Desconhecimento da diretriz de prevenção da aterosclerose na infância e adolescência por pediatras em São Paulo

Grosso, Adriana Ferreira; Santos, Raul D.; Luz, Protásio Lemos da

doi:10.1590/s0104-42302010000200012

Cited by 5 publications

(4 citation statements)

References 11 publications

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“…The average levels TC, LDLc, HDLc, and TG did not differ among 12-14 and 15-17-year old adolescents, corroborating the idea that single reference values for adolescents may be used to better identify lipid alterations 28 . That information reinforces the need for properly knowing the reference values used herein by the ones to provide medical care to such population, which is not observed nowadays 5 .…”

Section: Discussionsupporting

confidence: 75%

“…Os níveis médios de CT, LDLc, HDLc e TG não diferiram entre os adolescentes de 12-14 anos e 15-17 anos, corroborando a ideia de que valores únicos de referência para adolescentes possam ser utilizados para melhor identificação das alterações lipídicas 28 . Este dado reforça a necessidade do adequado conhecimento dos valores de referência aqui utilizados por aqueles que fazem o atendimento dessa população, o que hoje não ocorre 5 .…”

Section: Discussionunclassified

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ERICA: prevalence of dyslipidemia in Brazilian adolescents

et al. 2016

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OBJECTIVE To determine the distribution of total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides in Brazilian adolescents, as well as the prevalence of altered levels of such parameters.METHODS Data from the Study of Cardiovascular Risks in Adolescents (ERICA) were used. This is a country-wide, school-based cross-sectional study that evaluated 12 to 17-year old adolescents living in cities with over 100,000 inhabitants. The average and distribution of plasma levels of total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides were evaluated. Dyslipidemia was determined by levels of total cholesterol ≥ 170 mg/dl, LDL cholesterol ≥ 130 mg/dl, HDL cholesterol < 45 mg/dL, or triglycerides ≥ 130 mg/dl. The data were analyzed by gender, age, and regions in Brazil.RESULTS We evaluated 38,069 adolescents – 59.9% of females, and 54.2% between 15 and 17 years. The average values found were: total cholesterol = 148.1 mg/dl (95%CI 147.1-149.1), HDL cholesterol = 47.3 mg/dl (95%CI 46.7-47.9), LDL cholesterol = 85.3 mg/dl (95%CI 84.5-86.1), and triglycerides = 77.8 mg/dl (95%CI 76.5-79.2). The female adolescents had higher average levels of total cholesterol, LDL cholesterol, and HDL cholesterol, without differences in the levels of triglycerides. We did not observe any significant differences between the average values among 12 to 14 and 15- to 17-year old adolescents. The most prevalent lipid alterations were low HDL cholesterol (46.8% [95%CI 44.8-48.9]), hypercholesterolemia (20.1% [95%CI 19.0-21.3]), and hypertriglyceridemia (7.8% [95%CI 7.1-8.6]). High LDL cholesterol was found in 3.5% (95%CI 3.2-4.0) of the adolescents. Prevalence of low HDL cholesterol was higher in Brazil’s North and Northeast regions.CONCLUSIONS A significant proportion of Brazilian adolescents has alterations in their plasma lipids. The high prevalence of low HDL cholesterol and hypertriglyceridemia, especially in Brazil’s North and Northeast regions, must be analyzed in future studies, to support the creation of strategies for efficient interventions.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionunclassified

ERICA: prevalence of dyslipidemia in Brazilian adolescents

et al. 2016

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“…They developed a formula using VolArm, VolTh, AC and FL which was more accurate for prediction of birth weight than formulae using only two-dimensional parameters. Grosso et al80 report that the majority of pediatricians in the city of São Paulo were not familiar with the Guidelines for Prevention of Atherosclerosis in Childhood and Adolescence. Individual strategies were rarely found.…”

Section: Reviewmentioning

confidence: 99%

An overview of recently published medical papers in Brazilian scientific journals

Silva

Gomes

2011

Clinics

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A brief review intended as information to the readership of Clinics on papers recently published under various medical headings in Brazilian scientific journals recently indexed or about to be indexed in ISI-THOMSON Journal Citation Reports. Journals covered in this review are Acta Ortopédica Brasileira, Arquivos Brasileiros de Cardiologia, Jornal Brasileiro de Pneumologia, Revista Brasileira de Cirurgia Cardiovascular and Revista da Associação Médica Brasileira.

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“…Although the epidemic of obesity in childhood and adolescence is a relatively recent theme, the literature includes a guideline that was published in 2005, which focused on the prevention of atherosclerosis in this population. Grosso et al assessed the level of knowledge on this guideline among pediatricians 14 . Most evaluated physicians were not familiar with the guideline; in fact, more than two thirds of these physicians had never even heard of it.…”

Section: Epidemiology Of Obesity In Schoolsmentioning

confidence: 99%

Influência das variáveis nutricionais e da obesidade sobre a saúde e o metabolismo

Azevedo

Brito²

2012

Revista da Associação Médica Brasileira

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Obesity is a recurring theme in current scientific literature. This can easily be explained by its exponential increase in all layers of society. The popularity of this subject has also given rise to associated questions, which have achieved greater prominence in health-related publications. In order to assess what has been studied in the field of obesity and nutrition, an overview of all articles published on these subjects in some of the main Brazilian scientific journals over the past two years was performed. Among the subthemes selected for this study, those related to childhood obesity attracted attention due to their greater frequency. These were subdivided into: prevalence, intrauterine and breastfeeding influences that may lead to the development of this condition, impact on quality of life, cardiovascular system and metabolism, and possible prevention strategies. Furthermore, issues related to obesity in adults were explored, such as risk factors and new strategies for prevention, with special attention given to the many studies evaluating different aspects of bariatric surgery. Finally, the subject of malnutrition and the impact of the deficiency of specific micronutrients such as selenium, vitamin D, and vitamin B12 were assessed. Based on the results, it was possible to assess the actual importance of obesity and nutrition in health maintenance, and also the several lines of research regarding these issues. Thus, it is essential to create new methods, which must be quick and efficient, to update health professionals involved in the treatment of obesity.

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Desconhecimento da diretriz de prevenção da aterosclerose na infância e adolescência por pediatras em São Paulo

Cited by 5 publications

References 11 publications

ERICA: prevalence of dyslipidemia in Brazilian adolescents

ERICA: prevalence of dyslipidemia in Brazilian adolescents

An overview of recently published medical papers in Brazilian scientific journals

Influência das variáveis nutricionais e da obesidade sobre a saúde e o metabolismo

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