Determinants of lifestyle associated with metabolic syndrome in Brazilian adolescents / Determinantes del estilo de vida asociado con el síndrome metabólico en adolescentes brasileños
Nutr. hosp
; 36(4): 826-833, jul.-ago. 2019. tab
Artigo
em Inglês
| IBECS
| ID: ibc-184707
Biblioteca responsável:
ES1.1
Localização: BNCS
ABSTRACT
Background:
metabolic syndrome (MetS) has been diagnosed in adolescents. However, it remains uncertain which determinants of lifestyle are independently associated with its occurrence.Objective:
to verify the association between lifestyle determinants (physical activity, sedentary behavior and food consumption) and MetS, by controlling demographic indicators and anthropometric nutritional status in a sample of adolescents from the southern region of Brazil. Subjects andmethods:
a school-based cross-sectional study involving 1,035 adolescents (565 girls and 470 boys) aged 12 to 20 years. Anthropometric measurements were performed and a questionnaire was applied with structured questions. MetS was identified according to criteria proposed by the International Diabetes Federation. The data were treated using bivariate analysis and hierarchical multiple regression.Results:
the overall prevalence of MetS was equivalent to 4.5% (95% CI 3.8 to 5.4). Multivariate analysis showed a significant association between MetS and age (OR = 1.34 [95% CI, 1.09 to 1.80]) and economic class (OR = 1.35 [95% CI 1.08 to 1.86]). Among the determinants of lifestyle, high recreational screen time (OR = 1.32 [95% CI 1.07 to 1.94]) and low fruit/vegetable intake (OR = 1.23 [95% CI 1.01 to 1.87]) were independently associated with MetS. Likewise, obesity (OR = 1.62 [95% CI 1.28 to 2.47]) was significantly associated with the outcome.Conclusion:
in view of the significant association with MetS, intervention strategies should be designed to reduce recreational screen time and encourage fruit/vegetable consumption, especially among older adolescents, with a high economic class and obesity statusRESUMEN
Introducción:
el síndrome metabólico (SMet) se ha diagnosticado en adolescentes, sin embargo, sigue siendo incierto qué determinantes del estilo de vida se pueden asociar de forma independiente con su aparición.Objetivo:
verificar la asociación entre determinantes del estilo de vida (actividad física, comportamiento sedentario y consumo de alimentos) y SMet mediante el control de indicadores demográficos y el estado nutricional antropométrico en una muestra de adolescentes de la región sur de Brasil. Sujetos ymétodos:
estudio transversal con 1.035 adolescentes (565 chicas y 470 chicos) de 12 a 20 años. Se midieron valores antropométricos y se aplicó un cuestionario con preguntas estructuradas. El SMet se identificó de acuerdo con los criterios propuestos por la International Diabetes Federation. Los datos fueron tratados mediante análisis bivariado y regresión múltiple jerarquizada.Resultados:
la prevalencia general de SMet fue del 4,5% [IC 95% 3,8-5,4]. El análisis multivariado mostró una asociación significativa entre SMet y edad (OR = 1,34 [IC 95% 1,09-1,80]) y clase económica (OR = 1,35 [IC 95% 1,08-1,86]). Entre los determinantes del estilo de vida, el alto tiempo de pantalla en actividad recreativa (OR = 1,32 [IC 95% 1,07-1,94]) y la baja ingesta de frutas/vegetales (OR = 1,23 [IC 95% 1,01-1,87]) se asociaron de forma independiente con el SMet. Del mismo modo, la obesidad (OR = 1,62 [IC 95% 1,28-2,47]) se asoció significativamente con el SMet.Conclusión:
en vista de la asociación significativa con el SMet, las estrategias de intervención deben diseñarse para reducir el tiempo de pantalla recreativo y fomentar el consumo de frutas y verduras, especialmente entre los adolescentes mayores, de clase económica más alta y obesos
Texto completo:
Disponível
Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Estado Nutricional
/
Síndrome Metabólica
/
Comportamento Alimentar
/
Estilo de Vida
Limite:
Adolescente
/
Adulto
/
Criança
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
Nutr. hosp
Ano de publicação:
2019
Tipo de documento:
Artigo
Instituição/País de afiliação:
Universidade Norte do Paraná (UNOPAR)/Brazil