ERICA: prevalence of metabolic syndrome in Brazilian adolescents

作者：Kuschnir Maria Cristina C^*; Bloch Katia Vergetti; Szklo Moyses; Klein Carlos Henrique; Barufaldi Laura Augusta; Abreu Gabriela de Azevedo; Schaan Beatriz; da Veiga Gloria Valeria; Nogueira da Silva Thiago Luiz; de Vasconcellos Mauricio T L; Pantoja de Moraes Ana Julia; Borges Ana Luiza; Andrade de Oliveira Ana Mayra; Tavares Bruno Mendes; de Oliveira Cecilia Lacroix; Cunha Cristiane de Freitas; Giannini Denise Tavares; Belfort Dilson Rodrigues; Santos Eduardo Lima

来源：Revista de Saude Publica, 2016, 50(suppl 1): 11s.

DOI：10.1590/S01518-8787.2016050006701

• Adolescent
• Metabolic Syndrome, epidemiology
• Risk Factors
• Cardiovascular Diseases
• Cross-Sectional Studies

OBJECTIVE: To determine the prevalence of metabolic syndrome and its components in Brazilian adolescents.
METHODS: We evaluated 37,504 adolescents who were participants in the Study of Cardiovascular Risks in Adolescents (ERICA), a cross-sectional, school-based, national study. The adolescents, aged from 12 to 17 years, lived in cities with populations greater than 100,000 inhabitants. The sample was stratified and clustered into schools and classes. The criteria set out by the International Diabetes Federation were used to define metabolic syndrome. Prevalences of metabolic syndrome were estimated according to sex, age group, school type and nutritional status.
RESULTS: Of the 37,504 adolescents who were evaluated: 50.2% were female; 54.3% were aged from 15 to 17 years, and 73.3% were from public schools. The prevalence of metabolic syndrome was 2.6% (95% CI 2.3-2.9), slightly higher in males and in those aged from 15 to 17 years in most macro-regions. The prevalence was the highest in residents from the South macro-region, in the younger female adolescents and in the older male adolescents. The prevalence was higher in public schools (2.8% [95% CI 2.4-3.2]), when compared with private schools (1.9% [95% CI 1.4-2.4]) and higher in obese adolescents when compared with nonobese ones. The most common combinations of components, referring to 3/4 of combinations, were: enlarged waist circumference (WC), low HDL-cholesterol (HDL-c) and high blood pressure; followed by enlarged WC, low HDL-c and high triglycerides; and enlarged WC, low HDL-c, high triglycerides and blood pressure. Low HDL was the second most frequent component, but the highest prevalence of metabolic syndrome (26.8%) was observed in the presence of high triglycerides.
CONCLUSIONS: ERICA is the first Brazilian nation-wide study to present the prevalence of metabolic syndrome and describe the role of its components. Despite the prevalence of Metabolic Syndrome being low, the high prevalences of some components and participation of others in the syndrome composition shows the importance of early diagnosis of this changes, even if not grouped within the metabolic syndrome.

• 出版日期2016-2
• 单位河北医科大学