Prevalência de fatores de risco cardiovasculares em escolares
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/8812 |
Resumo: | Introduction: Cardiovascular risk factors (CRF) can begin in childhood subtly and last until adulthood, they may be present in an isolated or grouped form in the same individual, and thus increase cardiovascular risk. One of the most present CRF is obesity, especially abdominal obesity, which is strongly associated with metabolic dysfunction. Therefore, it is necessary instruments of easy access for the tracking of the cardiovascular risk in childhood. In the literature studies on CRF in children are still incipient and need to be better understood, especially in the state of Goiás. Objective: To analyze the cardiovascular risk factors grouped in preschool and school children in the city of Santo Antônio de Goiás. Method: An epidemiological study was carried out, with a cross-sectional study and a case-control study, in the city of Santo Antônio de Goiás, with students from 4 to 11 years of age enrolled in the public network. Anthropometric data (body mass index - BMI and waist circumference - WC), resting blood pressure (BP), fasting glycemia and lipid profile (high density lipoprotein HDL, low density lipoprotein LDL) were collected and evaluated, triglycerides - TG and total cholesterol - TC), besides the level of physical activity. Grouped CRFs were considered when the same individual had equal or more than 3 altered indicators. To verify the normality of the data, the Kolmogorov-Smirnov test was performed. Initially, data were analyzed for mean, standard deviation and frequency. The comparison of means between the groups was performed by Student's t-test for independent samples or Mann Whitney. The association between the variables (anthropometric, biochemical and hemodynamic) were evaluated by the Pearson's Chi-square test and correlation analysis between the absolute values of the variables indicative of the FRC was used the Spearman correlation, Regression analysis Binary Logistics to identify significant predictors for outcome: cardiovascular risk factors grouped and isolated. For all tests the significance level of 5% was adopted. Results: Of the 158 schoolchildren evaluated, 24.7% were overweight and 29.7% were abdominal adiposity. The prevalence of arterial hypertension was 11.4% and dyslipidemia 72.8%, only glycemia was identified within normal values for all children. The comparative analysis of CRF indicated association of BMI, MC and SBP in both preschoolers and schoolchildren with increased CD, in addition to higher PAD and TG values in students with increased CD. Positive and significant correlation was still found between CC values and SBP and DBP values for all children. In addition, the results of binary logistic regression showed that school-aged children with increased CD were 1.10 times more likely to present clustering risk factors. Conclusion: Dyslipidemia was the most prevalent CRF among preschoolers and schoolchildren, followed by abdominal adiposity and excess body weight. In the group of children evaluated, abdominal adiposity directly influenced blood pressure values in both groups and in triglyceride values in schoolchildren. CC was able to predict CRF in only the older group of children. |
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Silva, Maria Sebastianahttp://lattes.cnpq.br/1329422634395496Santos, Renata Carvalho doshttp://lattes.cnpq.br/9369183433925003Silva, Maria SebastianaRebelo, Ana Cristina SilvaCruz, Anderson Miguel daGuillo, Lidia Andreuhttp://lattes.cnpq.br/3552259537835541Silva, Diego Alves da2018-08-20T10:47:15Z2018-07-06SILVA, Diego Alves da. Prevalência de fatores de risco cardiovasculares em escolares. 2018. 74 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2018.http://repositorio.bc.ufg.br/tede/handle/tede/8812Introduction: Cardiovascular risk factors (CRF) can begin in childhood subtly and last until adulthood, they may be present in an isolated or grouped form in the same individual, and thus increase cardiovascular risk. One of the most present CRF is obesity, especially abdominal obesity, which is strongly associated with metabolic dysfunction. Therefore, it is necessary instruments of easy access for the tracking of the cardiovascular risk in childhood. In the literature studies on CRF in children are still incipient and need to be better understood, especially in the state of Goiás. Objective: To analyze the cardiovascular risk factors grouped in preschool and school children in the city of Santo Antônio de Goiás. Method: An epidemiological study was carried out, with a cross-sectional study and a case-control study, in the city of Santo Antônio de Goiás, with students from 4 to 11 years of age enrolled in the public network. Anthropometric data (body mass index - BMI and waist circumference - WC), resting blood pressure (BP), fasting glycemia and lipid profile (high density lipoprotein HDL, low density lipoprotein LDL) were collected and evaluated, triglycerides - TG and total cholesterol - TC), besides the level of physical activity. Grouped CRFs were considered when the same individual had equal or more than 3 altered indicators. To verify the normality of the data, the Kolmogorov-Smirnov test was performed. Initially, data were analyzed for mean, standard deviation and frequency. The comparison of means between the groups was performed by Student's t-test for independent samples or Mann Whitney. The association between the variables (anthropometric, biochemical and hemodynamic) were evaluated by the Pearson's Chi-square test and correlation analysis between the absolute values of the variables indicative of the FRC was used the Spearman correlation, Regression analysis Binary Logistics to identify significant predictors for outcome: cardiovascular risk factors grouped and isolated. For all tests the significance level of 5% was adopted. Results: Of the 158 schoolchildren evaluated, 24.7% were overweight and 29.7% were abdominal adiposity. The prevalence of arterial hypertension was 11.4% and dyslipidemia 72.8%, only glycemia was identified within normal values for all children. The comparative analysis of CRF indicated association of BMI, MC and SBP in both preschoolers and schoolchildren with increased CD, in addition to higher PAD and TG values in students with increased CD. Positive and significant correlation was still found between CC values and SBP and DBP values for all children. In addition, the results of binary logistic regression showed that school-aged children with increased CD were 1.10 times more likely to present clustering risk factors. Conclusion: Dyslipidemia was the most prevalent CRF among preschoolers and schoolchildren, followed by abdominal adiposity and excess body weight. In the group of children evaluated, abdominal adiposity directly influenced blood pressure values in both groups and in triglyceride values in schoolchildren. CC was able to predict CRF in only the older group of children.Introdução: Os fatores de risco cardiovasculares (FRC) podem iniciar na infância de forma sutil e, perdurar até a idade adulta, eles podem estar presentes de forma isolada ou agrupada em um mesmo indivíduo, e assim potencializar o risco cardiovascular. Um dos FRC mais presentes é a obesidade, em especial a abdominal que está fortemente associada às disfunções metabólicas. Portanto, é necessário instrumentos de fácil acesso para o rastreamento do risco cardiovascular ainda na infância. Na literatura os estudos sobre FRC em crianças, ainda são incipientes e necessitam ser melhor compreendidos, especialmente no estado de Goiás. Objetivo: Analisar os fatores de risco cardiovasculares agrupados, em pré-escolares e escolares, da cidade de Santo Antônio de Goiás. Método: realizou-se um estudo epidemiológico, com recorte transversal e delineamento caso-controle, na cidade de Santo Antônio de Goiás, com escolares de 4 a 11 anos de idade, matriculados na rede pública. Foram coletados e avaliados os dados antropométricos (índice de massa corporal – IMC e circunferência da cintura - CC), pressão arterial em repouso (PA), glicemia de jejum e perfil lipídico (Lipoproteína de Alta Densidade – HDL, Lipoproteína de Baixa Densidade – LDL, Triglicerídeos – TG e Colesterol Total – CT), além do nível de atividade física. Os FRC agrupados foram considerados quando o mesmo indivíduo apresentava igual ou mais que 3 indicadores alterados. Para averiguar a normalidade dos dados foi executado o teste Kolmogorov-Smirnov. Inicialmente, os dados foram analisados quanto média, desvio padrão e frequência. A comparação de médias entre os grupos foi realizada pelo teste-t de Student para amostras independentes ou Mann Whitney. A associação entre as variáveis (antropométricas, bioquímicas e hemodinâmicas) foram avaliadas pelo teste de Qui-quadrado de Pearson e análise de correlação entre os valores absolutos das variáveis indicativas dos FRC empregou-se a correlação de Spearman, também foi realizada a análise de Regressão Logística Binária para identificar previsores significativos para o desfecho: fatores de risco cardiovascular agrupados e isolados. Para todos os testes foi adotado o nível de significância de 5%. Resultados: Dos 158 escolares avaliados, 24,7% apresentavam excesso de peso e 29,7% adiposidade abdominal. A prevalência de hipertensão arterial foi de 11,4% e de dislipidemia 72,8%, apenas a glicemia foi identificada dentro dos valores de normalidades para todas as crianças. A análise comparativa dos FRC indicou associação do IMC, MC e PAS tanto nos pré-escolares e escolares com CC aumentada, além de maiores valores de PAD e TG em escolares com CC aumentada. Ainda foi encontrada correlação positiva e significativa entre os valores de CC com os de PAS, PAD de todas as crianças. Além disso, os resultados da regressão logística binária mostraram que crianças em idade escolar, com CC aumentada, tem 1,10 mais chances de apresentarem fatores de risco agrupados. Conclusão: A dislipidemia foi o FRC de maior prevalência entre pré-escolares e escolares, seguida adiposidade abdominal e excesso de peso corporal. No grupo de crianças avaliadas, a adiposidade abdominal influenciou diretamente os valores de pressão arterial em ambos os grupos e nos valores de triglicerídeos em escolares. A CC foi capaz de prever FRC somente no grupo de crianças mais velhas.Submitted by Luciana Ferreira (lucgeral@gmail.com) on 2018-08-20T10:44:40Z No. of bitstreams: 2 Dissertação - Diego Alves da Silva - 2018.pdf: 4513199 bytes, checksum: 346537b36c8921b3bb6a41fd2ed42db2 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2018-08-20T10:47:15Z (GMT) No. of bitstreams: 2 Dissertação - Diego Alves da Silva - 2018.pdf: 4513199 bytes, checksum: 346537b36c8921b3bb6a41fd2ed42db2 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2018-08-20T10:47:15Z (GMT). No. of bitstreams: 2 Dissertação - Diego Alves da Silva - 2018.pdf: 4513199 bytes, checksum: 346537b36c8921b3bb6a41fd2ed42db2 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2018-07-06application/pdfporUniversidade Federal de GoiásPrograma de Pós-graduação em Ciências da Saúde (FM)UFGBrasilFaculdade de Medicina - FM (RG)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessCriançasDoenças cardiovascularesFatores de riscoCircunferência da cinturaChildrenCardiovascular diseasesRisk factorsWaist circumferenceCIENCIAS DA SAUDE::MEDICINAPrevalência de fatores de risco cardiovasculares em escolaresPrevalence of cardiovascular risk factors in schoolchildreninfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-10068643126177453106006006001545772475950486338-969369452308786627reponame:Repositório Institucional da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGLICENSElicense.txtlicense.txttext/plain; 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dc.title.eng.fl_str_mv |
Prevalência de fatores de risco cardiovasculares em escolares |
dc.title.alternative.eng.fl_str_mv |
Prevalence of cardiovascular risk factors in schoolchildren |
title |
Prevalência de fatores de risco cardiovasculares em escolares |
spellingShingle |
Prevalência de fatores de risco cardiovasculares em escolares Silva, Diego Alves da Crianças Doenças cardiovasculares Fatores de risco Circunferência da cintura Children Cardiovascular diseases Risk factors Waist circumference CIENCIAS DA SAUDE::MEDICINA |
title_short |
Prevalência de fatores de risco cardiovasculares em escolares |
title_full |
Prevalência de fatores de risco cardiovasculares em escolares |
title_fullStr |
Prevalência de fatores de risco cardiovasculares em escolares |
title_full_unstemmed |
Prevalência de fatores de risco cardiovasculares em escolares |
title_sort |
Prevalência de fatores de risco cardiovasculares em escolares |
author |
Silva, Diego Alves da |
author_facet |
Silva, Diego Alves da |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Silva, Maria Sebastiana |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/1329422634395496 |
dc.contributor.advisor-co1.fl_str_mv |
Santos, Renata Carvalho dos |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/9369183433925003 |
dc.contributor.referee1.fl_str_mv |
Silva, Maria Sebastiana |
dc.contributor.referee2.fl_str_mv |
Rebelo, Ana Cristina Silva |
dc.contributor.referee3.fl_str_mv |
Cruz, Anderson Miguel da |
dc.contributor.referee4.fl_str_mv |
Guillo, Lidia Andreu |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3552259537835541 |
dc.contributor.author.fl_str_mv |
Silva, Diego Alves da |
contributor_str_mv |
Silva, Maria Sebastiana Santos, Renata Carvalho dos Silva, Maria Sebastiana Rebelo, Ana Cristina Silva Cruz, Anderson Miguel da Guillo, Lidia Andreu |
dc.subject.por.fl_str_mv |
Crianças Doenças cardiovasculares Fatores de risco Circunferência da cintura |
topic |
Crianças Doenças cardiovasculares Fatores de risco Circunferência da cintura Children Cardiovascular diseases Risk factors Waist circumference CIENCIAS DA SAUDE::MEDICINA |
dc.subject.eng.fl_str_mv |
Children Cardiovascular diseases Risk factors Waist circumference |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
Introduction: Cardiovascular risk factors (CRF) can begin in childhood subtly and last until adulthood, they may be present in an isolated or grouped form in the same individual, and thus increase cardiovascular risk. One of the most present CRF is obesity, especially abdominal obesity, which is strongly associated with metabolic dysfunction. Therefore, it is necessary instruments of easy access for the tracking of the cardiovascular risk in childhood. In the literature studies on CRF in children are still incipient and need to be better understood, especially in the state of Goiás. Objective: To analyze the cardiovascular risk factors grouped in preschool and school children in the city of Santo Antônio de Goiás. Method: An epidemiological study was carried out, with a cross-sectional study and a case-control study, in the city of Santo Antônio de Goiás, with students from 4 to 11 years of age enrolled in the public network. Anthropometric data (body mass index - BMI and waist circumference - WC), resting blood pressure (BP), fasting glycemia and lipid profile (high density lipoprotein HDL, low density lipoprotein LDL) were collected and evaluated, triglycerides - TG and total cholesterol - TC), besides the level of physical activity. Grouped CRFs were considered when the same individual had equal or more than 3 altered indicators. To verify the normality of the data, the Kolmogorov-Smirnov test was performed. Initially, data were analyzed for mean, standard deviation and frequency. The comparison of means between the groups was performed by Student's t-test for independent samples or Mann Whitney. The association between the variables (anthropometric, biochemical and hemodynamic) were evaluated by the Pearson's Chi-square test and correlation analysis between the absolute values of the variables indicative of the FRC was used the Spearman correlation, Regression analysis Binary Logistics to identify significant predictors for outcome: cardiovascular risk factors grouped and isolated. For all tests the significance level of 5% was adopted. Results: Of the 158 schoolchildren evaluated, 24.7% were overweight and 29.7% were abdominal adiposity. The prevalence of arterial hypertension was 11.4% and dyslipidemia 72.8%, only glycemia was identified within normal values for all children. The comparative analysis of CRF indicated association of BMI, MC and SBP in both preschoolers and schoolchildren with increased CD, in addition to higher PAD and TG values in students with increased CD. Positive and significant correlation was still found between CC values and SBP and DBP values for all children. In addition, the results of binary logistic regression showed that school-aged children with increased CD were 1.10 times more likely to present clustering risk factors. Conclusion: Dyslipidemia was the most prevalent CRF among preschoolers and schoolchildren, followed by abdominal adiposity and excess body weight. In the group of children evaluated, abdominal adiposity directly influenced blood pressure values in both groups and in triglyceride values in schoolchildren. CC was able to predict CRF in only the older group of children. |
publishDate |
2018 |
dc.date.accessioned.fl_str_mv |
2018-08-20T10:47:15Z |
dc.date.issued.fl_str_mv |
2018-07-06 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
SILVA, Diego Alves da. Prevalência de fatores de risco cardiovasculares em escolares. 2018. 74 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2018. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/8812 |
identifier_str_mv |
SILVA, Diego Alves da. Prevalência de fatores de risco cardiovasculares em escolares. 2018. 74 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2018. |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/8812 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
-1006864312617745310 |
dc.relation.confidence.fl_str_mv |
600 600 600 |
dc.relation.department.fl_str_mv |
1545772475950486338 |
dc.relation.cnpq.fl_str_mv |
-969369452308786627 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.publisher.program.fl_str_mv |
Programa de Pós-graduação em Ciências da Saúde (FM) |
dc.publisher.initials.fl_str_mv |
UFG |
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Brasil |
dc.publisher.department.fl_str_mv |
Faculdade de Medicina - FM (RG) |
publisher.none.fl_str_mv |
Universidade Federal de Goiás |
dc.source.none.fl_str_mv |
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Universidade Federal de Goiás (UFG) |
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UFG |
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Repositório Institucional da UFG |
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Repositório Institucional da UFG |
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MD5 MD5 MD5 MD5 MD5 |
repository.name.fl_str_mv |
Repositório Institucional da UFG - Universidade Federal de Goiás (UFG) |
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tasesdissertacoes.bc@ufg.br |
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