Acantosis nigricans is associated with risk factors related to cardiovascular disease in Mexican children with obesity / La Acantosis nigricans se asocia con factores de riesgo para enfermedades cardiovasculares en niños mexicanos con obesidad
Nutr. hosp
; 33(5): 1081-1090, sept.-oct. 2016. tab
Artigo
em Inglês
| IBECS
| ID: ibc-157275
Biblioteca responsável:
ES1.1
Localização: BNCS
ABSTRACT
Introduction:
The prevalence of obesity in Mexican children has increased during the last decade, as has the risk of early onset metabolic disorders and cardiovascular disease.Objective:
To determine the association of Acantosis nigricans (AN) with dyslipidemia, high blood pressure, body mass index (BMI), and risk factors related to eating behavior in overweight and obese children. Patients andmethods:
This transverse analytical study, conducted in two Mexico City primary schools, included 300 boys and girls. Information was gathered on hereditary and perinatal background. A physical examination provided data on the presence/absence of AN, blood pressure, weight and height. The BMI and Z-score were calculated. The serum concentration of glucose, cholesterol and triglycerides was quantified and the lipoprotein profile determined.Results:
The prevalence of AN was 41.7%. An association was found between AN and risk factors for cardiovascular disease, including BMI (rS 0.432; p < 0.0001), systolic and diastolic blood pressure above the 90th percentile (rS 0.231, p < 0.0001; rS 0.128, p = 0.026; respectively), hypertriglyceridemia (rS 0.156; p = 0.007), and low levels of cHDL (rS -0.160; p = 0.006). AN was also associated with risk eating behavior, including dieting to lose weight (p = 0.004), losing control over eating (p = 0.023), and body fat percentage above the 90th percentile (χ2 = 35.1; p = 0.0001). No association was observed between AN and serum glucose concentration (rS -0.018; p = 0.759). Logistic regression analysis demonstrated an association of AN with a low concentration of cHDL (RM 1.726; p = 0.041) and a high percentage of body fat (> 48%) (RM 3.591; p = 0.001).Conclusion:
A high prevalence of AN was found in overweight and obese children. There was an association between AN and risk factors of cardiovascular disease, including Z-score, BMI, dyslipidemia, and high blood pressure (AU)RESUMEN
Introducción:
la mayor prevalencia de obesidad en la población infantil mexicana durante la última década incrementa el riesgo de presentar trastornos metabólicos y enfermedades cardiovasculares a edades cada vez más tempranas.Objetivo:
determinar la asociación entre Acantosis nigricans(AN) con dislipidemia, hipertensión arterial, índice de masa corporal (IMC) y conductas alimentarias de riesgo en niños con sobrepeso y obesidad. Pacientes ymétodos:
estudio transversal analítico realizado en dos escuelas públicas de la zona metropolitana de la ciudad de México donde participaron 300 niños, de ambos sexos, obteniéndose información de los antecedentes heredofamiliares y perinatales. Con la exploración física se valoró la presencia o ausencia de AN y presión sanguínea. Se pesó y midió a los escolares, se calculó el IMC y se estimó su puntaje Z. Se cuantificó la concentración sérica de glucosa, colesterol, triglicéridos y perfil de lipoproteínas.Resultados:
la prevalencia de AN fue 41,7%, al determinar la asociación entre la AN y los factores de riesgo cardiovascular, se identificó una asociación con el IMC (rS 0.432; p 48%) (RM 3.591; p = 0,001).Conclusión:
se observó una alta prevalencia de AN en niños con sobrepeso u obesidad y su asociación con factores de riesgo cardiovascular puntaje Z del IMC, dislipidemia y las cifras tensionales elevadas (AU)
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Doenças Cardiovasculares
/
Sobrepeso
/
Obesidade Pediátrica
/
Acantose Nigricans
Tipo de estudo:
Estudo de etiologia
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Estudo observacional
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Estudo de prevalência
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Estudo prognóstico
/
Fatores de risco
Limite:
Criança
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
México
Idioma:
Inglês
Revista:
Nutr. hosp
Ano de publicação:
2016
Tipo de documento:
Artigo
Instituição/País de afiliação:
Instituto Mexicano del Seguro Social/Mexico
/
Instituto Nacional de Perinatología/México
/
Instituto Politécnico Nacional/México