University Hospital of the Federal University of Grande Dourados, Dourados, MS, Brazil.
Northern University of Paraná, Londrina, PR, Brazil.
Nutr J. 2018 Jul 6;17(1):66. doi: 10.1186/s12937-018-0371-9.
Findings available in literature indicate that metabolic syndrome (MetS) diagnosed in young ages tends to remain in adulthood. The aim of the study was to identify demographic, nutritional, anthropometric and behavioral correlates of MetS in a sample of adolescents from Dourados, Mato Grosso do Sul, Brazil.
This is a cross-sectional school-based study involving 274 participants aged 12-18 years (186 girls and 88 boys). Anthropometric measurements were performed and a questionnaire with structured questions was applied for data collection. MetS was identified according to criteria proposed by the International Diabetes Federation. Data were statistically treated using bivariate analysis and hierarchical multiple regression.
The proportion of adolescents identified with MetS was equivalent to 4.7% [95% CI (3.6-6.0)]. Multivariate analysis showed that older age (OR = 1.22 [1.04-1.73]) and higher economic class (OR = 1.25 [1.07-1.96]) were significantly associated with MetS. Among behavioral factors, longer recreational screen time (OR = 1.26 [1.05-1.94]) and low fruits/vegetables intake (OR = 1.49 [1.23-2.41]) were independently associated with MetS. Likewise, excess body weight (OR = 1.52 [1.24-2.41]) was significantly associated with the outcome.
The high proportion of adolescents with MetS and the identification of their correlates reinforce the need for early life style intervention and awareness programs in this population group.
文献中的研究结果表明，年轻时诊断出的代谢综合征（MetS）往往会持续到成年期。本研究旨在确定巴西马托格罗索州杜拉多斯市青少年样本中代谢综合征的人口统计学、营养、人体测量学和行为相关因素。
这是一项横断面的基于学校的研究，涉及 274 名 12-18 岁的参与者（186 名女孩和 88 名男孩）。进行了人体测量学测量，并应用带有结构化问题的问卷进行数据收集。根据国际糖尿病联合会提出的标准确定代谢综合征。使用双变量分析和分层多元回归对数据进行统计处理。
被诊断为代谢综合征的青少年比例相当于 4.7%[95%CI（3.6-6.0）]。多变量分析显示，年龄较大（OR=1.22[1.04-1.73]）和较高的经济阶层（OR=1.25[1.07-1.96]）与代谢综合征显著相关。在行为因素中，较长的娱乐屏幕时间（OR=1.26[1.05-1.94]）和低水果/蔬菜摄入量（OR=1.49[1.23-2.41]）与代谢综合征独立相关。同样，超重（OR=1.52[1.24-2.41]）与结果显著相关。
代谢综合征的青少年比例较高，以及确定其相关因素，这加强了在该人群中进行早期生活方式干预和意识项目的必要性。
