Ribas Simone Augusta, Silva Luiz Carlos Santana da
Cad Saude Publica. 2014 Mar;30(3):577-86. doi: 10.1590/0102-311x00129812.
This cross-sectional study aimed to identify risk factors for cardiovascular disease in a stratified cluster sample of 557 schoolchildren (6-19 years) in Belém, Pará State, Brazil. Potential risk factors were obesity, hypertension, dyslipidemia, diabetes, smoking, physical inactivity, and atherogenic diet. Socio-demographic and lifestyle variables were tested in a binary logistic regression model. The most prevalent risk factors were overweight (20.4%), dyslipidemia (48.1%), and physical inactivity (66.2%). Children below ten years of age and those from higher-income families and with higher maternal schooling showed greater odds of developing overweight; meanwhile, those with overweight were more prone to developing hypercholesterolemia and hypertriglyceridemia. The findings point to the need to implement strategies to prevent overweight in early childhood, through balanced nutrition and regular physical activity, in order to effectively reduce the prevalence of risk factors in schoolchildren.
这项横断面研究旨在确定巴西帕拉州贝伦市557名6至19岁学童的分层整群样本中心血管疾病的风险因素。潜在风险因素包括肥胖、高血压、血脂异常、糖尿病、吸烟、身体活动不足和致动脉粥样化饮食。社会人口学和生活方式变量在二元逻辑回归模型中进行了测试。最普遍的风险因素是超重(20.4%)、血脂异常(48.1%)和身体活动不足(66.2%)。10岁以下儿童、来自高收入家庭且母亲受教育程度较高的儿童超重的几率更高;与此同时,超重儿童更容易患高胆固醇血症和高甘油三酯血症。研究结果表明,有必要通过均衡营养和定期体育活动实施策略,在幼儿期预防超重,以有效降低学童风险因素的患病率。