ERICA: prevalence of metabolic syndrome in Brazilian adolescents
Maria Cristina Caetano Kuschnir,Katia Vergetti Bloch,Moyses Szklo,Carlos Henrique Klein,Laura Augusta Barufaldi,Gabriela de Azevedo Abreu,Beatriz D'Agord Schaan,Gloria Valeria da Veiga,Thiago Luiz Nogueira da Silva,Mauricio Teixeira Leite de Vasconcellos,Ana Júlia Pantoja de Moraes,Ana Luiza Vilela Borges,Ana Mayra A. de Oliveira,Bruno Mendes Tavares,Cecília Lacroix de Oliveira,Cristiane de Freitas Cunha,Denise Tavares Giannini,Dilson Rodrigues Belfort,Eduardo Lima Santos,Elisa Brosina de Leon,Elizabeth Fujimori,Elizabete Regina Araújo Oliveira,Erika da Silva Magliano,Francisco de Assis Guedes de Vasconcelos,George Dantas de Azevedo,Gisela Soares Brunken,Isabel Cristina Britto Guimarães,José Rocha Faria Neto,Juliana Souza Oliveira,Kênia Mara Baiocchi de Carvalho,Luis Gonzaga de Oliveira Gonçalves,Maria Inês Monteiro,Marize Melo dos Santos,Pascoal Torres Muniz,Paulo César Brandão Veiga Jardim,Pedro Antônio Muniz Ferreira,Renan Magalhães Montenegro,Ricardo Queiroz Gurgel,Rodrigo Pinheiro de Toledo Vianna,Sandra Mary Lima Vasconcelos,Stella Maris Seixas Martins,Tamara Beres Lederer Goldberg +41 more
TLDR
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.Abstract:
OBJECTIVE 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.read more
Citations
More filters
Journal ArticleDOI
The prevalence of pediatric metabolic syndrome-a critical look on the discrepancies between definitions and its clinical importance.
TL;DR: The aim was to summarize current prevalence data of childhood MetS as well as to discuss the continuing disagreement between different pediatric definitions and the clinical importance of such diagnosis.
Journal ArticleDOI
Metabolic syndrome among children and adolescents in low and middle income countries: a systematic review and meta-analysis
Zebenay Workneh Bitew,Ayinalem Alemu,Ermias Getaneh Ayele,Zelalem Tenaw,Anmut Alebel,Teshager Worku +5 more
TL;DR: This study illustrates that MetS among children and adolescents is an emerging public health challenge in LMICs, where the prevalence of obesity is on the move and preventive strategies such as community and school based intervention need to be designed.
Journal ArticleDOI
High prevalence of food insecurity, the adverse impact of COVID-19 in Brazilian favela.
Catarina Vezetiv Manfrinato,Aluízio Marino,Vitória Ferreira Condé,Maria do Carmo Pinho Franco,Maria do Carmo Pinho Franco,Elke Stedefeldt,Luciana Yuki Tomita +6 more
TL;DR: In this paper, the authors investigated food insecurity prevalence in two favelas in Brazil in the early weeks of the social distancing policy, from 27 March 2020 to 1 June 2020.
Journal ArticleDOI
Performance of anthropometric indicators as predictors of metabolic syndrome in Brazilian adolescents.
TL;DR: Considering that the best AUC was found for WHtR, it is suggested the use of this anthropometric indicator, with the cut-off points presented herein, for the prediction of MetS in adolescents with characteristics similar to the study sample.
Journal ArticleDOI
Prevalence of type 2 diabetes among adolescents in Brazil: Findings from Study of Cardiovascular Risk in Adolescents (ERICA)
Gabriela Heiden Teló,Felipe Vogt Cureau,Felipe Vogt Cureau,Moyses Szklo,Moyses Szklo,Katia Vergetti Bloch,Beatriz D'Agord Schaan +6 more
TL;DR: The aim was to investigate the prevalence of T2DM and prediabetes among Brazilian adolescents, as well as to describe the cardio‐metabolic profile according to the diagnosis.
References
More filters
Journal ArticleDOI
Diagnosis and Classification of Diabetes Mellitus
TL;DR: The chronic hyperglycemia of diabetes is associated with long-term damage, dys-function, and failure of differentorgans, especially the eyes, kidneys, nerves, heart, and blood vessels.
Journal ArticleDOI
Role of Insulin Resistance in Human Disease
TL;DR: The possibility is raised that resistance to insulin-stimulated glucose uptake and hyperinsulinemia are involved in the etiology and clinical course of three major related diseases— NIDDM, hypertension, and CAD.
Journal ArticleDOI
Development of a WHO growth reference for school-aged children and adolescents
Mercedes de Onis,Adelheid W. Onyango,Elaine Borghi,Amani Siyam,Chizuru Nishida,Jonathan Siekmann +5 more
TL;DR: The new curves are closely aligned with the WHO Child Growth Standards at 5 years, and the recommended adult cut-offs for overweight and obesity at 19 years.
Journal ArticleDOI
Prevalence of a metabolic syndrome phenotype in adolescents: findings from the third National Health and Nutrition Examination Survey, 1988-1994.
TL;DR: Perhaps 4% of adolescents and nearly 30% of overweight adolescents in the United States meet these criteria for a metabolic syndrome, a constellation of metabolic derangements associated with obesity, which may have significant implications for both public health and clinical interventions directed at this high-risk group of mostly overweight young people.
Journal ArticleDOI
Global prevalence and trends of overweight and obesity among preschool children
TL;DR: The need for effective interventions starting as early as infancy to reverse anticipated trends of childhood overweight and obesity have increased dramatically since 1990 are confirmed.
Related Papers (5)
ERICA: prevalences of hypertension and obesity in Brazilian adolescents
Katia Vergetti Bloch,Carlos Henrique Klein,Moyses Szklo,Maria Cristina Caetano Kuschnir,Gabriela de Azevedo Abreu,Laura Augusta Barufaldi,Gloria Valeria da Veiga,Beatriz D'Agord Schaan,Thiago Luiz Nogueira da Silva,Mauricio Teixeira Leite de Vasconcellos,Ana Júlia Pantoja de Moraes,Ana Luiza Vilela Borges,Ana Mayra A. de Oliveira,Bruno Mendes Tavares,Cecília Lacroix de Oliveira,Cristiane de Freitas Cunha,Denise Tavares Giannini,Dilson Rodrigues Belfort,Eduardo Lima Santos,Elisa Brosina de Leon,Elizabeth Fujimori,Elizabete Regina Araújo Oliveira,Erika da Silva Magliano,Francisco de Assis Guedes de Vasconcelos,George Dantas de Azevedo,Gisela Soares Brunken,Isabel Cristina Britto Guimarães,José Rocha Faria Neto,Juliana Souza Oliveira,Kênia Mara Baiocchi de Carvalho,Luis Gonzaga de Oliveira Gonçalves,Maria Inês Monteiro,Marize Melo dos Santos,Paulo César Brandão Veiga Jardim,Pedro Antônio Muniz Ferreira,Renan Magalhães Montenegro,Ricardo Queiroz Gurgel,Rodrigo Pinheiro de Toledo Vianna,Sandra Mary Lima Vasconcelos,Tamara Beres Lederer Goldberg +39 more