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PREVALENCE OF FACTORS ASSOCIATED TO METABOLIC SYNDROME IN A COHORT OF CHILDREN IN SOUTH BRAZIL
Alessandra Doumid Borges Pretto1, Cristina Correa Kaufmann2, Gisele Ferreira Dutra1
1PhD Student of Postgraduation Program on Health and Behavior of the Catholic University of Pelotas (UCPEL), Pelotas, RS.. alidoumid@yahoo.com.br.
Insights
Metabolic syndrome risk factors are prevalent in Brazilian children, with high rates of overweight, obesity, and elevated waist circumference. Early medical history and family history are crucial for identifying at-risk youth.
Area of Science:
- Pediatrics
- Cardiovascular Health
- Metabolic Disorders
Background:
- Metabolic syndrome is a cluster of conditions increasing cardiovascular disease risk.
- Understanding pediatric metabolic syndrome risk factors is vital for public health.
Purpose of the Study:
- To determine the prevalence of metabolic syndrome risk factors in a Southern Brazil child cohort.
- To assess factors like nutrition, physical activity, and family history.
Main Methods:
- Prospective cohort study of 2741 births, with a random sample monitored until eight years old.
- Data collected via questionnaires and physical measurements (weight, height, waist circumference).
- Descriptive and bivariate analyses were performed on 616 children at age eight.
Main Results:
- 20.5% of children were overweight and 16.9% were obese.
- High prevalence of family history for hypertension (81.5%).
- 20.7% of normal-weight children had elevated waist circumference.
Conclusions:
- High prevalence of metabolic syndrome risk factors underscores the importance of medical and family history.
- Routine measurement of waist circumference in pediatric care is recommended.
Introduction:
the Metabolic Syndrome is a group of disorders and it has gaining importance due to its association with the subsequent development of cardiovascular diseases.
Objectives:
to determine the prevalence of risk factors associated to the metabolic syndrome in children from a cohort in Southern Brazil.
Methods:
a prospective cohort study with hospital screening of all births (2741) occurred from September 2002 to May 2003, monitoring a random sample of 30.0% at one, three and six months and eight years old. During the visit at the age of eight years, a questionnaire containing questions related to nutrition, physical activity and family history of chronic diseases. Also, weight, height and the waist circumference were measured. Descriptive and bivariate analyzes between independent variables and the outcome were performed. Results y discussion: from the 616 studied children, 51.3% were male, 70.3% had white, about half belonged to the economic class C, 20.5% were overweight and 16.9% were obese. There was high prevalence of family history for hypertension (81.5%), and was observed that 20.7% of the eutrophic children showed elevated waist circumference.
Conclusion:
the high prevalence of risk factors for the metabolic syndrome found in the studied children reinforces the importance of proper medical history including family history. It is suggested to include the measurement of waist circumference in routine pediatric care.
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