Profile of Overweight and Obesity in Children and Adolescents and Frequency of Type 2 Diabetes Mellitus and Glucose Intolerance: A Study in Public School in Brazil.

Autor/Urheber	Zaccarelli-Marino MA; Fonseca FLA; Gascón TM; Filipini R
Institution	Dove Medical Press
Titel	Profile of Overweight and Obesity in Children and Adolescents and Frequency of Type 2 Diabetes Mellitus and Glucose Intolerance: A Study in Public School in Brazil.
Quelle	In: 1178-7007; Diabetes, Metabolic Syndrome and Obesity : Targets and Therapy, Vol Volume 13, Pp 1733-1741 (2020)(2020) PDF als Volltext kostenfreie Datei
Sprache	englisch
Dokumenttyp	online; Zeitschriftenaufsatz
Schlagwörter	obesity; diabetes mellitus; glucose intolerance; adolescents; public school; brazil; Specialties of internal medicine
Abstract	Maria Angela Zaccarelli-Marino,1 Fernando Luiz Affonso Fonseca,2,3 Thaís Moura Gascón,2 Rosangela Filipini4 1Internal Medicine Department, Endocrinology Service, ABC Medical School Foundation, Santo André, SP, Brazil; 2Clinical Laboratory Analysis of ABC Medical School Foundation, Santo André, SP, Brazil; 3Federal University of São Paulo, Diadema, SP, Brazil; 4Nursing Course ABC Medical School Foundation, Santo André, SP, BrazilCorrespondence: Thaís Moura GascónClinical Analysis Laboratory of Faculdade de Medicina ABC, 2000, Lauro Gomes Avenue, Santo André CEP 09060-650, SP, BrazilTel +55 11 972280763Email tmoura46@gmail.comObjective: To verify if there is an increase in frequency of type 2 diabetes mellitus (DM2) and glucose intolerance in children and adolescents who are overweight and obese.Methods: This was a cross-sectional survey. The study population consisted of 2757 students of both sexes (1415 girls and 1342 boys) attending public schools in São Paulo state, Brazil,aged 10– 19 years, from 2011 to 2012. Students not within this age range and those with type 1 diabetes mellitus were excluded. Upon interview, anthropometry, capillary blood glucose testing, fasting glucosemia (FG) and glucosemia 2 hours after 75 g of dextrose (AD) variables were obtained. We emphasize that, inspite of the 2757 students included in the next stage, only 88 students agreed to participate, and low compliance of those participants is due to the fact that they were children and adolescents who depend on the authorization of their parents or tutors, who have demonstrated deficient knowledge of familial chronic diseases such as obesity and its consequences, and the risk of DM2.Results: More often girls, 1415 (51.3%). A total of 27.3% was overweight/obese/severely obese. Capillary blood glucose testing was performed in 88 (3.2%) children and adolescents with low values of glycemic results after the glucose load. There was no statistical significance between sex and glucosemia, with an average FG and AD of 92.8 mg/dL (male), 91.8 mg/dL (female) and 89.1 mg/dL (male) and 88.9 mg/dL (female), respectively.Conclusion: This survey emphasizes that more attention should be paid to diet interventions and practicing of physical activities demanding habit changes and acquisition of special behaviour for self-care, and provision of a better educational health program, suggesting the effective participation of the family.Keywords: obesity, diabetes mellitus, glucose intolerance, adolescents, public school, Brazil
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