Associação entre peso de nascimento e fatores de risco cardiovascular em adolescentes / Association between birth weight and cardiovascular risk factors in adolescents
Arq. bras. cardiol
;
101(1): 9-17, jul. 2013. graf, tab
Artículo
en Portugués
| LILACS
| ID: lil-681826
RESUMO
FUNDAMENTO Peso ao nascer (PN) é um determinante de risco a médio e longo prazo de fatores de risco cardiovascular. OBJETIVO:
Estudar a associação entre peso ao nascer e fatores de risco cardiovascular em adolescentes de Salvador.MÉTODOS:
Estudo de corte transversal com grupos de comparação por PN. Amostra composta de 250 adolescentes, classificados segundo IMC normal alto (>p50 eCONCLUSÃO:
Os dados sugerem que obesidade, PAS e PAD elevadas e síndrome metabólica na adolescência têm chance significativa de associar-se a alto peso no nascimento.ABSTRACT
BACKGROUND:
Birth weight (BW) is a medium- and long-term risk determinant of cardiovascular risk factors.OBJECTIVE:
To assess the association between BW and cardiovascular risk factors in adolescents of the city of Salvador, Bahia state.METHODS:
Cross-sectional study with comparison of BW groups. Sample comprising 250 adolescents classified according to the BMI as follows high-normal (> 50th percentile and < 85th percentile); overweight (> 85th percentile and < 95th percentile); and obesity (> 95th percentile). The risk variables compared were as follows waist circumference (WC); arterial blood pressure; lipid profile; glycemia; serum insulin; HOMA-IR; and metabolic syndrome. The BW was informed by parents and classified as follows low (BW < 2,500g); normal (BW > 2,500g and < 4,000g); and high (BW > 4,000g).RESULTS:
One hundred and fifty-three (61.2%) girls, age 13.74 ± 2.03 years, normal BW 80.8%, low BW 8.0%, and high BW 11.2%. The high BW group as compared with the normal BW group showed a higher frequency of obesity (42.9%, p=0.005), elevated SBP and DBP (42.9%, p=0.000 and 35.7%, p=0.007, respectively), and metabolic syndrome (46.4%, p=0.002). High BW adolescents as compared with normal BW adolescents had a prevalence ratio for high SBP 3.3 (95% CI 1.7-6.4) and obesity 2.6 (95% CI 1.3-5.2). The WC of high BW adolescents was 83.3 ± 10.1 (p=0.038). The lipid profile showed no statistically significant differences.CONCLUSION:
Our findings suggest that obesity, elevated SBP and DBP, and metabolic syndrome during adolescence might be associated with high BW.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Peso al Nacer
/
Enfermedades Cardiovasculares
/
Síndrome Metabólico
Tipo de estudio:
Estudio de etiología
/
Estudio observacional
/
Estudio de prevalencia
/
Factores de riesgo
Límite:
Adolescente
/
Niño
/
Femenino
/
Humanos
/
Masculino
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Portugués
Revista:
Arq. bras. cardiol
Asunto de la revista:
Cardiología
Año:
2013
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
Escola Bahiana de Medicina e Saúde Pública/BR
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