TY - JOUR
T1 - ERICA
T2 - Prevalence of metabolic syndrome in Brazilian adolescents
AU - Kuschnir, Maria Cristina C.
AU - Bloch, Katia Vergetti
AU - Szklo, Moyses
AU - Klein, Carlos Henrique
AU - Barufaldi, Laura Augusta
AU - De Azevedo Abreu, Gabriela
AU - Schaan, Beatriz
AU - Da Veiga, Gloria Valeria
AU - Da Silva, Thiago Luiz Nogueira
AU - De Vasconcellos, Maurício T.L.
AU - De Moraes, Ana Júlia Pantoja
AU - Borges, Ana Luíza
AU - De Oliveira, Ana Mayra Andrade
AU - Tavares, Bruno Mendes
AU - De Oliveira, Cecília Lacroix
AU - De Freitas Cunha, Cristiane
AU - Giannini, Denise Tavares
AU - Belfort, Dilson Rodrigues
AU - Santos, Eduardo Lima
AU - De Leon, Elisa Brosina
AU - Fujimori, Elizabeth
AU - Oliveira, Elizabete Regina Araújo
AU - Da Silva Magliano, Erika
AU - de Assis Guedes Vasconcelos, Francisco
AU - Azevedo, George Dantas
AU - Brunken, Gisela Soares
AU - Guimarães, Isabel Cristina Britto
AU - Neto, José Rocha Faria
AU - Oliveira, Juliana Souza
AU - De Carvalho, Kenia Mara B.
AU - De Oliveira Gonçalves, Luis Gonzaga
AU - Monteiro, Maria Iněs
AU - Santos, Marize M.
AU - Muniz, Pascoal Torres
AU - Jardim, Paulo César B.Veiga
AU - Ferreira, Pedro Antǒnio Muniz
AU - Montenegro, Renan Magalhães
AU - Gurgel, Ricardo Queiroz
AU - Vianna, Rodrigo Pinheiro
AU - Vasconcelos, Sandra Mary
AU - Martins, Stella Maris Seixas
AU - Goldberg, Tamara Beres Lederer
PY - 2016
Y1 - 2016
N2 - 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. DESCRIPTORS: Adolescent. Metabolic Syndrome, epidemiology. Risk Factors. Cardiovascular Diseases. Cross-Sectional Studies.
AB - 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. DESCRIPTORS: Adolescent. Metabolic Syndrome, epidemiology. Risk Factors. Cardiovascular Diseases. Cross-Sectional Studies.
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U2 - 10.1590/S01518-8787.2016050006701
DO - 10.1590/S01518-8787.2016050006701
M3 - Article
C2 - 26910546
AN - SCOPUS:84959552637
SN - 0034-8910
VL - 50
SP - 1s-13s
JO - Revista de saude publica
JF - Revista de saude publica
ER -