Souza Natália Aparecida de, Vieira Sarah Aparecida, Fonsêca Poliana Cristina de Almeida, Andreoli Cristiana Santos, Priore Silvia Eloiza, Franceschini Sylvia do Carmo de Castro
Departamento de Nutrição e Saúde, Centro de Ciências Biológicas e da Saúde, Universidade Federal de Viçosa. Av. P.H.Rolfs s/n, Campus. 36570-000 Viçosa MG Brasil.
Cien Saude Colet. 2019 Jan;24(1):323-332. doi: 10.1590/1413-81232018241.03952017.
This article aimed to assess the prevalence of dyslipidemia and associated factors in children aged from 4 to 7 years old. It is a cross-sectional study conducted with 402 children aged from 4 to 7 years old, accompanied by a Lactation Support Program in the first six months of life. We measured total cholesterol, triglycerides and high-density lipoprotein (HDL) and low-density lipoprotein (LDL). We selected the variables that could be associated with the lipid profile, such as the family history of dyslipidemia, nutritional status and food consumption of children. We performed Poisson regression analysis with robust variance. The level of significance adopted was p<0.05. We observed increased LDL values in 46.8% (188), total cholesterol in 37.6% (151), triglycerides in 10.4% (42) and below-desirable HDL in 33.8% (136) of the children. There was a statistically significant association between the family history of dyslipidemia with total cholesterol, LDL and triglycerides (p<0.05 and p < 0.001, respectively); Early weaning with LDL (p < 0.05); Sedentarism with LDL and triglycerides (p < 0.05 and p < 0.001, respectively); as well as HDL with candy consumption (p < 0.05). There was a significant prevalence of changes in the lipid profile of the children. Nutrition education activities and programs aimed at this group are needed.
本文旨在评估4至7岁儿童血脂异常的患病率及相关因素。这是一项横断面研究,对402名4至7岁儿童进行了调查,这些儿童在出生后的前六个月都参与了一项哺乳支持项目。我们测量了总胆固醇、甘油三酯、高密度脂蛋白(HDL)和低密度脂蛋白(LDL)。我们选取了可能与血脂谱相关的变量,如儿童的血脂异常家族史、营养状况和食物摄入量。我们进行了稳健方差的泊松回归分析。采用的显著性水平为p<0.05。我们观察到,46.8%(188名)儿童的LDL值升高,37.6%(151名)儿童的总胆固醇升高,10.4%(42名)儿童的甘油三酯升高,33.8%(136名)儿童的HDL低于理想水平。血脂异常家族史与总胆固醇、LDL和甘油三酯之间存在统计学显著关联(分别为p<0.05和p<0.001);过早断奶与LDL存在关联(p<0.05);久坐不动与LDL和甘油三酯存在关联(分别为p<0.05和p<0.001);以及HDL与糖果摄入量存在关联(p<0.05)。儿童血脂谱变化的患病率较高。需要针对这一群体开展营养教育活动和项目。