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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
Veiga, Gloria Valeria da
Silva,Thiago Luiz Nogueira da
Vasconcellos, Maurício T L de
Moraes, Ana Júlia Pantoja de
Oliveira, Ana Mayra Andrade de
Tavares, Bruno Mendes
Oliveira, Cecília Lacroix de
Cunha, Cristiane de Freitas
Giannini, Denise Tavares
Belfort, Dilson Rodrigues
Santos, Eduardo Lima
Leon, Elisa Brosina de
Oliveira, Elizabete Regina Araújo
Fujimori, Elizabeth
Borges, Ana Luíza
Magliano, Erika da Silva
Vasconcelos, Francisco de Assis Guedes
Azevedo, George Dantas
Brunken, Gisela Soares
Guimarães, Isabel Cristina Britto
Neto, José Rocha Faria
Oliveira, Juliana Souza
Carvalho, Kenia Mara B de
Gonçalves, Luis Gonzaga de Oliveira
Monteiro, Maria Inês
Santos, Marize M
Muniz, Pascoal Torres
Jardim, Paulo César B Veiga
Ferreira, Pedro Antônio Muniz
Montenegro Jr, Renan Magalhães
Gurgel, Ricardo Queiroz
Vianna, Rodrigo Pinheiro
Vasconcelos, Sandra Mary
Martins, Stella Maris Seixas
Goldberg, Tamara Beres Lederer 
Abstract: To determine the prevalence of metabolic syndrome and its components in Brazilian adolescents. 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. 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.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: Síndrome metabólica
Country: Brasil
Editor: USP/Faculdade de Saúde Pública
Rights: Aberto
Identifier DOI: 10.1590/s01518-8787.2016050006701
Date Issue: 2016
Appears in Collections:FENF - Artigos e Outros Documentos

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