Obesity in schoolchildren from Merida, Venezuela: association with cardiovascular risk factors

To investigate the prevalence of obesity and associated cardiovascular risk factors in schoolchildren in our city, given the influence of these factors on the development of atherosclerosis. We studied a representative sample of second grade students composed of 370 children aged 7.82+/-0.62 years (...

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Veröffentlicht in:Endocrinologia y nutricion 2009-05, Vol.56 (5), p.218-226
Hauptverfasser: Paoli, Mariela, Uzcátegui, Lilia, Zerpa, Yajaira, Gómez-Pérez, Roald, Camacho, Nolis, Molina, Zarela, Cichetti, Rosanna, Vallarroel, Vanessa, Fargier, Andrea, Arata-Bellabarba, Gabriela
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container_end_page 226
container_issue 5
container_start_page 218
container_title Endocrinologia y nutricion
container_volume 56
creator Paoli, Mariela
Uzcátegui, Lilia
Zerpa, Yajaira
Gómez-Pérez, Roald
Camacho, Nolis
Molina, Zarela
Cichetti, Rosanna
Vallarroel, Vanessa
Fargier, Andrea
Arata-Bellabarba, Gabriela
description To investigate the prevalence of obesity and associated cardiovascular risk factors in schoolchildren in our city, given the influence of these factors on the development of atherosclerosis. We studied a representative sample of second grade students composed of 370 children aged 7.82+/-0.62 years (47.8% girls and 52.2% boys); 52.4% were from public schools and 47.6% were from private schools. Surveys were performed and anthropometric measurements, blood pressure (BP) values and glucose and lipid profiles in capillary blood were determined. A total of 9.7% (36 schoolchildren) were obese and 13.8% were overweight. There were no differences according to sex or school system. Abdominal obesity was observed in 69.4% (p
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We studied a representative sample of second grade students composed of 370 children aged 7.82+/-0.62 years (47.8% girls and 52.2% boys); 52.4% were from public schools and 47.6% were from private schools. Surveys were performed and anthropometric measurements, blood pressure (BP) values and glucose and lipid profiles in capillary blood were determined. A total of 9.7% (36 schoolchildren) were obese and 13.8% were overweight. There were no differences according to sex or school system. Abdominal obesity was observed in 69.4% (p&lt;0.0001), normal-high BP (90-97th percentile) in 27.8% (p&lt;0.0001), dyslipidemia in 66.7% (p&lt;0.05) and metabolic syndrome in 38.9% (p&lt;0.0001) of the obese children compared with 1.3%, 5.1%, 48.9% and 0.4% of the children with normal weight, respectively. No association was found between fasting hyperglycemia and obesity. There were no cases of hypertension or diabetes mellitus. The risk (odds ratio) for normal-high BP, dyslipidemia, abdominal obesity and metabolic syndrome was 6.3, 2.2, 60.9, and 70.2 times higher in obese children than in non-obese children, respectively. A positive and significant correlation was found between waist circumference and body mass index with BP and the atherogenic indexes triglycerides/high-density lipoprotein cholesterol (HDL-C), total cholesterol/HDL-C and low-density lipoprotein cholesterol/HDL-C (p=0.0001). Compared with cities in other countries, the city of Mérida, Venezuela, has an intermediate prevalence of overweight and obesity in schoolchildren. 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We studied a representative sample of second grade students composed of 370 children aged 7.82+/-0.62 years (47.8% girls and 52.2% boys); 52.4% were from public schools and 47.6% were from private schools. Surveys were performed and anthropometric measurements, blood pressure (BP) values and glucose and lipid profiles in capillary blood were determined. A total of 9.7% (36 schoolchildren) were obese and 13.8% were overweight. There were no differences according to sex or school system. Abdominal obesity was observed in 69.4% (p&lt;0.0001), normal-high BP (90-97th percentile) in 27.8% (p&lt;0.0001), dyslipidemia in 66.7% (p&lt;0.05) and metabolic syndrome in 38.9% (p&lt;0.0001) of the obese children compared with 1.3%, 5.1%, 48.9% and 0.4% of the children with normal weight, respectively. No association was found between fasting hyperglycemia and obesity. There were no cases of hypertension or diabetes mellitus. The risk (odds ratio) for normal-high BP, dyslipidemia, abdominal obesity and metabolic syndrome was 6.3, 2.2, 60.9, and 70.2 times higher in obese children than in non-obese children, respectively. A positive and significant correlation was found between waist circumference and body mass index with BP and the atherogenic indexes triglycerides/high-density lipoprotein cholesterol (HDL-C), total cholesterol/HDL-C and low-density lipoprotein cholesterol/HDL-C (p=0.0001). Compared with cities in other countries, the city of Mérida, Venezuela, has an intermediate prevalence of overweight and obesity in schoolchildren. The high frequency of cardiovascular risk factors in the obese and its positive correlation with adiposity highlights the need to implement population-based strategies for its prevention in childhood.</description><subject>Abdominal Fat - pathology</subject><subject>Adolescent</subject><subject>Anthropometry</subject><subject>Arteriosclerosis - epidemiology</subject><subject>Cardiovascular Diseases - epidemiology</subject><subject>Cardiovascular Diseases - prevention &amp; control</subject><subject>Child</subject><subject>Comorbidity</subject><subject>Dyslipidemias - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Metabolic Syndrome - epidemiology</subject><subject>Obesity - blood</subject><subject>Obesity - epidemiology</subject><subject>Obesity - pathology</subject><subject>Overweight - blood</subject><subject>Overweight - epidemiology</subject><subject>Overweight - pathology</subject><subject>Prevalence</subject><subject>Private Sector</subject><subject>Public Sector</subject><subject>Risk Factors</subject><subject>Sampling Studies</subject><subject>Schools - classification</subject><subject>Schools - economics</subject><subject>Schools - statistics &amp; 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Uzcátegui, Lilia ; Zerpa, Yajaira ; Gómez-Pérez, Roald ; Camacho, Nolis ; Molina, Zarela ; Cichetti, Rosanna ; Vallarroel, Vanessa ; Fargier, Andrea ; Arata-Bellabarba, Gabriela</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p542-14553b36e5fa8b6ca9f9cf7ff5da1b390bb7493e6fe45b9becc15447eb988da3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2009</creationdate><topic>Abdominal Fat - pathology</topic><topic>Adolescent</topic><topic>Anthropometry</topic><topic>Arteriosclerosis - epidemiology</topic><topic>Cardiovascular Diseases - epidemiology</topic><topic>Cardiovascular Diseases - prevention &amp; control</topic><topic>Child</topic><topic>Comorbidity</topic><topic>Dyslipidemias - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Metabolic Syndrome - epidemiology</topic><topic>Obesity - blood</topic><topic>Obesity - epidemiology</topic><topic>Obesity - pathology</topic><topic>Overweight - blood</topic><topic>Overweight - epidemiology</topic><topic>Overweight - pathology</topic><topic>Prevalence</topic><topic>Private Sector</topic><topic>Public Sector</topic><topic>Risk Factors</topic><topic>Sampling Studies</topic><topic>Schools - classification</topic><topic>Schools - economics</topic><topic>Schools - statistics &amp; numerical data</topic><topic>Urban Population - statistics &amp; numerical data</topic><topic>Venezuela - epidemiology</topic><toplevel>online_resources</toplevel><creatorcontrib>Paoli, Mariela</creatorcontrib><creatorcontrib>Uzcátegui, Lilia</creatorcontrib><creatorcontrib>Zerpa, Yajaira</creatorcontrib><creatorcontrib>Gómez-Pérez, Roald</creatorcontrib><creatorcontrib>Camacho, Nolis</creatorcontrib><creatorcontrib>Molina, Zarela</creatorcontrib><creatorcontrib>Cichetti, Rosanna</creatorcontrib><creatorcontrib>Vallarroel, Vanessa</creatorcontrib><creatorcontrib>Fargier, Andrea</creatorcontrib><creatorcontrib>Arata-Bellabarba, Gabriela</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Endocrinologia y nutricion</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Paoli, Mariela</au><au>Uzcátegui, Lilia</au><au>Zerpa, Yajaira</au><au>Gómez-Pérez, Roald</au><au>Camacho, Nolis</au><au>Molina, Zarela</au><au>Cichetti, Rosanna</au><au>Vallarroel, Vanessa</au><au>Fargier, Andrea</au><au>Arata-Bellabarba, Gabriela</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Obesity in schoolchildren from Merida, Venezuela: association with cardiovascular risk factors</atitle><jtitle>Endocrinologia y nutricion</jtitle><addtitle>Endocrinol Nutr</addtitle><date>2009-05</date><risdate>2009</risdate><volume>56</volume><issue>5</issue><spage>218</spage><epage>226</epage><pages>218-226</pages><issn>1575-0922</issn><abstract>To investigate the prevalence of obesity and associated cardiovascular risk factors in schoolchildren in our city, given the influence of these factors on the development of atherosclerosis. We studied a representative sample of second grade students composed of 370 children aged 7.82+/-0.62 years (47.8% girls and 52.2% boys); 52.4% were from public schools and 47.6% were from private schools. Surveys were performed and anthropometric measurements, blood pressure (BP) values and glucose and lipid profiles in capillary blood were determined. A total of 9.7% (36 schoolchildren) were obese and 13.8% were overweight. There were no differences according to sex or school system. Abdominal obesity was observed in 69.4% (p&lt;0.0001), normal-high BP (90-97th percentile) in 27.8% (p&lt;0.0001), dyslipidemia in 66.7% (p&lt;0.05) and metabolic syndrome in 38.9% (p&lt;0.0001) of the obese children compared with 1.3%, 5.1%, 48.9% and 0.4% of the children with normal weight, respectively. No association was found between fasting hyperglycemia and obesity. There were no cases of hypertension or diabetes mellitus. The risk (odds ratio) for normal-high BP, dyslipidemia, abdominal obesity and metabolic syndrome was 6.3, 2.2, 60.9, and 70.2 times higher in obese children than in non-obese children, respectively. A positive and significant correlation was found between waist circumference and body mass index with BP and the atherogenic indexes triglycerides/high-density lipoprotein cholesterol (HDL-C), total cholesterol/HDL-C and low-density lipoprotein cholesterol/HDL-C (p=0.0001). Compared with cities in other countries, the city of Mérida, Venezuela, has an intermediate prevalence of overweight and obesity in schoolchildren. The high frequency of cardiovascular risk factors in the obese and its positive correlation with adiposity highlights the need to implement population-based strategies for its prevention in childhood.</abstract><cop>Spain</cop><pmid>19627742</pmid><doi>10.1016/S1575-0922(09)71404-4</doi><tpages>9</tpages></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals Complete; EZB-FREE-00999 freely available EZB journals
subjects Abdominal Fat - pathology
Adolescent
Anthropometry
Arteriosclerosis - epidemiology
Cardiovascular Diseases - epidemiology
Cardiovascular Diseases - prevention & control
Child
Comorbidity
Dyslipidemias - epidemiology
Female
Humans
Male
Metabolic Syndrome - epidemiology
Obesity - blood
Obesity - epidemiology
Obesity - pathology
Overweight - blood
Overweight - epidemiology
Overweight - pathology
Prevalence
Private Sector
Public Sector
Risk Factors
Sampling Studies
Schools - classification
Schools - economics
Schools - statistics & numerical data
Urban Population - statistics & numerical data
Venezuela - epidemiology
title Obesity in schoolchildren from Merida, Venezuela: association with cardiovascular risk factors
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