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- Title
Clinical and metabolic alterations and insulin resistance among adolescents.
- Authors
Guimarães, Mayla Rosa; Alves dos Santos, Adalgison; Ribeiro de Moura, Thais Fernanda; Rodrigues da Rocha, Mariana; de Moura, Ionara Holanda; Vilarouca da Silva, Ana Roberta
- Abstract
Objective: Analyzing the clinical and metabolic alterations and their relation to insulin resistance among adolescents. Methods: Analytic study, carried out with 357 adolescents of state public schools in a municipality in Northeastern Brazil. The applied form contained the variables Body Mass Index, Waist Circumference, Neck Circumference, Taper Index, Average Blood Pressure, Triglycerides, Blood Sugar Level, High-Density Lipoprotein Cholesterol, Insulin, and Homeostasis Model Assessment Index, analyzed through descriptive measures for quantitative variables; and through frequency for qualitative variables. Association tests were made through Chi-Square test and through Odds Ratio. Results: Prevalence of insulin resistance was 33.9%. The average values of waist circumference, neck circumference, taper index, average systolic blood pressure and average diastolic blood pressure were high in, respectively, 4.2%, 30%, 10.9%, 4.2% and 14% of adolescents. High-Density Lipoprotein Cholesterol levels were decreased in 30.5% of the sample, whereas triglycerides were high in 18.8%. No blood sugar alteration was identified. Those who presented altered values for body mass index, waist circumference, neck circumference, taper index, and triglycerides had higher chances to present insulin resistance (OD: 3.62, 11.54, 3.50, 4.49, 3.05, respectively). On the other hand, adolescents with altered average systolic blood pressure, average diastolic blood pressure and High-Density Lipoprotein Cholesterol did not present statistical significance (p<0.05). Conclusion: Insulin resistance is present among adolescents, with positive and significant association to clinical and metabolic alterations.
- Subjects
BRAZIL; OBESITY risk factors; ANTHROPOMETRY; BLOOD pressure; CHI-squared test; CHRONIC diseases; HIGH density lipoproteins; INSULIN resistance; LOCAL government; METABOLISM; NECK; RESEARCH; RESEARCH funding; SCHOOLS; TRIGLYCERIDES; QUANTITATIVE research; BODY mass index; DATA analysis software; WAIST circumference; DESCRIPTIVE statistics; ODDS ratio
- Publication
Acta Paulista de Enfermagem, 2019, Vol 32, Issue 6, p608
- ISSN
0103-2100
- Publication type
Article
- DOI
10.1590/1982-0194201900085