Síndrome metabólica e fatores associados de adolescentes de uma comunidade da região Centro-Oeste do Brasil

Abstract

The objective of the study was to establish estimates related to the prevalence of Metabolic Syndrome (SMet) in a representative sample of school - age teenagers from Dourados, Mato Grosso do Sul, and to identify associations with demographic, nutritional, anthropometric and behaviora. This is a cross-sectional school-based study involving 274 participants aged from 12 to 18 years old (186 females and 88 males). Anthropometric measurements were performed and a questionnaire was applied with structured questions to gather the information. SMet was identified according to criteria proposed by the International Diabetes Federation. Data were statistically treated using bivariate analysis and hierarchical multiple regression. Overall prevalence of SMet was 4.7 [3.6 - 6.0]. Multivariate analysis presented a significant association between SMet and age (OR = 1.22 [1.04 - 1.73]), social class (OR = 1.25 [1.07 - 1.96]) and parents'/guardians' schooling (OR = 1.24 [1.03-1.94]). Among behavioral factors, longer screen time (OR = 1.26 [1.05 - 1.94]) and low fruit / vegetable consumption (OR = 1.49 [1.23 - 2.41]) were shown to be independently associated with SMet. Likewise, excess body weight (OR = 1.52 [1.24 - 2.41]) presented significant association with the outcome. In conclusion, findings from the study suggest that policies and interventions targeting health education programs in school and family contexts should include components that focus on the attempt of reducing the incidence of SMet.