Metabolic syndrome risk factors in overweight, obese, and extremely obese brazilian adolescents
Autor(a) principal: | |
---|---|
Data de Publicação: | 2013 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1186/1475-2891-12-19 http://hdl.handle.net/11449/74530 |
Resumo: | Background: Obesity in infancy and adolescence has acquired epidemic dimensions worldwide and is considered a risk factor for a number of disorders that can manifest at an early age, such as Metabolic Syndrome (MS). In this study, we evaluated overweight, obese, and extremely obese adolescents for the presence of MS, and studied the prevalence of single factors of the syndrome in this population. Methods. A total of 321 adolescents (174 females and 147 males) aged 10 to 16 years, attending the Adolescent Outpatient Clinic of Botucatu School of Medicine, Brazil, between April 2009 and April 2011 were enrolled in this study. Adolescents underwent anthropometric evaluation (weight, height, and abdominal circumference) and Body Mass Index (BMI) was estimated according to age and gender, following Disease Control and Prevention Centers recommendations (CDC, 2000). Blood pressure was measured and individuals with BMI ≥ 85§ssup§th§esup§ percentile were submitted to laboratory evaluation for Total Cholesterol, HDL and LDL Cholesterol, Triglycerides, Fasting Insulinemia, and Fasting Glycemia to identify MS factors, according to the criteria suggested by the International Diabetes Federation. Insulin resistance was calculated by HOMA-IR, Quicki, and Fasting Glycemia/Fasting Insulinemia (FGI). Results and discussion. Of the 321 adolescents, 95 (29.6%) were overweight, 129 (40.2%) were obese, and 97 (30.2%) were extremely obese. Around 18% were diagnosed with MS. The most prevalent risk factors were abdominal circumference ≥90§ssup§th§esup§ percentile (55%), HDL < 40 mg/dL (35.5%), High Pressure ≥130/85 mm/Hg (21%), Triglycerides ≥150 mg/dL (18.5%), and Fasting Glycemia ≥100 mg/dL (2%). Insulin resistance was observed in 65% of the adolescents. Conclusion: An increased prevalence of overweight and obesity, together with cardiometabolic risk factors such as dyslipidemia and abnormal blood pressure, were observed in adolescents, contributing to the onset of metabolic syndrome at younger ages. Risk factors for MS were more prevalent in females. © 2013 Rizzo et al.; licensee BioMed Central Ltd. |
id |
UNSP_5a3bcd46f2c7e9a099caa774d35ae76d |
---|---|
oai_identifier_str |
oai:repositorio.unesp.br:11449/74530 |
network_acronym_str |
UNSP |
network_name_str |
Repositório Institucional da UNESP |
repository_id_str |
2946 |
spelling |
Metabolic syndrome risk factors in overweight, obese, and extremely obese brazilian adolescentsAdolescentsInsulin resistanceMetabolic SyndromeObesityRisk factorshigh density lipoprotein cholesterollow density lipoprotein cholesteroltriacylglyceroladolescentblood pressure measurementbody heightbody massbody weightchildcholesterol blood leveldiet restrictionfemaleglucose blood levelhumaninsulin resistanceinsulinemiamajor clinical studymalemetabolic syndrome Xobesitypublic health servicerisk factorschool childwaist circumferenceAdolescentBlood GlucoseBlood PressureBody CompositionBody Mass IndexBody WeightBrazilChildCholesterolFastingFemaleHumansInsulin ResistanceMaleMetabolic Syndrome XNutrition AssessmentOverweightPrevalenceRisk FactorsTriglyceridesBackground: Obesity in infancy and adolescence has acquired epidemic dimensions worldwide and is considered a risk factor for a number of disorders that can manifest at an early age, such as Metabolic Syndrome (MS). In this study, we evaluated overweight, obese, and extremely obese adolescents for the presence of MS, and studied the prevalence of single factors of the syndrome in this population. Methods. A total of 321 adolescents (174 females and 147 males) aged 10 to 16 years, attending the Adolescent Outpatient Clinic of Botucatu School of Medicine, Brazil, between April 2009 and April 2011 were enrolled in this study. Adolescents underwent anthropometric evaluation (weight, height, and abdominal circumference) and Body Mass Index (BMI) was estimated according to age and gender, following Disease Control and Prevention Centers recommendations (CDC, 2000). Blood pressure was measured and individuals with BMI ≥ 85§ssup§th§esup§ percentile were submitted to laboratory evaluation for Total Cholesterol, HDL and LDL Cholesterol, Triglycerides, Fasting Insulinemia, and Fasting Glycemia to identify MS factors, according to the criteria suggested by the International Diabetes Federation. Insulin resistance was calculated by HOMA-IR, Quicki, and Fasting Glycemia/Fasting Insulinemia (FGI). Results and discussion. Of the 321 adolescents, 95 (29.6%) were overweight, 129 (40.2%) were obese, and 97 (30.2%) were extremely obese. Around 18% were diagnosed with MS. The most prevalent risk factors were abdominal circumference ≥90§ssup§th§esup§ percentile (55%), HDL < 40 mg/dL (35.5%), High Pressure ≥130/85 mm/Hg (21%), Triglycerides ≥150 mg/dL (18.5%), and Fasting Glycemia ≥100 mg/dL (2%). Insulin resistance was observed in 65% of the adolescents. Conclusion: An increased prevalence of overweight and obesity, together with cardiometabolic risk factors such as dyslipidemia and abnormal blood pressure, were observed in adolescents, contributing to the onset of metabolic syndrome at younger ages. Risk factors for MS were more prevalent in females. © 2013 Rizzo et al.; licensee BioMed Central Ltd.Department of Pediatrics Botucatu School of Medicine São Paulo State University (UNESP), São PauloDepartment of Pediatrics, Adolescent Medicine Course Post Graduate Program in Gynecology, Obstetrics and Mastology São Paulo State University (UNESP), São PauloDepartment of Physical Education University of North Paraná, ParanáClinical and Experimental Pediatric Research Center Department of Pediatrics, Botucatu School of Medicine São Paulo State University (UNESP), São PauloDepartment of Statistics Botucatu School of Medicine São Paulo State University (UNESP), São PauloDepartment of Pediatrics Botucatu School of Medicine São Paulo State University (UNESP), São PauloDepartment of Pediatrics, Adolescent Medicine Course Post Graduate Program in Gynecology, Obstetrics and Mastology São Paulo State University (UNESP), São PauloClinical and Experimental Pediatric Research Center Department of Pediatrics, Botucatu School of Medicine São Paulo State University (UNESP), São PauloDepartment of Statistics Botucatu School of Medicine São Paulo State University (UNESP), São PauloUniversidade Estadual Paulista (Unesp)University of North ParanáRizzo, Anapaula C.B. [UNESP]Goldberg, Tamara Beres Lederer [UNESP]Silva, Carla C.Kurokawa, Cilmery Suemi [UNESP]Nunes, Helio R.C. [UNESP]Corrente, José Eduardo [UNESP]2014-05-27T11:28:20Z2014-05-27T11:28:20Z2013-02-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://dx.doi.org/10.1186/1475-2891-12-19Nutrition Journal, v. 12, n. 1, 2013.1475-2891http://hdl.handle.net/11449/7453010.1186/1475-2891-12-19WOS:0003171264000012-s2.0-848730411792-s2.0-84873041179.pdf721483485926039785104232695404650000-0001-7017-766X0000-0001-5478-49960000-0003-1380-7527Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengNutrition Journal3.5681,447info:eu-repo/semantics/openAccess2024-09-03T13:47:03Zoai:repositorio.unesp.br:11449/74530Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestrepositoriounesp@unesp.bropendoar:29462024-09-03T13:47:03Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Metabolic syndrome risk factors in overweight, obese, and extremely obese brazilian adolescents |
title |
Metabolic syndrome risk factors in overweight, obese, and extremely obese brazilian adolescents |
spellingShingle |
Metabolic syndrome risk factors in overweight, obese, and extremely obese brazilian adolescents Rizzo, Anapaula C.B. [UNESP] Adolescents Insulin resistance Metabolic Syndrome Obesity Risk factors high density lipoprotein cholesterol low density lipoprotein cholesterol triacylglycerol adolescent blood pressure measurement body height body mass body weight child cholesterol blood level diet restriction female glucose blood level human insulin resistance insulinemia major clinical study male metabolic syndrome X obesity public health service risk factor school child waist circumference Adolescent Blood Glucose Blood Pressure Body Composition Body Mass Index Body Weight Brazil Child Cholesterol Fasting Female Humans Insulin Resistance Male Metabolic Syndrome X Nutrition Assessment Overweight Prevalence Risk Factors Triglycerides |
title_short |
Metabolic syndrome risk factors in overweight, obese, and extremely obese brazilian adolescents |
title_full |
Metabolic syndrome risk factors in overweight, obese, and extremely obese brazilian adolescents |
title_fullStr |
Metabolic syndrome risk factors in overweight, obese, and extremely obese brazilian adolescents |
title_full_unstemmed |
Metabolic syndrome risk factors in overweight, obese, and extremely obese brazilian adolescents |
title_sort |
Metabolic syndrome risk factors in overweight, obese, and extremely obese brazilian adolescents |
author |
Rizzo, Anapaula C.B. [UNESP] |
author_facet |
Rizzo, Anapaula C.B. [UNESP] Goldberg, Tamara Beres Lederer [UNESP] Silva, Carla C. Kurokawa, Cilmery Suemi [UNESP] Nunes, Helio R.C. [UNESP] Corrente, José Eduardo [UNESP] |
author_role |
author |
author2 |
Goldberg, Tamara Beres Lederer [UNESP] Silva, Carla C. Kurokawa, Cilmery Suemi [UNESP] Nunes, Helio R.C. [UNESP] Corrente, José Eduardo [UNESP] |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) University of North Paraná |
dc.contributor.author.fl_str_mv |
Rizzo, Anapaula C.B. [UNESP] Goldberg, Tamara Beres Lederer [UNESP] Silva, Carla C. Kurokawa, Cilmery Suemi [UNESP] Nunes, Helio R.C. [UNESP] Corrente, José Eduardo [UNESP] |
dc.subject.por.fl_str_mv |
Adolescents Insulin resistance Metabolic Syndrome Obesity Risk factors high density lipoprotein cholesterol low density lipoprotein cholesterol triacylglycerol adolescent blood pressure measurement body height body mass body weight child cholesterol blood level diet restriction female glucose blood level human insulin resistance insulinemia major clinical study male metabolic syndrome X obesity public health service risk factor school child waist circumference Adolescent Blood Glucose Blood Pressure Body Composition Body Mass Index Body Weight Brazil Child Cholesterol Fasting Female Humans Insulin Resistance Male Metabolic Syndrome X Nutrition Assessment Overweight Prevalence Risk Factors Triglycerides |
topic |
Adolescents Insulin resistance Metabolic Syndrome Obesity Risk factors high density lipoprotein cholesterol low density lipoprotein cholesterol triacylglycerol adolescent blood pressure measurement body height body mass body weight child cholesterol blood level diet restriction female glucose blood level human insulin resistance insulinemia major clinical study male metabolic syndrome X obesity public health service risk factor school child waist circumference Adolescent Blood Glucose Blood Pressure Body Composition Body Mass Index Body Weight Brazil Child Cholesterol Fasting Female Humans Insulin Resistance Male Metabolic Syndrome X Nutrition Assessment Overweight Prevalence Risk Factors Triglycerides |
description |
Background: Obesity in infancy and adolescence has acquired epidemic dimensions worldwide and is considered a risk factor for a number of disorders that can manifest at an early age, such as Metabolic Syndrome (MS). In this study, we evaluated overweight, obese, and extremely obese adolescents for the presence of MS, and studied the prevalence of single factors of the syndrome in this population. Methods. A total of 321 adolescents (174 females and 147 males) aged 10 to 16 years, attending the Adolescent Outpatient Clinic of Botucatu School of Medicine, Brazil, between April 2009 and April 2011 were enrolled in this study. Adolescents underwent anthropometric evaluation (weight, height, and abdominal circumference) and Body Mass Index (BMI) was estimated according to age and gender, following Disease Control and Prevention Centers recommendations (CDC, 2000). Blood pressure was measured and individuals with BMI ≥ 85§ssup§th§esup§ percentile were submitted to laboratory evaluation for Total Cholesterol, HDL and LDL Cholesterol, Triglycerides, Fasting Insulinemia, and Fasting Glycemia to identify MS factors, according to the criteria suggested by the International Diabetes Federation. Insulin resistance was calculated by HOMA-IR, Quicki, and Fasting Glycemia/Fasting Insulinemia (FGI). Results and discussion. Of the 321 adolescents, 95 (29.6%) were overweight, 129 (40.2%) were obese, and 97 (30.2%) were extremely obese. Around 18% were diagnosed with MS. The most prevalent risk factors were abdominal circumference ≥90§ssup§th§esup§ percentile (55%), HDL < 40 mg/dL (35.5%), High Pressure ≥130/85 mm/Hg (21%), Triglycerides ≥150 mg/dL (18.5%), and Fasting Glycemia ≥100 mg/dL (2%). Insulin resistance was observed in 65% of the adolescents. Conclusion: An increased prevalence of overweight and obesity, together with cardiometabolic risk factors such as dyslipidemia and abnormal blood pressure, were observed in adolescents, contributing to the onset of metabolic syndrome at younger ages. Risk factors for MS were more prevalent in females. © 2013 Rizzo et al.; licensee BioMed Central Ltd. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-02-01 2014-05-27T11:28:20Z 2014-05-27T11:28:20Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1186/1475-2891-12-19 Nutrition Journal, v. 12, n. 1, 2013. 1475-2891 http://hdl.handle.net/11449/74530 10.1186/1475-2891-12-19 WOS:000317126400001 2-s2.0-84873041179 2-s2.0-84873041179.pdf 7214834859260397 8510423269540465 0000-0001-7017-766X 0000-0001-5478-4996 0000-0003-1380-7527 |
url |
http://dx.doi.org/10.1186/1475-2891-12-19 http://hdl.handle.net/11449/74530 |
identifier_str_mv |
Nutrition Journal, v. 12, n. 1, 2013. 1475-2891 10.1186/1475-2891-12-19 WOS:000317126400001 2-s2.0-84873041179 2-s2.0-84873041179.pdf 7214834859260397 8510423269540465 0000-0001-7017-766X 0000-0001-5478-4996 0000-0003-1380-7527 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Nutrition Journal 3.568 1,447 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
repositoriounesp@unesp.br |
_version_ |
1810021414215876608 |