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贝伦私立学校学童的血脂异常。

Dyslipidemia in schoolchildren from private schools in Belém.

机构信息

Departamento de Fisiologia, Universidade Federal do Pará, Belém, PA, Brasil.

出版信息

Arq Bras Cardiol. 2009 Jun;92(6):412-7, 429-34, 446-51. doi: 10.1590/s0066-782x2009000600006.

Abstract

BACKGROUND

Currently, childhood dyslipidemia, associated to other non-transmissible diseases such as diabetes, hypertension and obesity, represent a significant public health problem in Brazil.

OBJECTIVE

To investigate the prevalence of dyslipidemia in children and adolescents from private schools in the city of Belem, state of Para, Brazil.

METHODS

Transversal and prospective study that assessed 437 schoolchildren, paired by sex. The age range was established between 6 and 19 years of age and stratified in four subgroups (6 to 9 years; 10 to 12 years; 13 to 15 years and 16 to 19 years). To obtain the anthropometric variables, weight and height were measured for the calculation of the body mass index and skin folds were measured for the calculation of body fat percentage. The serum lipoprotein profile was obtained through the measurement of total cholesterol, triglycerides, LDL-cholesterol and HDL-cholesterol after a 12-hour fasting period, by enzymatic methods.

RESULTS

Of the total number of schoolchildren analyzed, 126 (28.8%) were overweight and 158 (36.2%) presented a high adiposity index. The children (33.6%) presented a higher prevalence of obesity when compared to the adolescents (10.1%; p < 0.001). Regarding the biochemical characteristics, it was observed that 214 (41%) presented some alteration in the lipid profile and that children and adolescents in the age range of 10 to 15 years were the age groups that presented the highest rates of dyslipidemia (34.6% and 25.5%), respectively.

CONCLUSION

These findings demonstrate the importance of establishing an early diagnosis of the lipid profile, mainly if it is already associated to another risk factor, such as obesity.

摘要

背景

目前,儿童血脂异常与糖尿病、高血压和肥胖等其他非传染性疾病相关,是巴西的一个重大公共卫生问题。

目的

调查巴西帕拉州贝伦市私立学校儿童和青少年血脂异常的患病率。

方法

这是一项横断面和前瞻性研究,共评估了 437 名按性别配对的在校学生。年龄范围为 6 至 19 岁,并分为四个亚组(6 至 9 岁;10 至 12 岁;13 至 15 岁和 16 至 19 岁)。为了获得人体测量学变量,在 12 小时禁食后通过酶法测量总胆固醇、甘油三酯、LDL-胆固醇和 HDL-胆固醇,以获得血清脂蛋白谱。测量体重和身高以计算体重指数,并测量皮褶厚度以计算体脂百分比。

结果

在所分析的所有学生中,126 名(28.8%)超重,158 名(36.2%)体脂指数高。与青少年(10.1%;p<0.001)相比,儿童(33.6%)肥胖的患病率更高。在生化特征方面,观察到 214 名(41%)的血脂谱有某种改变,年龄在 10 至 15 岁的儿童和青少年分别为血脂异常发生率最高的年龄组(分别为 34.6%和 25.5%)。

结论

这些发现表明,早期诊断血脂谱非常重要,特别是如果它已经与肥胖等其他风险因素相关。

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