Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/25908
Type: Artigo de periódico
Title: Metabolic syndrome in obese adolescents: what is enough?
Title Alternative: Síndrome metabólica em adolescentes obesos: o que é suficiente?
Author: Sewaybricker, Leticia Esposito
Antonio, Maria Ângela R.G.M.
Mendes, Roberto Teixeira
Barros Filho, Antonio de Azevedo
Zambon, Mariana Porto
Abstract: OBJECTIVE: To study the agreement among three distinct criteria for metabolic syndrome (MS) adapted to adolescents, and to identify associated factors for MS. METHODS: Cross-sectional study with 65 obese subjects aged 10 to 18 years, attended to at the Outpatient Clinic for Obese Children and Adolescents at the Clinical Hospital of the Universidade Estadual de Campinas (Unicamp). MS was defined using the criteria of the World Health Organization (WHO), the International Diabetes Federation (IDF), and the Adult Treatment Panel III (ATP III). Clinical, anthropometrical, and laboratorial data were associated to MS. RESULTS: From the 65 subjects, none had MS according to the WHO criteria, while 18 were diagnosed with MS (27.6%) according to the IDF, and 19 (29.2%) according to the ATP III. Agreement between IDF and ATP III was excellent (kappa 81%). In this study, puberty and triglycerides levels showed significant statistical difference when comparing subjects with and without MS, the first for ATP III (p = 0.03), and the second for IDF (p = 0.005) and ATP III (p = 0.001) criteria. CONCLUSION: The WHO criteria does not seem to be adequate for adolescents. IDF and ATP III criteria had an excellent agreement. Puberty and triglycerides were associated with MS.
OBJETIVO: Avaliar a correlação de três critérios de síndrome metabólica (SM) para adolescentes e identificar fatores associados. MÉTODOS: Estudo transversal com 65 pacientes obesos entre 10 e 18 anos do Ambulatório de Crianças e Adolescentes Obesos do HC-Unicamp. SM foi definida de acordo com a Organização Mundial da Saúde (OMS), International Diabetes Federation (IDF) e Adult Treatment Panel III (ATP III). Buscaram-se fatores associados a SM em dados clínicos, antropométricos e laboratoriais. RESULTADOS: Dos 65 pacientes, nenhum foi diagnosticado como SM pela OMS, sendo 18 (27.6%) pelo IDF e 19 (29.2%) pelo ATP III. A correlação entre IDF e ATP III foi excelente (kappa 81%). Neste estudo, a puberdade e os triglicérides apresentaram diferença estatisticamente significativa entre pacientes com e sem SM, sendo a primeira para o ATP III (p = 0.03) e o segundo para IDF (p = 0.005) e ATPIII (p = 0.001). CONCLUSÃO: O critério da OMS não parece ser adequado para adolescentes. Há correlação excelente entre os critérios do IDF e ATP III. Puberdade e triglicérides foram fatores associados à SM.
Subject: Síndrome metabólica
Obesidade
Triglicérides
Adolescentes
Metabolic syndrome
Obesity
Triglycerides
Adolescents
Editor: Associação Médica Brasileira
Rights: aberto
Identifier DOI: 10.1590/S0104-42302013000100013
Address: http://dx.doi.org/10.1590/S0104-42302013000100013
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302013000100013
Date Issue: 1-Feb-2013
Appears in Collections:Artigos e Materiais de Revistas Científicas - Unicamp

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