title: Metabolic syndrome's risk factors and its association with nutritional status in schoolchildren.
abstract: The metabolic risk factors (RF) to the diagnosis of metabolic syndrome (MetS) have been evidenced at early ages, including children. The aim of the present study was to identify the prevalence of RF to the diagnosis of MetS and its association with nutritional status of schoolchildren from 6 to 10 years old. A cross-sectional study was carried out in 505 students of municipal schools in Macae, Brazil, conducted from 2013 to 2014. The RF evaluated were: blood pressure (mm Hg), triglycerides (mmol/L), HDL-cholesterol (mmol/L) fasting glucose (mmol/L) and waist circumference (cm). At least one RF was present in 61% (n= 308) of the sample. By nutritional status, there was higher prevalence of RF in overweight/obese schoolchildren compared to those with normal weight, except in the concentration of HDL-c. The prevalence of one, two and three RF (MetS) were 34.7% (n= 175), 21.0% (n= 106) and 5.3% (n= 27), respectively. Two RF were more present in overweight (28.2% 95%CI 19.0; 39.0) and obese (41.5% 95%CI 31.4; 52.1) compared to normal weight children (13.5% 95%CI 9.9; 17.8). Three or more RF were more frequent among obese (25.5% 95%CI 17.0; 35.5) in relation to overweight (2.4% 95%CI 0.2; 8.2) and normal weight children (0.3% 95%CI 0; 1.7). The data indicate high prevalence of RF and its relationship with the magnitude of body weight excess. Therefore, the identification and early treatment of these RF might minimize the risk of MetS and related diseases.
authors.affiliation: Programa Pós Graduação em Nutrição, Instituto de Nutrição UFRJ, Laboratório Integrado de Pesquisa em Ciências do Esporte, UFRJ Campus Macaé, RJ,Brazil.
authors.forename: Fabiana Costa
authors.initials: FC
authors.lastname: Teixeira
authors.affiliation: Programa Pós Graduação em Alimentação, Nutrição e Saúde, Universidade do Estado do Rio de Janeiro UERJ, RJ, Laboratório Integrado de Pesquisa em Ciências do Esporte, UFRJ Campus Macaé, RJ,Brazil.
authors.forename: Flavia Erika Felix
authors.initials: FE
authors.lastname: Pereira
authors.affiliation: Prof. Curso de Nutrição, Universidade Federal do Rio de Janeiro, Brazil.
authors.forename: Avany Fernandes
authors.initials: AF
authors.lastname: Pereira
authors.affiliation: Prof. Curso de Nutrição, Laboratório Integrado de Pesquisa em Ciências do Esporte, UFRJ Campus Macaé, RJ, Brazil.
authors.forename: Beatriz Gonçalves
authors.initials: BG
authors.lastname: Ribeiro
keywords: 95%CI, 95% confidence interval; Abdominal obesity; BMI, body mass index; BP, blood pressure; CVD, cardiovascular disease; Children; DBP, diastolic blood pressure; DM2, type 2 diabetes mellitus; Dyslipidemia; HAS, hypertension; HDL-c, high density lipoprotein cholesterol concentration; Hypertension; IR, insulin resistance; MetS, metabolic syndrome; Metabolic syndrome; RF, metabolic risk factors; SBP, systolic blood pressure; TG, triglycerides; WC, waist circumference