The metabolic risk factors (RF) to the diagnosis of metabolic syndrome (MetS) have been evidenced at early ages, including children. The aim of the present study was to identify the prevalence of RF to the diagnosis of MetS and its association with nutritional status of schoolchildren from 6 to 10 years old. A cross-sectional study was carried out in 505 students of municipal schools in Macae, Brazil, conducted from 2013 to 2014. The RF evaluated were: blood pressure (mm Hg), triglycerides (mmol/L), HDL-cholesterol (mmol/L) fasting glucose (mmol/L) and waist circumference (cm). At least one RF was present in 61% (n = 308) of the sample. By nutritional status, there was higher prevalence of RF in overweight/obese schoolchildren compared to those with normal weight, except in the concentration of HDL-c. The prevalence of one, two and three RF (MetS) were 34.7% (n = 175), 21.0% (n = 106) and 5.3% (n = 27), respectively. Two RF were more present in overweight (28.2% 95%CI 19.0; 39.0) and obese (41.5% 95%CI 31.4; 52.1) compared to normal weight children (13.5% 95%CI 9.9; 17.8). Three or more RF were more frequent among obese (25.5% 95%CI 17.0; 35.5) in relation to overweight (2.4% 95%CI 0.2; 8.2) and normal weight children (0.3% 95%CI 0; 1.7). The data indicate high prevalence of RF and its relationship with the magnitude of body weight excess. Therefore, the identification and early treatment of these RF might minimize the risk of MetS and related diseases.
Identificar a prevalência de excesso de peso e obesidade abdominal de forma isolada e combinada em escolares de 6 a 10 anos de idade. Participaram do estudo 1267 escolares do município de Macaé, RJ, Brasil. Os dados antropométricos analisados foram a massa corporal, a estatura, e a perimetria da cintura (PC). Os critérios da Organização Mundial da Saúde (OMS) foram usados para definir o sobrepeso e a obesidade. A obesidade abdominal (OA) foi estimada pela relação cintura/estatura (RCEst) ≥0,50. A prevalência de excesso de peso e obesidade nos escolares foi de 33,8% e 16,4%, respectivamente. A prevalência de OA foi de 22,7%, sendo 11,9% meninas e 10,8% meninos (p>0,05). Verificamos que 37,7 % das crianças com sobrepeso apresentam OA, sendo mais presente entre as meninas em comparação com os meninos (50% vs. 26,3%, respetivamente; p
BackgroundIn Systemic Sclerosis (SSc), data on prevalence of traditional cardiovascular (CV) disease risk factors is scarce and conflicting (1). Therefore, SSc patients CV risk attributed to traditional CV risk factors remains an issue of debate.ObjectivesTo evaluate if patients with SSc have a higher prevalence of traditional CV disease risk factors and a higher risk of long-term CV events based on the risk prediction tool of the Framingham risk score (FRS) in comparison with age, race and sex matched control subjects.MethodsThe study comprised patients diagnosed with SSc, fulfilling both the 1980 ACR and the 2013 ACR/EULAR criteria for the disease, and followed-up at our Rheumatology Department and a group of age, race and sex-matched controls. Inclusion criteria were age 30 to 74 and no history of CV events in order to calculate FRS. In total, 46 out of 62 patients were eligible for the study. Traditional CV disease risk factors (diabetes, arterial hypertension and smoking) were compared among the 46 patients with SSc and 51 matched controls. Systolic blood pressure (SBP) values and total and high-density lipoprotein (HDL) cholesterol levels were also collected. The 10-year risk for CV events according to FRS was calculated and means of patients and controls were compared. Subjects' distribution into 3 categories of risk – low (<10% risk), medium (10–20% risk) and high (>20% risk) was also compared. Parametric and nonparametric tests were used for comparison between groups. P value <0.05 was defined as statistically significant.ResultsMean risk for CV events in 10-years assessed by FRS was 10.00%±8.61 for SSc patients and 7.76%±8.30 for matched controls. Differences were not statistically significant (p=0.196). Additionally, prevalence of diabetes, arterial hypertension and smoking did not differ significantly between the two groups (p=0.890, p=0.443, p=0.651, respectively). Total and HDL cholesterol levels were also similar between groups (p=0.963 and p=0.506, respectively). Only SBP values (mmHg) of SSc patients were significantly higher (128.50 mmHg [113.5 to 139.3]) (median [interquartile range]) compared with controls (120.00 [110 to 130]), p=0.031. Subjects' distribution into the 3 groups of risk defined was similar for both groups (p=0.205).ConclusionsIn our study, prevalence of traditional CV disease risk factors and 10-year risk for CV events based on FRS assessment tool did not differ significantly between SSc patients and age, sex and race matched controls.References Psarras A, Soulaidopoulos S, Garyfallos A, Kitas G and Dimitroulas T. A critical view on cardiovascular risk in systemic sclerosis. Rheumatol Int. 2017 Jan;37(1):85–95. Disclosure of InterestNone declared
The low level of physical activity and poor nutritional quality are related to metabolic alterations related to chronic diseases. Objective: To evaluate the level of physical activity and eating habits of university professors from a private educational institution, RJ, Brazil. Methods: cross-sectional study conducted in university professors at the Anhanguera University Center of Niterói, RJ. Data collected online (Microsoft forms): weight and height for nutritional status (low weight, normal weight , overweight and obesity and "excessive weight or no excessive weight "), international physical activity questionnaire IPAQ and "How is your diet?", a national questionnaire. Classification of physical activity level: low, moderate or high and classification of diet: poor, regular and excellent. Statistical analysis: SPSS, v.25. Results: 101 professors (female 51.4%), with means: 45.4 years, weight 79.2 kg, body mass index 27.4 kg/m2; 1% (n=1), 28.7% (n=29), 40.6% (n=41), 29.7% (n=30) were low weight, normal weight, overweight and obesity, respectively. Overweight in 70.3% of the sample (83.7% male). Poor, regular and excellent eating habits, 19.8% (n=20), 25.7% (n=26), 54.5 (n=55), with no significant difference by sex (p=0.31) and nutritional status (p=0.58). Low level of physical activity 31.7% (n=32), moderate level 34.7% (n=35), and high level 33.7% (n=34), more prevalent in men (p=0.048). Conclusion: High prevalence of overweight, approximately half of the sample with inadequate eating habits and one third with low level of physical activity. Professor's awareness about regular physical exercise and eating habits in health promotion is necessary, including institutional programs for this purpose. Keywords: Exercise. Feeding Behavior. Quality of Life. Resumo O baixo nível de atividade física e a má qualidade nutricional relacionam-se à alterações metabólicas preditoras de doenças crônicas. Objetivou-se avaliar o nível de atividade física e os hábitos alimentares de docentes universitários de uma instituição de ensino privada, RJ, Brasil. Estudo transversal em docentes universitários do Centro universitário Anhanguera de Niterói, RJ. Dados coletados online (Microsoft forms): pessoais, peso e estatura para estado nutricional (baixo peso, eutrofia, sobrepeso e obesidade e “sem e com excesso de peso”), questionário internacional de atividade física IPAQ e questionário do Ministério da Saúde “Como está sua alimentação?”. Classificação do nível de atividade física: baixo, moderado ou elevado e da alimentação: ruim, regular e excelente. Análise estatística: SPSS, v.25. Foram avaliados 101 docentes (feminino 51,4%), com médias: 45,4 anos, peso 79,2 kg, índice de massa corporal 27,4 kg/m2; 1% (n=1), 28,7% (n=29), 40,6% (n=41), 29,7% (n=30) apresentaram baixo peso, eutrofia, sobrepeso e obesidade, respectivamente. Excesso de peso em 70,3% da amostra (83,7% sexo masculino). Hábitos alimentares ruim, regular e excelente, 19,8% (n=20), 25,7% (n=26), 54,5 (n=55), sem diferença significativa por sexo (p=0,31) e estado nutricional (p=0,58). Identificou-se em 31,7% (n=32) nível de atividade física baixo, em 34,7% (n=35), moderado e em 33,7% (n=34), elevado, superior nos homens (p=0,048). O estudo apontou elevada prevalência de excesso de peso, inadequação nos hábitos alimentares e um terço com nível baixo de atividade física. Faz-se necessária a conscientização dos docentes acerca do exercício físico regular e dos hábitos alimentares na promoção da saúde, incluindo programas institucionais com este fim. Palavras-chave: Exercício Físico. Comportamento Alimentar. Qualidade de Vida.
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