Coexistence of risk factors for cardiovascular diseases among brazilian adolescents: individual characteristics and school environment

• Autor(a) principal: Thales Philipe Rodrigues da Silva
• Data de Publicação: 2021
• Outros Autores: Fernanda Penido Matozinhos, Lúcia Helena Almeida Gratão, Luana Lara Rocha, Luisa Arantes Vilela, Cristiane de Freitas Cunha Grillo, Tatiana Resende Prado Rangel de Oliveira, Larissa Loures Mendes
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: https://doi.org/10.1371/journal.pone.0254838; http://hdl.handle.net/1843/56710; https://orcid.org/0000-0002-7115-0925; https://orcid.org/0000-0002-5963-6033; https://orcid.org/0000-0003-2216-7904
• topic: Doenças Cardiovasculares; Adolescente; Doenças Cardiovasculares; Adolescente

Cardiovascular diseases (CVD) share common and modifiable risk factors; among them, unhealthy eating, physical inactivity, alcohol intake and smoking habit. However, these fac tors are not observed in separate and, most often, they influence each other. Risk factors established during adolescence are highly likely to remain in adult life. The aims of the cur rent study were to evaluate the prevalence and coexistence of risk factors for CVD, as well as to investigate individual characteristic of the adolescent and environmental factors asso ciated with risk factors’ coexistence profiles. This was a cross-sectional, national, school based epidemiological study that estimated the prevalence of cardiovascular risk factors andmetabolic syndrome in adolescents aged 12 to 17 years who attended public and pri vate schools located in Brazilian counties with a population of more than 100 thousand. For this study, thematic blocks referring to alcohol consumption, eating habits, smoking, and physical activity were used. The grade of membership method was usedto identify the coex istence of risk and protective factors for CVD among adolescents. The study analytical sam ple comprised 71,552 adolescents. Multilevel logistic regression was used to assess the association between factors influencing the coexistence profile of risk factors for CVD. Based onadolescent-level variables, has shown that meeting positive criterion for Common Mental Disorders and not consuming the meals provided by the school have significantly increased the likelihood of belonging to the CVD-risk profile. On the other hand, school-level variables, show that studying in private schools and living in economically favored Brazilian regions have increased adolescents’ likelihood of belonging to the CVD-risk profile. These results can be used to substantiate the inclusion of food environment variables in public poli cies focused on preventing CVD development among Brazilian adolescents.