Associação Brasileira de Nutrologia para diagnóstico e tratamento da síndrome metabólica em crianças e adolescentes
Nogueira-de-Almeida, Carlos Alberto
obesity
metabolic syndrome
children
adolescents
consensus
title_short Critério da Associação Brasileira de Nutrologia para diagnóstico e tratamento da síndrome metabólica em crianças e adolescentes
title_full Critério da Associação Brasileira de Nutrologia para diagnóstico e tratamento da síndrome metabólica em crianças e adolescentes
title_fullStr Critério da Associação Brasileira de Nutrologia para diagnóstico e tratamento da síndrome metabólica em crianças e adolescentes
title_full_unstemmed Critério da Associação Brasileira de Nutrologia para diagnóstico e tratamento da síndrome metabólica em crianças e adolescentes
title_sort Critério da Associação Brasileira de Nutrologia para diagnóstico e tratamento da síndrome metabólica em crianças e adolescentes
author Nogueira-de-Almeida, Carlos Alberto
author_facet Nogueira-de-Almeida, Carlos Alberto
Hirose, Thiago Santos
Zorzo, Renato Augusto
Vilanova, Karla Cristina Malta
Ribas Filho, Durval
author_role author
author2 Hirose, Thiago Santos
Zorzo, Renato Augusto
Vilanova, Karla Cristina Malta
Ribas Filho, Durval
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Nogueira-de-Almeida, Carlos Alberto
Hirose, Thiago Santos
Zorzo, Renato Augusto
Vilanova, Karla Cristina Malta
Ribas Filho, Durval
dc.subject.por.fl_str_mv obesity
metabolic syndrome
children
adolescents
consensus
topic obesity
metabolic syndrome
children
adolescents
consensus
description Introduction: Metabolic Syndrome is a set of biochemical, physiological, clinical and metabolic factors that start with peripheral insulin resistance and that, when concomitantly present, increase the risk of developing atherosclerosis, cardiovascular events, type 2 diabetes mellitus and mortality from any cause. In children, there is no consensus on diagnostic criteria and treatment, so the importance of their establishment and standardization. Objective: To publish a consensus of the Brazilian Association of Nutrology for the diagnosis and treatment of Metabolic Syndrome in children and adolescents. Methods: Literature review and discussion among authors. Results: For diagnosis, it is recommended to use the following parameters: excess body adiposity, dyslipidemia, alteration of glycemic-insulinemic profile and elevation of blood pressure. Adolescents and children aged seven years or older will be diagnosed with metabolic syndrome if present altered values in at least 3 of the 4 criteria. Lifestyle modifications, improvement in the quantity and quality of food and increased physical activity are used as initial therapy and the use of metformin is indicated for the control of insulin resistance when those strategies will be not sufficient. Liraglutide can be used in people over 12 years of age to promote weight loss and bariatric surgery is reserved for special cases of severe obesity. Conclusion: Early recognition and treatment of Metabolic Syndrome among children and adolescents provide prevention of cardiovascular adverse events and diabetes in patients and improves their quality of life and the present consensus seeks to standardize these conducts.
publishDate 2022
dc.date.none.fl_str_mv 2022-03-07
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Peer-reviewed Article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://ijn.zotarellifilhoscientificworks.com/index.php/ijn/article/view/200
10.1055/s-0040-1721663
url https://ijn.zotarellifilhoscientificworks.com/index.php/ijn/article/view/200
identifier_str_mv 10.1055/s-0040-1721663
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://ijn.zotarellifilhoscientificworks.com/index.php/ijn/article/view/200/196
dc.rights.driver.fl_str_mv Copyright (c) 2022 International Journal of Nutrology
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 International Journal of Nutrology
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MetaScience Press
publisher.none.fl_str_mv MetaScience Press
dc.source.none.fl_str_mv International Journal of Nutrology; Vol. 13 No. 3 (2020): International Journal of Nutrology (IJN) - December 2020; 54-68
2595-2854
1984-3011
10.1055/s-010-49986
reponame:International Journal of Nutrology (Online)
instname:Associação Brasileira de Nutrologia (ABRAN)
instacron:ABRAN
instname_str Associação Brasileira de Nutrologia (ABRAN)
instacron_str ABRAN
institution ABRAN
reponame_str International Journal of Nutrology (Online)
collection International Journal of Nutrology (Online)
repository.name.fl_str_mv International Journal of Nutrology (Online) - Associação Brasileira de Nutrologia (ABRAN)
repository.mail.fl_str_mv ijn@zotarellifilhoscientificworks.com || editorchief@zotarellifilhoscientificworks.com
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