48 research outputs found
Programa de prevenção de doenças crônicas não comunicáveis em escolas de educação infanti
De acordo com a Organização Mundial de Saúde, a obesidade na infância é hoje um dos maiores desafios da saúde pública no século. As crianças de zero a cinco anos são a população onde as medidas de prevenção seriam mais eficazes. A Universidade busca através desse projeto em parceria com a Secretaria Municipal de Educação de Porto Alegre, a introdução de Ãndices para avaliação de saúde em pré-escolares, acompanhando as crianças e qualificando o atendimento nas escolas
SÃndrome metabólica em adolescentes obesos: comparação entre três diferentes critérios diagnósticos
Objective: To investigate the difference in the proportion of adolescents with metabolic syndrome diagnosed based on three different criteria, as well as the use of insulin resistance instead of fasting glucose.Methods: Cross-sectional study with 121 obese adolescents, between 10 and 14 years old, from public schools of the city of Porto Alegre, Brazil, in 2011. Anthropometric, blood pressure, and biochemical variables were assessed. Metabolic syndrome was defined using three different diagnostic criteria: the International Diabetes Federation (IDF), Cook and de Ferranti. All of them include five components: waist circumference, blood pressure, high-density lipoprotein (HDL) cholesterol, triglycerides and fasting glucose, and there should be at least three abnormal results for the diagnosis of the syndrome. the Homeostasis Model Assessment - Insuline Resistance (HOMA-IR) was used for the characterization of insulin resistance. the analysis of agreement among the criteria was performed using Kappa statistics.Results: Metabolic syndrome Was diagnosed in 39.7, 51.2, and 74.4% of adolescents, according to the IDF, Cook and de Ferranti criteria, respectively. There was agreement for the three diagnostic criteria in 60.3% of the sample. Waist circumference was the most prevalent component (81.0, 81.0, and 96.7%), whereas high fasting glucose was the least prevalent (7.4, 1.7, and 1.7%). the use of HOMA-IR significantly increased the proportion of positive diagnoses for the syndrome.Conclusion: the results showed significant differences between the three diagnostic criteria. While there is no consensus on the diagnostic criteria for metabolic syndrome, differences in the prevalence of the disease in pediatric population will be frequent.Conselho Nacional de Desenvolvimento CientÃfico e Tecnológico (CNPq)Fundo de Incentivo a Pesquisa e Eventos (FIPE), Hospital de Clinicas de Porto Alegre (HCPA)Research and Events Incentive Fund - FIPE of Hospital de Clinicas de Porto Alegre - HCPAUniversidade Federal de São Paulo UNIFESP, São Paulo, BrazilUniv Fed Rio Grande do Sul, Escola Educ Fis ESEF, Porto Alegre, RS, BrazilUniv Fed Rio Grande do Sul, ESEF, Porto Alegre, RS, BrazilUniv London, Inst Child Hlth, London WC1N 1EH, EnglandUniv Fed Rio Grande do Sul, Fac Med, Dept Pediat, Porto Alegre, RS, BrazilHCPA, Serv Pediat, Porto Alegre, RS, BrazilUniv Fed Santa Maria, Santa Maria, RS, BrazilUniversidade Federal de São Paulo UNIFESP, São Paulo, BrazilCNPq: 159754/2010-0Web of Scienc