Reuter Cézane Priscila, Burgos Leandro Tibiriçá, Camargo Marcelo Dias, Possuelo Lia Gonçalves, Reckziegel Miriam Beatris, Reuter Éboni Marília, Meinhardt Francielle Pasqualotti, Burgos Miria Suzana
Universidade de Santa Cruz do Sul, Santa Cruz do SulBrazil.
Sao Paulo Med J. 2013;131(5):323-30. doi: 10.1590/1516-3180.2013.1315518.
Studies have demonstrated that metabolic complications from child obesity, although silent, increase the risk of development of cardiovascular diseases in adulthood. The present paper sought to describe the prevalence of overweight/obesity and analyze the possible relationship between obesity and other cardiovascular risk factors among children and adolescents.
Cross-sectional study, conducted in a university.
The study included 564 children and adolescents, aged 8 to 17 years. Body mass index and waist circumference were used to evaluate obesity. Other cardiovascular risk factors were evaluated, like systolic and diastolic blood pressure, glycemia, triglycerides and total cholesterol. Descriptive analysis was used for sample characterization, the chi-square test for categorical variables and Pearson's linear correlation for evaluating the relationship between obesity indicators and other cardiovascular risk factors.
High prevalence of overweight/obesity was found among the schoolchildren (25.3% among the boys and 25.6% among the girls), along with abdominal obesity (19.0%). The overweight/obese schoolchildren presented higher percentages for the pressure and biochemical indicators, compared with underweight and normal-weight schoolchildren. Body mass index and waist circumference showed a weak correlation with the variables of age and systolic and diastolic blood pressure (P < 0.001), but there was no correlation between these obesity indices and biochemical variables.
The high prevalence of overweight/obesity and its relationship with other cardiovascular risk factors demonstrate that it is necessary to develop intervention and prevention strategies from childhood onwards, in order to avoid development of chronic-degenerative diseases in adulthood.
研究表明，儿童肥胖引发的代谢并发症虽不明显，但会增加成年后患心血管疾病的风险。本文旨在描述超重/肥胖的患病率，并分析儿童和青少年肥胖与其他心血管危险因素之间的可能关系。
在一所大学进行的横断面研究。
该研究纳入了564名8至17岁的儿童和青少年。采用体重指数和腰围评估肥胖情况。评估了其他心血管危险因素，如收缩压和舒张压、血糖、甘油三酯和总胆固醇。使用描述性分析对样本进行特征描述，使用卡方检验分析分类变量，使用Pearson线性相关分析评估肥胖指标与其他心血管危险因素之间的关系。
在校学生中超重/肥胖的患病率较高（男孩为25.3%，女孩为25.6%），腹部肥胖的患病率为19.0%。与体重过轻和体重正常的学生相比，超重/肥胖的学生在血压和生化指标方面的比例更高。体重指数和腰围与年龄以及收缩压和舒张压变量呈弱相关（P < 0.001），但这些肥胖指标与生化变量之间无相关性。
超重/肥胖的高患病率及其与其他心血管危险因素的关系表明，有必要从儿童时期就制定干预和预防策略，以避免成年后患慢性退行性疾病。
