Metabolic syndrome risk factors in overweight, obese, and extremely obese brazilian adolescents

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dc.contributor.authorRizzo, Anapaula C.B. [UNESP]
dc.contributor.authorGoldberg, Tamara Beres Lederer [UNESP]
dc.contributor.authorSilva, Carla C.
dc.contributor.authorKurokawa, Cilmery Suemi [UNESP]
dc.contributor.authorNunes, Helio R.C. [UNESP]
dc.contributor.authorCorrente, José Eduardo [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversity of North Paraná
dc.date.accessioned2014-05-27T11:28:20Z
dc.date.available2014-05-27T11:28:20Z
dc.date.issued2013-02-01
dc.description.abstractBackground: 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.en
dc.description.affiliationDepartment of Pediatrics Botucatu School of Medicine São Paulo State University (UNESP), São Paulo
dc.description.affiliationDepartment of Pediatrics, Adolescent Medicine Course Post Graduate Program in Gynecology, Obstetrics and Mastology São Paulo State University (UNESP), São Paulo
dc.description.affiliationDepartment of Physical Education University of North Paraná, Paraná
dc.description.affiliationClinical and Experimental Pediatric Research Center Department of Pediatrics, Botucatu School of Medicine São Paulo State University (UNESP), São Paulo
dc.description.affiliationDepartment of Statistics Botucatu School of Medicine São Paulo State University (UNESP), São Paulo
dc.description.affiliationUnespDepartment of Pediatrics Botucatu School of Medicine São Paulo State University (UNESP), São Paulo
dc.description.affiliationUnespDepartment of Pediatrics, Adolescent Medicine Course Post Graduate Program in Gynecology, Obstetrics and Mastology São Paulo State University (UNESP), São Paulo
dc.description.affiliationUnespClinical and Experimental Pediatric Research Center Department of Pediatrics, Botucatu School of Medicine São Paulo State University (UNESP), São Paulo
dc.description.affiliationUnespDepartment of Statistics Botucatu School of Medicine São Paulo State University (UNESP), São Paulo
dc.identifierhttp://dx.doi.org/10.1186/1475-2891-12-19
dc.identifier.citationNutrition Journal, v. 12, n. 1, 2013.
dc.identifier.doi10.1186/1475-2891-12-19
dc.identifier.file2-s2.0-84873041179.pdf
dc.identifier.issn1475-2891
dc.identifier.lattes7214834859260397
dc.identifier.lattes8510423269540465
dc.identifier.orcid0000-0001-7017-766X
dc.identifier.orcid0000-0001-5478-4996
dc.identifier.orcid0000-0003-1380-7527
dc.identifier.scopus2-s2.0-84873041179
dc.identifier.urihttp://hdl.handle.net/11449/74530
dc.identifier.wosWOS:000317126400001
dc.language.isoeng
dc.relation.ispartofNutrition Journal
dc.relation.ispartofjcr3.568
dc.relation.ispartofsjr1,447
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.subjectAdolescents
dc.subjectInsulin resistance
dc.subjectMetabolic Syndrome
dc.subjectObesity
dc.subjectRisk factors
dc.subjecthigh density lipoprotein cholesterol
dc.subjectlow density lipoprotein cholesterol
dc.subjecttriacylglycerol
dc.subjectadolescent
dc.subjectblood pressure measurement
dc.subjectbody height
dc.subjectbody mass
dc.subjectbody weight
dc.subjectchild
dc.subjectcholesterol blood level
dc.subjectdiet restriction
dc.subjectfemale
dc.subjectglucose blood level
dc.subjecthuman
dc.subjectinsulin resistance
dc.subjectinsulinemia
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmetabolic syndrome X
dc.subjectobesity
dc.subjectpublic health service
dc.subjectrisk factor
dc.subjectschool child
dc.subjectwaist circumference
dc.subjectAdolescent
dc.subjectBlood Glucose
dc.subjectBlood Pressure
dc.subjectBody Composition
dc.subjectBody Mass Index
dc.subjectBody Weight
dc.subjectBrazil
dc.subjectChild
dc.subjectCholesterol
dc.subjectFasting
dc.subjectFemale
dc.subjectHumans
dc.subjectInsulin Resistance
dc.subjectMale
dc.subjectMetabolic Syndrome X
dc.subjectNutrition Assessment
dc.subjectOverweight
dc.subjectPrevalence
dc.subjectRisk Factors
dc.subjectTriglycerides
dc.titleMetabolic syndrome risk factors in overweight, obese, and extremely obese brazilian adolescentsen
dc.typeArtigo
dcterms.licensehttp://www.biomedcentral.com/about/license
unesp.author.lattes7214834859260397
unesp.author.lattes8510423269540465[4]
unesp.author.orcid0000-0003-1380-7527[4]
unesp.author.orcid0000-0001-7017-766X[2]
unesp.author.orcid0000-0001-5478-4996[6]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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