Nobre Moacyr Roberto Cuce, Domingues Rachel Zanetta de Lima, da Silva Atalanta Ruiz, Colugnati Fernando Antonio Basile, Taddei José Augusto de Aguiar Carrazedo
Unidade de Epidemiologia Clínica do Instituto do Coração-Hospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo.
Rev Assoc Med Bras (1992). 2006 Mar-Apr;52(2):118-24. doi: 10.1590/s0104-42302006000200023. Epub 2006 Jun 1.
To study the prevalence of cardiovascular risk associated to the lifestyle of school children from the 5th to 8th grade, in public and private schools.
Eighty seven randomly selected school rooms were visited adding up to 2,125 students who completed the questionnaire and whose body mass index was calculated. This sample represents around 2% of students from two school districts in the city of Sao Paulo.
Of the 2,125 students, 24% were overweight or obese, 53.3% presented inappropriate food habits, 15.4% were sedentary, 62.6% drank alcohol, and 23.1% smoked. Between the 5th and 8th grade, the number of students who drank alcohol doubled and the number of male and female adolescents who tried out smoking increased 3-fold and 5-fold, respectively. Conversely, inappropriate food habits decreased. This situation is found in 40% of students from public schools and in 58% of those in private schools, by the time they reach the 8th grade. Overweight and obesity are more prevalent in private schools and the reduction noted as grades progress did not reach a significance level. Sedentarism is more prevalent in public schools. In private ones, sedentarism is lower among older students, contrary to public schools, where it increases with age. Female adolescents attend fewer physical education classes. Inappropriate food habits were characterized by the habits of adding more salt to pre-prepared food, lower intake of dairy products, fruit and vegetables also a higher intake of soft drinks, butter and snacks.
Early detection of these cardiovascular risks associated to the lifestyle of these school children endorses the preventive practice of providing health education in schools.
研究公立和私立学校五至八年级学童与生活方式相关的心血管疾病风险患病率。
随机走访了87间教室,共有2125名学生完成了问卷调查并计算了体重指数。该样本约占圣保罗市两个学区学生总数的2%。
在2125名学生中,24%超重或肥胖,53.3%有不良饮食习惯,15.4%久坐不动,62.6%饮酒,23.1%吸烟。在五至八年级期间,饮酒学生人数翻倍,尝试吸烟的青少年男性和女性人数分别增加了3倍和5倍。相反,不良饮食习惯有所减少。到八年级时,40%的公立学校学生和58%的私立学校学生存在这种情况。超重和肥胖在私立学校更为普遍,且随着年级升高而减少的情况未达到显著水平。久坐不动在公立学校更为普遍。在私立学校,高年级学生久坐不动的情况较少,而在公立学校,久坐不动的情况随年龄增长而增加。女青少年参加体育课的次数较少。不良饮食习惯的特点是在预制食品中添加更多盐、乳制品、水果和蔬菜摄入量较低,以及软饮料、黄油和零食摄入量较高。
尽早发现这些与学童生活方式相关的心血管疾病风险,支持在学校开展健康教育的预防措施。