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Type: Artigo
Title: Erica: Prevalence Of Metabolic Syndrome In Brazilian Adolescents
Author: Kuschnir
Maria Cristina C.; Bloch
Katia Vergetti; Szklo
Moyses; Klein
Carlos Henrique; Barufaldi
Laura Augusta; Abreu
Gabriela de Azevedo; Schaan
Beatriz; da Veiga
Gloria Valeria; Nogueira da Silva
Thiago Luiz; de Vasconcellos
Mauricio T. L.; Pantoja de Moraes
Ana Julia; Borges
Ana Luiza; Andrade de Oliveira
Ana Mayra; Tavares
Bruno Mendes; de Oliveira
Cecilia Lacroix; Cunha
Cristiane de Freitas; Giannini
Denise Tavares; Belfort
Dilson Rodrigues; Santos
Eduardo Lima; de Leon
Elisa Brosina; Fujimori
Elizabeth; Araujo Oliveira
Elizabete Regina; Magliano
Erika da Silva; Guedes Vasconcelos
Francisco de Assis; Azevedo
George Dantas; Brunken
Gisela Soares; Britto Guimaraes
Isabel Cristina; Faria Neto
Jose Rocha; Oliveira
Juliana Souza; de Carvalho
Kenia Mara B.; de Oliveira Goncalves
Luis Gonzaga; Monteiro
Maria Ines; Santos
Marize M.; Muniz
Pascoal Torres; Veiga Jardim
Paulo Cesar B.; Muniz Ferreira
Pedro Antonio; Montenegro
Renan Magalhaes
Jr.; Gurgel
Ricardo Queiroz; Vianna
Rodrigo Pinheiro; Vasconcelos
Sandra Mary; Seixas Martins
Stella Maris; Lederer Goldberg
Tamara Beres
Abstract: To determine the prevalence of metabolic syndrome and its components in Brazilian adolescents. METHODS: We evaluated 37,504 adolescents who were participants in the Study of Cardiovascular Risks in Adolescents (ERICA), a cross-sectional, school-based, national study. The adolescents, aged from 12 to 17 years, lived in cities with populations greater than 100,000 inhabitants. The sample was stratified and clustered into schools and classes. The criteria set out by the International Diabetes Federation were used to define metabolic syndrome. Prevalences of metabolic syndrome were estimated according to sex, age group, school type and nutritional status. RESULTS: Of the 37,504 adolescents who were evaluated: 50.2% were female; 54.3% were aged from 15 to 17 years, and 73.3% were from public schools. The prevalence of metabolic syndrome was 2.6% (95% CI 2.3-2.9), slightly higher in males and in those aged from 15 to 17 years in most macro-regions. The prevalence was the highest in residents from the South macro-region, in the younger female adolescents and in the older male adolescents. The prevalence was higher in public schools (2.8% [95% CI 2.4-3.2]), when compared with private schools (1.9% [95% CI 1.4-2.4]) and higher in obese adolescents when compared with nonobese ones. The most common combinations of components, referring to 3/4 of combinations, were: enlarged waist circumference (WC), low HDL-cholesterol (HDL-c) and high blood pressure; followed by enlarged WC, low HDL-c and high triglycerides; and enlarged WC, low HDL-c, high triglycerides and blood pressure. Low HDL was the second most frequent component, but the highest prevalence of metabolic syndrome (26.8%) was observed in the presence of high triglycerides. CONCLUSIONS: ERICA is the first Brazilian nation-wide study to present the prevalence of metabolic syndrome and describe the role of its components. Despite the prevalence of Metabolic Syndrome being low, the high prevalences of some components and participation of others in the syndrome composition shows the importance of early diagnosis of this changes, even if not grouped within the metabolic syndrome.
Subject: Adolescent
Metabolic Syndrome, Epidemiology
Risk Factors
Cardiovascular Diseases
Cross-sectional Studies
Editor: Revista de Saúde Publica
São Paulo
Rights: aberto
Identifier DOI: 10.1590/S01518-8787.2016050006701
Date Issue: 2016
Appears in Collections:Unicamp - Artigos e Outros Documentos

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