Factors associated with serum lipids of adolescents from the Brazilian South
Palabras clave:
Adolescent, Cholesterol. Diet, Obesity, Physical activity, Risk factorsResumen
Objective
This study analyzes factors associated with serum lipids in adolescents from southern Brazil.
Methods
This is a school-based cross-sectional study with a probabilistic sample composed of 660 adolescents aged 14 to 19 years from the city of Três de Maio, Rio Grande do Sul state, Brazil. The following independent variables were analyzed: body mass index; waist-to-height ratio; moderate to vigorous level of physical activity; sedentary behaviour; lipid, total saturated fatty acid, cholesterol, sodium, and fiber intakes; smoking; and alcohol abuse. Linear regression analysis tested the association between the independent variables and total cholesterol and high density lipoprotein-cholesterol.
Results
Body mass index was directly associated with total cholesterol (β=0.96, p=0.001) and reversely associated with high density lipoprotein-cholesterol (β=-0.45, p<0.001).
Conclusion
High body mass index may have a negative impact on the lipid profile of adolescents. Thus, monitoring nutritional status is important to prevent and control dyslipidemia in adolescents. We suggest multidisciplinary and intersectoral actions that encourage teenagers to acquire a healthy lifestyle, with emphasis on the adoption of an active lifestyle and balanced diet.
Citas
Lloyd-Jones DM, Hong Y, Labarthe D, Mozaffarian D, Appel LJ, Greenlund K, et al. Defining and setting national goals for cardiovascular health promotion and disease reduction: The American Heart Association’s Strategic Impact Goal Through 2020 and Beyond. Circulation. 2010; 21:586-613. doi: 10.1161/CIRCULATIONAHA.109.192703
Li S, Chen W, Srinivasan SR, Bond MG, Tang R, Urbina EM, Berenson GS. Childhood cardiovascular risk factors and carotid vascular changes in adulthood: The Bogalusa heart study. Jama. 2003; 290(17):2271-6.
Dawson JD, Sonka M, Blecha MB, Lin W, Davis PH. Risk factors associated with aortic and carotid intima-media thickness in adolescents and young adults. J Am Coll Cardiol. 2009; 53(24):2273-9. doi: 10.1016/j.jacc.2009.03.026
McGill HC, McMahan CA, Herderick EE, Malcom GT, Tracy RE, Strong JP. Origin of atherosclerosis in childhood and adolescence. Am J Clin Nutr. 2000; 72(Suppl):1307S-15S.
Webber LS, Srinivasan SR, Wattigney WA, Berenson GS. Tracking of serum lipids and lipoproteins from childhood to adulthood: The Bogalusa heart study. Am J Epidemiol. 1991; 133(9):884-99.
Juhola J, Magnussen CG, Viikari JS, Kähönen M, Hutri-Kähönen N, Jula A, et al. Tracking of serum lipid levels, blood pressure, and body mass index from childhood to adulthood: The cardiovascular risk in young finns study. J Pediatr. 2011; 159(4):584-90. doi: 10.1016/j.jpeds.2011.03.021
Beck CC, Lopes AS, Giuliano ICB, Borgatto AF. Fatores de risco cardiovascular em adolescentes de município do sul do Brasil: prevalência e associações com variáveis sociodemográficas. Rev Bras Epidemiol. 2011; 14(1):36-49. doi: 10.1590/S141 5-790X2011000100004
Pereira PB, Arruda IK, Cavalcanti AM, Diniz AS. Lipid profile of schoolchildren from Recife, PE. Arq Bras Cardiol. 2010; 95(5):606-13. doi: 10.1590/S0066-78 2X2010005000136
Giuliano IC, Coutinho MS, Freitas SF, Pires MM, Zunino JN, Ribeiro RQ. Lípides séricos em crianças e adolescentes de Florianópolis, SC: Estudo Floripa Saudável 2040. Arq Bras Cardiol. 2005; 85(2):85-91.
Pedrozo WR, Bonneau G, Castillo Rascón MS, Juárez M, Cardozo J. Reference values and prevalence of lipidic profile alterations in adolescents. Arch Argent Pediatr. 2010; 108(2): 107-15.
Magkos F, Manios Y, Christakis G, Kafatos AG. Secular trends in cardiovascular risk factors among school-aged boys from Crete, Greece, 1982-2002. Eur J Clin Nutr. 2005; 59(1):1-7.
Guedes DP, Guedes JERP, Barbosa DS, Oliveira JA, Stanganelli LCR. Fatores de risco cardiovasculares em adolescentes: indicadores biológicos e compor tamentais. Arq Bras Cardiol. 2006; 86(6):439-50.
Velasco-Martínez RM, Jiménez-Cruz A, Higuera Domínguez F, de la Piedra ED, Bacardí-Gascón M. Obesidad y resistencia a la insulina en adolescentes de Chiapas. Nutr Hosp. 2009; 24(2):187-92.
Jago R, Drews KL, McMurray RG, Thompson D, Volpe SL, Moe EL, et al. Fatness, fitness, and cardiometabolic risk factors among sixth-grade youth. Med Sci Sports Exerc. 2010; 42(8):1502-10. doi: 10.1249/MSS.0b013e3181d322c4
Ribeiro RQ, Lotufo PA, Lamounier JA, Oliveira RG, Soares JF, Botter DA. Additional cardiovascular risk factors associated with excess weight in children and adolescents: The Belo Horizonte heart study. Arq Bras Cardiol. 2006; 86(6):408-18.
Franko DL, Albertson AM, Thompson DR, Barton BA. Cereal consumption and indicators of cardiovascular risk in adolescent girls. Public Health Nutr. 2011; 14(4):584-90. doi: 10.1017/S1368980 010002016
Brasil. Ministério da Saúde. Departamento de Informação do SUS. Brasília: Ministério da Saúde; 2006 [acesso 2011 ago 17]. Disponível em: .
Associação Brasileira de Empresas de Pesquisa. Cri tério de Classificação Econômica Brasil. São Paulo: Abep; 2003 [acesso 2005 nov 26]. Disponível em: .
Telford A, Salmon J, Jolley D, Crawford D. Reliability and validity of physical activity questionnaires for children: The Children´S Leisure Activities Study Survey (CLASS). Pediatr Exerc Sci. 2004; 16:64-78.
Bressan J, Esteves E. Sistema de suporte de avaliação nutricional e avaliação de dietas. DietPro [programa de computador]. Versão 4.0. Minas Gerais: Agromí dia software; 2001.
Global School-Based Student Health Survey. Chile GSHS Questionnaire. Geneva: WHO; 2004 [cited 2006 Mar 1]. Available from: .
Alvarez, BR, Pavan AL. Alturas e comprimentos. In: Petroski EL. Antropometria: técnicas e padroni zações. Santa Maria: Pallotti; 2005.
Willet W. Nutritional epidemiology. 2nd ed. New York: Oxford University Press; 1998.
LeBlanc AG, Janssen I. Dose-response relationship between physical activity and dyslipidemia in youth. Can J Cardiol. 2010; 26(6):201-5.
Martinez-Gomez D, Rey-López JP, Chillón P, Gómez Martínez S, Vicente-Rodríguez G, Martín-Matillas M, et al. Excessive TV viewing and cardiovascular disease risk factors in adolescents: The AVENA cross sectional study. BMC Public Health. 2010; 25(10): 274.
Denney-Wilson E, Hardy LL, Dobbins T, Okely AD, Baur LA. Body mass index, waist circumference, and chronic disease risk factors in Australian adolescents. Arch Pediatr Adolesc Med. 2008; 162(6):566-73.
Swinburn BA, Sacks G, Hall KD, McPherson K, Finegood DT, Moodie ML, et al. The global obesity pandemic: Shaped by global drivers and local environments. Lancet. 2011; 378(9793): 804-14.
Wanderley EN, Ferreira, VA. Obesidade: uma pers pectiva plural. Ciênc Saúde Colet. 2010; 15(1): 185-94.
Farias ES, Santos AP, Farias-Júnior JC, Ferreira CRT, Carvalho WRG, Gonçalves EM, et al. Excesso de peso e fatores associados em adolescentes. Rev Nutr. 2012; 25(2):229-36. doi: 10.1590/S1415-52 732012000200005
Magnussen CG, Thomson R, Cleland VJ, Ukoumunne OC, Dwyer T, Venn A. Factors affecting the stability of blood lipid and lipoprotein levels from youth to adulthood: Evidence from the childhood determinants of adult health study. Arch Pediatr Adolesc Med. 2011; 165(1):68-76.
Descargas
Publicado
Cómo citar
Número
Sección
Licencia
Derechos de autor 2023 Carmem Cristina BECK, Adair da Silva LOPES, José Cazuza de FARIAS JÚNIOR
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
