[Overweight and cardiovascular risk among young adults followed-up for 17 years: the Rio de Janeiro study, Brazil].
BACKGROUND
The adoption of primary prevention measures among young people has a favorable impact on the context of cardiovascular diseases.


OBJECTIVE
To assess blood pressure (BP) and cardiovascular risk variables among young adults stratified according to the body mass index (BMI) behavior obtained along 17 years, since childhood/adolescence (C/A).


METHODS
Three assessments were carried out in 115 individuals pertaining to the study cohort of Rio de Janeiro, Brazil. A1: 12.97 +/- 1.48 years old; A2: 21.90 +/- 1.71 years old; A3: 30.65 +/- 2.00 years olds and divided into three groups according to BMI in the three assessments: Group N (always normal BMI; n=46), Group L (varying BMI; n=49) and Group O/O (always increased BMI; n=20). In A1, A2 and A3, BP and BMI were obtained. In A2 and A3, glucose (G) and lipidic profile were dosed. Also in A2, insulin (INS) was dosed and HOMA-IR was calculated. In A3, the measurement of waist circumference (WC), abdomen/hip relation (AHR) and body fat percentage (%BF) were added.


RESULTS
1) Group O/O presented higher mean values of increased BP (p<0.0001) at the three assessments; 2) In A3, Group O/O showed higher mean values for WC, AHR and %BF and prevalence of increased WC and metabolic syndrome (MS) (p<0.0001); 3) higher mean values were observed for INS, HOMA-IR, LDL-c in A2, and G, cholesterol, LDL-c and triglycerides in A3 for Group O/O (p<0.05); 4) masculine sex and O/O at A1 determined higher risk for MS occurrence in adult age.


CONCLUSIONS
The presence of O/O since C/A was associated with higher BP values, anthropometric indexes and higher prevalence of MS in the young adult phase.
Fonseca
Flávia Lopes
FL
Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil. flavnut@yahoo.com.br
Brandão
Andréa Araújo
AA
Pozzan
Roberto
R
Campana
Erika Maria Gonçalves
EM
Pizzi
Oswaldo Luiz
OL
Magalhães
Maria Eliane Campos
ME
Freitas
Elizabete Vianna de
EV
Brandão
Ayrton Pires
AP
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001794:Blood Pressure / Q000502:physiology*; D015992:Body Mass Index; D001938:Brazil / Q000453:epidemiology; D002318:Cardiovascular Diseases / Q000209:etiology*; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000453:epidemiology / Q000473:pathology; D050177:Overweight / Q000453:epidemiology / Q000473:pathology*; D012307:Risk Factors; D055815:Young Adult