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https://www.revistacefac.org.br/article/doi/10.1590/1982-021620146713
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Metabolic Syndrome and its association with socio-economic level in students

Síndrome metabólica e associação com nível socioeconômico em escolares

Igor Raineh Durães Cruz; Daniel Antunes Freitas; Wellington Danilo Soares; Daniella Mota Mourão; Felipe José Aidar; André Luiz Carneiro

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Abstract

Purpose: to investigate the association between socioeconomic status and the presence of metabolic syndrome (MS) in public schools in the city of Montes Claros- MG.

Methods: this is a cross- sectional study, analytical. We evaluated 382 children between 10 and 16 years from the cluster sampling. Socioeconomic status was divided into high and low and MS was diagnosed using the criteria of the International Diabetes Federation. For data analysis, we used the chi- square test (p< 0.05) and odds ratios (with 95% confidence).

Results: the students of lower socioeconomic class showed changes in nutritional status and laboratory tests, which contributed to the presence of MS in 8.7% school.

Conclusion: the low socioeconomic status contributes significantly to opportune diagnosis of MS and also operates in the incidence of this disease, because their belong ingare more exposed to risk factors.

Keywords

Social Class; Nutritional Status; Students; Epidemiology

Resumo

Objetivo: verificar a associação entre o nível socioeconômico e a presença de síndrome metabólica (SM) em escolares da rede pública da cidade de Montes Claros-MG.

Métodos: trata-se de estudo transversal, analítico. Foram avaliados 382 escolares entre 10 e 16 anos, a partir da amostragem por conglomerados. A condição socioeconômica foi dividida em alta e baixa e a SM foi diagnosticada utilizando os critérios da International Diabetes Federation. Para análise dos dados, utilizou-se o teste qui-quadrado (p < 0,05)e oddsratio (com intervalo de 95% de confiança).

Resultados: os escolares da classe socioeconômica baixa apresentaram alterações no estado nutricional e nos exames laboratoriais, o que contribuiu para presença da SM em 8,7% escolares.

Conclusão: a condição socioeconômica baixa contribui de forma significante para o diagnótico da SM e atua também na incidência dessa patologia, devido os seus pertencentes estarem mais expostos aos fatores de risco.

Palavras-chave

Classe Social; Estado Nutricional; Estudantes; Epidemiologia

Referências

1. Drenowatz C, Eisenmann JC, Pfeiffer KA, Welk G, Heelan K, Gentile D, et al. Influence of socio-economic status on habitual physical activity and sedentary behavior in 8 to 11 year old children. BMC Public Health. 2010;10:214-25.

2. McLaren L. Socioeconomic Status and Obesity. Epidemiol Rev. 2007; 29:29-48.

3. Lawlor DA, Ebrahim S, Smith GD. Socioeconomic position in childhood and adulthood and insulin resistance: cross sectional survey using data from British women's heart and health study. BMJ. 2002;325:1-5.

4. Tamayo T, Herder C, Rathmann W. Impact of early psychosocial factors (childhoodsocioeconomic factors and adversities) on future risk of type 2 diabetes, metabolic disturbances and obesity: a systematic review. BMC Public Health. 2010;10:525.

5. Faienza MF, Francavilla R, Goffredo R, Ventura A, Marzano F, Panzarino G et al. Oxidative stress in obesity and metabolic syndrome in children and adolescents. Horm Res Paediatr. 2012;78(3):158-64.

6. Xu H, Li Y, Liu A, Zhang Q, Hu X, Fang H et al. Prevalence of the metabolic syndrome among children from six cities of China. BMC Public Health. 2012;12:13.

7. Goodman E, Daniels SR, Morrison JA, Huang H, Dolan LM. Contrasting prevalence of and demographic disparities in the world health organization and national cholesterol education program adult treatment panel iii definitions of metabolic syndrome among adolescents. J Pediatr. 2004;145:445-51.

8. Kassi E, Pervanidou P, Kaltsas G, Chrousos G. Metabolic syndrome: definitions and controversies. BMC Medicine. 2011;9:48-61.

9. Rodrigues AN, Perez AJ, Pires JGP, Carletti L, Araújo MTM, Moyses MR, et al. Cardiovascular risk factors, their associations and presenceof metabolic syndrome in adolescents.J Pediatr. 2009;85:55-60.

10. Leitão MPC, Martins IS. Prevalência e fatores associados à síndrome metabólica em usuários de Unidades Básicas de Saúde em São Paulo – SP. Rev Assoc Med Bras. 2012; 58:60-9.

11. Pimenta AM, Andréa Gazzinelli A, Velásquez-Meléndez G. Prevalência da síndrome metabólica e seus fatores associados em área rural de Minas Gerais (MG, Brasil). Ciência & Saúde Coletiva. 2011;6:297-306.

12. Phillips AC, Carroll D, Thomas GN, Gale CR, Deary I, Batty GD. The influence of multiple indices of socioeconomic disadvantage across the adult life course on the metabolic syndrome: the Vietnam Experience Study. Metabolism Clinical and Experimental. 2010;59:1164-71.

13. Kivimäki M, Smith GD, Juonala M, Ferrie JE, Keltikangas-Järvinen L, Elovainio M, et al. Socioeconomic position in childhood and adult cardiovascular risk factors, vascular structure, and function: cardiovascular risk in young Finns study. Heart. 2006;92:474-80.

14. Santos CRB, Portella ES, Avila SS, Soares EA. Fatores dietéticos na prevenção e tratamento de comorbidades associadas à síndrome metabólica. Rev Nutr. 2006;19:389-401.

15. Batista EP. A pesquisa qualitativa em Psicologia Clínica. Psicol. USP [periódico na internet]. 2004 [acesso em fevereiro de 2013];15(1-2):71-80. Disponível em:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-65642004000100012&lng=en&nrm=iso&tlng=pt

16. Fernandes AM, Casonatto J, Destro-Christófaro DG, Ronque ERV, Oliveira AR, Freitas Junior IF. Riscos para o excesso de peso entre adolescentes de diferentes classes socioeconômicas. Rev Asso Med Bras. 2008;54:334-6.

17. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 2000;320:1241-3.

18. Antunes HKM, Santos RF, Boscolo RA, Bueno OFA, de Mello MT. Análise de taxa metabólica basal e composição corporal de idosos do sexo masculino antes e seis meses após exercícios de resistência. Rev Bras Med Esporte. 2005;11(1):71-5.

19. VI Diretrizes Brasileiras de Hipertensão.Rev Bras Hipertens. 2010;17:11-7.

20. Zimmet P, Alberti KGMM, Kaufman F, Tajima N, Silink M, Arslanian S. The metabolic syndrome in children and adolescents – an IDF consensus report. Pediatric Diabetes. 2007;8:299-306.

21. Wee BS, Poh BK, Bulgiba A, Ismail MN, Ruzita AT, Hills AP. Risk of metabolic syndrome among children living in metropolitan Kuala Lumpur: A case control study BMC Public Health. 2011;11:333-9.

22. Silveira VMF, Horta BL. Peso ao nascer e síndrome metabólica em adultos: meta-análise.Rev. Saúde Pública. 2008;42:10-8.

23. May R, Kim D, Mote-Watson D. Change in Weight- for-Length Status During the First Three Months: Relationships to Birth Weight and Implications for Metabolic Risk. Am J Phys Anthropol. 2013;150:5-9.

24. Uçar A, Saka N, Bas F, Hatipoglu N, Bundak R, Darendeliler F. Reduced atherogenic indices in prepubertal girls with precocious adrenarche born appropriate for gestational age in relation to the conundrum of DHEAS. Endocrine Connections. 2013;1:112–21.

25. Silva EC, Martins IS, Araújo, EAC. Síndrome metabólica e baixa estatura em adultos da região metropolitana de São Paulo (SP, Brasil).Ciênc saúde coletiva. 2011;16:663-8.

26. Stabelini Neto A, Bozza R, Ulbrich A, Mascarenhas LPG, Boguszewski MCS, Campos W. Síndrome metabólica em adolescentes de diferentes estados nutricionais. Arq Bras Endocrinol Metab. 2012;56:104-9.

27. Morgenstern M, Sargent JD, Hanewinkel R. Relation between socioeconomic statusand body mass index arch. Pediatr Adolesc Med. 2009;163:731-8.

28. Weiss R. et al. Obesity and the metabolic syndrome in children and adolescents. N Engl J Med. 2004;350:2362-74.

29. Walker SE, Gurka MJ, Oliver MN, Johns DW, DeBoer MD. Racial/ethnic discrepancies in the metabolic syndrome begin in childhood and persist after adjustment for environmental factors. Nutr Metab Cardiovasc Dis. 2012;22(2):141-8.

30. Mirza NM, Palmer MG, Sinclair KB, McCarter R, He J, Ebbeling CB, et al. Effects of a low glycemic load or a low-fat dietary intervention on body weight in obese Hispanic American children and adolescents: a randomized controlled trial. Am J Clin Nutr. 2013;97(2):276-85.

31. Maffeis C, Pietrobelli A, Grezzani A, Provera S, Tato L. Waist circumference and cardiovascular risk factors in prepubertal children. Obes Res. 2001;9:179-87.

32. Matsuzawa Y, Funahashi T, Nakamura T. The concept of metabolic syndrome: contribution of visceral fat accumulation and its molecular mechanism. J Atheroscler Thromb. 2011;18:629-39.

33. Benmohammed K, Nguyen MT, Khensal S, Valensi P, Lezzar A. Arterial hypertension in overweight and obese Algerian adolescents: Role of abdominal adiposity. Diabetes Metab. 2011;37(4):291-7.

34. Molina MDCB yy. Fatores de risco cardiovascular em crianças de 7 a 10 anos de área urbana, Vitória, Espírito Santo, Brasil. Cad Saúde Pública. 2010;26:909-17.

35. Jin-Ding Lin JD, Lin LP, Liou SW, Chen YC, Hsu SW, Liu CT. Research in Gender differences in the prevalence of metabolic syndrome and it's components among adults with disabilities based on a community health check up data. Res Dev Disabil. 2013;34:516-20.

36. El-Koofy NM, Anwar GM, El-Raziky MS, El-Hennawy AM, El-Mougy FM, El-Karakysy HM et al.The association of metabolic syndrome, insulin resistance and non-alcoholic fatty liver disease in overweight/obese children. Saudi J Gastroenterol. 2012;18(1):44-9.

37. Romaldini CC, Issler H, Cardoso AL, Diament J, Forti, N. Fatores de risco para aterosclerose em crianças e adolescentes com história familiar de doença arterial coronariana prematura J Pediatr. 2004;80:135-40.


Submetido em:
08/04/2013

Aceito em:
30/09/2013

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