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https://www.arca.fiocruz.br/handle/icict/33108
HEALTH PROMOTION INITIATIVES AT SCHOOL RELATED TO OVERWEIGHT, INSULIN RESISTANCE, HYPERTENSION AND DYSLIPIDEMIA IN ADOLESCENTS: A CROSS-SECTIONAL STUDY IN RECIFE, BRAZIL
Obesity
Physical education and training
Food habits
Adolescents
Brasil / epidemiologia
Criança
Estudos Transversais
Currículo / estatística & dados numéricos
Dislipidemias / epidemiologia
Dislipidemias / prevenção & controle
Fêmea
Humanos
Hipertensão / epidemiologia
Hipertensão / prevenção e controle
Resistência a insulina
Masculino
Obesidade Pediátrica / epidemiologia
Obesidade Pediátrica / prevenção & controle
Prevalência
Serviços de Saúde Escolar / organização e administração
Autor(es)
Afiliação
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.
Universidade Federal de Pernambuco. Recife, PE, Brasil.
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.
Universidade Federal de Pernambuco. Recife, PE, Brasil.
Universidade de Brasília. Brasília, DF, Brasil.
Universidade Federal de Pernambuco. Recife, PE, Brasil.
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.
Universidade Federal de Pernambuco. Recife, PE, Brasil.
Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.
Universidade Federal de Pernambuco. Recife, PE, Brasil.
Universidade de Brasília. Brasília, DF, Brasil.
Universidade Federal de Pernambuco. Recife, PE, Brasil.
Resumo em Inglês
Background: The emergence of diseases such as dyslipidemia, systemic arterial hypertension, insulin resistance and metabolic syndrome in children and adolescents has brought about a change in the epidemiologic profile of the pediatric population. As action to promote health in the school environment is a useful tool for changing the pattern of health/disease in the young population, the present study aimed to identify schools that promote healthy eating and physical activity and to study the relationship between these practices and the prevalence of overweight, hypertension, insulin resistance and hypercholesterolemia in adolescents. Methods: A cross-sectional population-based study was conducted with 2400 adolescents aged from 12 to 17 years old and participating in the “Study of Cardiovascular Risk in Adolescents” (ERICA – Estudo de Riscos Cardiovasculares em Adolescente). The association between dependent (overweight, insulin resistance, hypertension and dyslipidemia) and independent variables (implementation of health promoting initiative in schools) was investigated using the chi-square test and prevalence ratio (PR) with a confidence index (CI) of 95%. Results: The unsatisfactory implementation of a “health promoting environment” (PR = 1.02; CI 95%: 1.0; 1.04) and “partnerships with the health sector” (PR = 1.03; CI 95%: 1.01; 1.05) were linked to a high prevalence of overweight in adolescents. Hypercholesterolemia was found to be higher in the schools with unsatisfactory implementation of “healthy eating and health on the scholar curriculum” (PR = 1.71; CI 95%: 1.22; 2.44) and those lacking a “healthy-eating promoting environment” (PR = 1.29; CI 95%: 1.10; 1.54). Schools with unsatisfactory implementation of a “health-eating promoting environment” (PR = 1.36; CI 95%: 1.04; 1.79) and those lacking “partnership with the health sector” (PR = 2.12; CI 95%: 1.38; 3.24) had more adolescents with insulin resistance. There was no association between hypertension and any other component studied. Conclusion: Schools which have implemented adequate health promotion in their curriculums showed a lower prevalence of overweight, insulin resistance and hypercholesterolemia in adolescents.
Palavras-chave em inglês
School healthObesity
Physical education and training
Food habits
Adolescents
DeCS
AdolescenteBrasil / epidemiologia
Criança
Estudos Transversais
Currículo / estatística & dados numéricos
Dislipidemias / epidemiologia
Dislipidemias / prevenção & controle
Fêmea
Humanos
Hipertensão / epidemiologia
Hipertensão / prevenção e controle
Resistência a insulina
Masculino
Obesidade Pediátrica / epidemiologia
Obesidade Pediátrica / prevenção & controle
Prevalência
Serviços de Saúde Escolar / organização e administração
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