Loading...
Publication
Prevalência da síndrome metabólica em crianças e adolescentes madeirenses: associação com excesso de peso e obesidade, aptidão física e características parentais
| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 713.36 KB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
O presente trabalho consiste em três estudos, com o propósito: (1) determinar a taxa de prevalência da síndrome metabólica (SM); (2) estabelecer a taxa de prevalência da SM em crianças e adolescentes com excesso de peso e obesos e estudar a associação das componentes da SM entre pais e filhos; (3) Verificar o risco de diagnóstico de SM, quando os sujeitos são considerados “inaptos” nos testes motores da aptidão física. A amostra é constituída pelos participantes no projecto CRES. No primeiro estudo, a amostra é constituída por 1496 sujeitos (721 rapazes e 775 raparigas), nascidos entre 1991 e 2002. O segundo estudo é composto por 144 indivíduos (69 rapazes e 75 raparigas), nascidos entre 1991 e 2002, e 186 pais (133 do sexo feminino e 53 do sexo masculino). No último estudo, a amostra é constituída por 1216 crianças e adolescentes (576 rapazes e 640 raparigas), nascidos entre 1991 e 1999. A SM foi diagnosticada com base no conceito de Cook et al., (2003) para as crianças e adolescentes, e no conceito do IDF (2006) para os adultos. O excesso de peso e obesidade em crianças e adolescentes, foram determinados segundo os critérios de Cole et al., (2000). A aptidão física foi avaliada através da bateria de testes Fitnessgram (The Cooper Institute for Aerobics Research, 1999). No primeiro estudo, os resultados indicaram uma taxa de prevalência da SM na população estudada é de 4.5%; sendo superior no sexo masculino e registando um incremento com o escalão etário e com grau de obesidade. A probabilidade de sujeitos com excesso de peso ou obesos apresentarem SM é 22 vezes superior comparativamente a sujeitos com peso normal (OR 22,118; CI 95%, 10.799 – 45.298). No segundo estudo, foi encontrada uma taxa de prevalência da SM em jovens com excesso de peso e obesas de 18.1% e nos progenitores 25.5%. Os resultados sugerem associação significativa entre mãe – filho(a) ao nível das componentes PA, TG e PC, pai – filho(a) na HDL e entre pais no PC. No entanto, a probabilidade do descendente manifestar SM é apenas significativa na mãe (OR 2.288; CI 95%; 0.809-6.474). No terceiro estudo, concluímos que dos testes de aptidão física apenas as extensões de braços e os abdominais, contribuem para a explicação do aparecimento do SM. Uma criança considerada “inapta” nas extensões de braços apresenta uma probabilidade de 2.928 (OR 2.928; CI 95%; 1.417-6.047) de diagnóstico de SM, esse risco é de 4.028 (OR 4.028; 1.708-9.501) quando a criança é considerada inapta nos abdominais.
The present work consists of three studies with the following purposes: (1) to determine the prevalence of the metabolic syndrome (SM) in children and adolescents; (2) to establish the prevalence of the SM in overweight and obese children and adolescents; and to examine the association between parents and children, regarding the components of the SM; (3) to determine the risk of SM in subjects rated unfit in physical fitness tests. The sample comprises participants of the ‘CRES Study’. In the first study, the sample includes 1496 subjects (721 boys and 775 girls), born between 1991 and 2002; in the second study, 144 subjects (69 boys and 75 girls), born between 1991 and 2002, and 186 parents (53 fathers and 133 mothers); and in the last study, 1216 children and adolescents (576 boys and 640 girls), born between 1991 and 1999. Having SM as determined according to Cook et al., (2003) definition for children and adolescents, and the IDF, (2006) definition for adults. Being overweight or obese was determined using the criteria by Cole et al., (2000). Physical fitness was assessed with the Fitnessgram tests battery (The Cooper Institute for Aerobics Research, 1999). In the first study the results showed the prevalence of the SM is 4.5%. This prevalence is higher in boys and with an increment, proportional to the age interval and to the degree of obesity. The probability of subjects being overweight or obese and having SM is 22 times of that of normo-ponderal subjects (OR 22,118; CI 95%, 10.799 – 45.298). The second study showed the prevalence of SM in overweight and obese youngsters is 18.1% and in their parents, 25.5%. Results suggested a significant association between mothers and their children, in the PA, TG and PC parameters; fathers and children in the HDL and between parents in PC. However, the probability of the offspring having SM was only significant for the mother (OR 2.288; CI 95%; 0.8096.474). In the last study, only the “Push ups” and “Curl Ups” fitness tests are associated with having SM. A child considered unfit in the ‘Push Ups’ has an increased probability of having SM (OR 2.928; CI 95%; 1.417-6.047), where as in the ‘Curl Ups’ this probability is even higher (OR 4.028; 1.708-9.501).
The present work consists of three studies with the following purposes: (1) to determine the prevalence of the metabolic syndrome (SM) in children and adolescents; (2) to establish the prevalence of the SM in overweight and obese children and adolescents; and to examine the association between parents and children, regarding the components of the SM; (3) to determine the risk of SM in subjects rated unfit in physical fitness tests. The sample comprises participants of the ‘CRES Study’. In the first study, the sample includes 1496 subjects (721 boys and 775 girls), born between 1991 and 2002; in the second study, 144 subjects (69 boys and 75 girls), born between 1991 and 2002, and 186 parents (53 fathers and 133 mothers); and in the last study, 1216 children and adolescents (576 boys and 640 girls), born between 1991 and 1999. Having SM as determined according to Cook et al., (2003) definition for children and adolescents, and the IDF, (2006) definition for adults. Being overweight or obese was determined using the criteria by Cole et al., (2000). Physical fitness was assessed with the Fitnessgram tests battery (The Cooper Institute for Aerobics Research, 1999). In the first study the results showed the prevalence of the SM is 4.5%. This prevalence is higher in boys and with an increment, proportional to the age interval and to the degree of obesity. The probability of subjects being overweight or obese and having SM is 22 times of that of normo-ponderal subjects (OR 22,118; CI 95%, 10.799 – 45.298). The second study showed the prevalence of SM in overweight and obese youngsters is 18.1% and in their parents, 25.5%. Results suggested a significant association between mothers and their children, in the PA, TG and PC parameters; fathers and children in the HDL and between parents in PC. However, the probability of the offspring having SM was only significant for the mother (OR 2.288; CI 95%; 0.8096.474). In the last study, only the “Push ups” and “Curl Ups” fitness tests are associated with having SM. A child considered unfit in the ‘Push Ups’ has an increased probability of having SM (OR 2.928; CI 95%; 1.417-6.047), where as in the ‘Curl Ups’ this probability is even higher (OR 4.028; 1.708-9.501).
Description
Keywords
Síndrome metabólico Crianças Obesidade Família Aptidão física Metabolic syndrome Children Adolescents Obesity Family Physical fitness . Faculdade de Ciências Sociais