Correlação da resistência à insulina, circunferência da cintura, e índice de massa corporal com a pressão arterial de adolescentes
Ano de defesa: | 2015 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , , , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal de Goiás
|
Programa de Pós-Graduação: |
Programa de Pós-graduação em Ciências da Saúde (FM)
|
Departamento: |
Faculdade de Medicina - FM (RG)
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://repositorio.bc.ufg.br/tede/handle/tede/6930 |
Resumo: | Introduction: Among the major risk factors for cardiovascular diseases are high blood pressure (hypertension), obesity and insulin resistance (IR). Studies show that blood pressure (BP) increases progressively with an increase of the body mass index (BMI) and in individuals with increased waist circumference (WC), they have a higher risk of developing hypertension, IR and other metabolic disorders since childhood. Objective: To evaluate the correlation between RI, WC and BMI in adolescents with altered levels of PA. Methods: Cross-sectional study with a representative sample of 1025 adolescents aged 12 to 17 years enrolled in public and private schools in a large city. Two groups were evaluated, one formed by the PA that had changed the assessment by casual measurement and / or Home Blood Pressure Measurement (HBPM) and another group formed by those with normal BP. Evaluated anthropometric indicators for BMI and WC calculation. Classified as abnormal blood pressure those with BP percentile> 90 on casual measurement and / or HBPM. Measured fasting plasma glucose and plasma insulin using the HOMA-IR index as indicative of RI. Results: We studied 162 adolescents (35 normal BP group and 127 of the amended BP group) and 61.1% (n = 99) boys, mean age 14.9 ± 1.62 years. Observed 38 children (23.5%) with abnormal HOMA-IR index. Teenagers with altered BP had significantly higher mean values of WC, BMI and HOMA-IR (p <0.05). The WC was higher in boys in both groups (p <0.05), and only changed the BP group was observed HOMA-IR values higher among girls (p <0.05). The correlation between BMI and HOMA-IR in altered pressure group, was moderate and significant (ρ = 0.394; p <0.001), higher than that found in the normal pressure group. The correlation between WC and HOMA-IR was also significant and moderate and similar in both groups (ρ = 0.345; p = <0.05). In HOMA-IR logistic regression analysis was predictor of change in BP (OR = 2.0 / p = 0.001).Conclusion: There is a significant association between RI and PA with impact since childhood. The correlation and association between cardiovascular risks markers observed stronger in the amended BP group suggests that primary prevention measures such risk factors should be implemented early. |
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Jardim, Paulo César Brandão Veigahttp://lattes.cnpq.br/2292209583823133Sousa, Ana Luiza Limahttp://lattes.cnpq.br/6578713509935374Jardim, Paulo César Brandão Veigahttp://lattes.cnpq.br/2292209583823133Póvoa, Thaís Inácio RolimJardim, Thiago de Souza VeigaAfiune Neto, AbrahãoSouza, Weimar Kunz Sebba Barroso dehttp://lattes.cnpq.br/1661018508147594Morais, Polyana Resende Silva de2017-03-10T10:56:26Z2015-09-25MORAIS, P. R. S. Correlação da resistência à insulina, circunferência da cintura, e índice de massa corporal com a pressão arterial de adolescentes. 2015. 60 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2015.http://repositorio.bc.ufg.br/tede/handle/tede/6930Introduction: Among the major risk factors for cardiovascular diseases are high blood pressure (hypertension), obesity and insulin resistance (IR). Studies show that blood pressure (BP) increases progressively with an increase of the body mass index (BMI) and in individuals with increased waist circumference (WC), they have a higher risk of developing hypertension, IR and other metabolic disorders since childhood. Objective: To evaluate the correlation between RI, WC and BMI in adolescents with altered levels of PA. Methods: Cross-sectional study with a representative sample of 1025 adolescents aged 12 to 17 years enrolled in public and private schools in a large city. Two groups were evaluated, one formed by the PA that had changed the assessment by casual measurement and / or Home Blood Pressure Measurement (HBPM) and another group formed by those with normal BP. Evaluated anthropometric indicators for BMI and WC calculation. Classified as abnormal blood pressure those with BP percentile> 90 on casual measurement and / or HBPM. Measured fasting plasma glucose and plasma insulin using the HOMA-IR index as indicative of RI. Results: We studied 162 adolescents (35 normal BP group and 127 of the amended BP group) and 61.1% (n = 99) boys, mean age 14.9 ± 1.62 years. Observed 38 children (23.5%) with abnormal HOMA-IR index. Teenagers with altered BP had significantly higher mean values of WC, BMI and HOMA-IR (p <0.05). The WC was higher in boys in both groups (p <0.05), and only changed the BP group was observed HOMA-IR values higher among girls (p <0.05). The correlation between BMI and HOMA-IR in altered pressure group, was moderate and significant (ρ = 0.394; p <0.001), higher than that found in the normal pressure group. The correlation between WC and HOMA-IR was also significant and moderate and similar in both groups (ρ = 0.345; p = <0.05). In HOMA-IR logistic regression analysis was predictor of change in BP (OR = 2.0 / p = 0.001).Conclusion: There is a significant association between RI and PA with impact since childhood. The correlation and association between cardiovascular risks markers observed stronger in the amended BP group suggests that primary prevention measures such risk factors should be implemented early.Introdução: Dentre os principais fatores de risco para doenças cardiovasculares (DCV) estão a hipertensão arterial (HA), a obesidade e a resistência insulínica (RI). Estudos mostram que a pressão arterial (PA) aumenta progressivamente com o aumento do índice de massa corporal (IMC) e indivíduos com circunferência da cintura (CC) aumentada possuem um risco maior para desenvolverem HA, RI e outras alterações metabólicas desde a infância. Objetivo: Avaliar a correlação entre RI, CC e IMC em adolescentes com níveis alterados de PA. Método: Estudo transversal com amostra representativa de 1025 adolescentes de 12 a 17 anos matriculados em escolas públicas e privadas de uma cidade de grande porte. Foram avaliados dois grupos, um formado pelos que apresentaram PA alterada na avaliação pela medida casual e/ou da Medida Residencial da Pressão Arterial (MRPA) e outro formado por aqueles com a PA normal. Avaliados indicadores antropométricos para cálculo do IMC e CC. Classificados como pressão arterial alterada aqueles com percentil de PA >90 na medida casual e/ou MRPA. Dosados glicemia de jejum e insulina plasmática, utilizando o índice de HOMA-IR como indicativo de RI. Resultados: Estudados 162 adolescentes (35 do grupo PA normal e 127 do grupo de PA alterada), sendo 61.1% (n=99) meninos, com idade média 14.9 ± 1.62 anos. Observados 38 adolescentes (23.5%) com índice de HOMA-IR alterado. Os adolescentes com PA alterada apresentaram valores médios significativamente maiores de CC, IMC e HOMA-IR (p<0.05). A CC foi superior nos meninos em ambos os grupos (p<0.05), e só no grupo PA alterada foi possível observar valores de HOMA-IR superior entre as meninas (p<0.05). A correlação entre IMC e HOMA-IR no grupo pressão alterada, foi moderada e significativa (ρ = 0.394; p< 0.001), superior ao encontrado no grupo pressão normal. A correlação entre CC e HOMA-IR também foi significativa e moderada e semelhante em ambos os grupos (ρ = 0.345; p = < 0.05). Na análise de regressão logística HOMA-IR foi preditor para a alteração da PA (OR = 2.0 / p = 0.001). Conclusão: Há associação significativa entre RI e PA com impacto desde a infância. A correlação e associação entre os marcadores de RCVs observada mais forte no grupo PA alterada sugere que medidas de prevenção primária desses FR devem ser implementadas precocemente.Submitted by JÚLIO HEBER SILVA (julioheber@yahoo.com.br) on 2017-03-09T17:10:40Z No. of bitstreams: 2 Dissertação - Polyana Resende Silva de Morais - 2015.pdf: 3035751 bytes, checksum: 2ffc0c669c47e74eabe5f5af1e6353ac (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2017-03-10T10:56:26Z (GMT) No. of bitstreams: 2 Dissertação - Polyana Resende Silva de Morais - 2015.pdf: 3035751 bytes, checksum: 2ffc0c669c47e74eabe5f5af1e6353ac (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2017-03-10T10:56:26Z (GMT). No. of bitstreams: 2 Dissertação - Polyana Resende Silva de Morais - 2015.pdf: 3035751 bytes, checksum: 2ffc0c669c47e74eabe5f5af1e6353ac (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2015-09-25Conselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPqapplication/pdfporUniversidade Federal de GoiásPrograma de Pós-graduação em Ciências da Saúde (FM)UFGBrasilFaculdade de Medicina - FM (RG)http://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessAdolescentePressão arterialResistência à insulinaCircunferência da cinturaÍndice de massa corporalAdolescentBlood pressureInsulin resistanceWaist circunferenceBody massa indexCIENCIAS DA SAUDE::MEDICINACorrelação da resistência à insulina, circunferência da cintura, e índice de massa corporal com a pressão arterial de adolescentesCorrelation of insulin resistance, waist circunference and body mass index with blood pressure of adolescentsinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-10068643126177453106006006006001545772475950486338-969369452308786627-2555911436985713659reponame:Biblioteca Digital de Teses e Dissertações da UFGinstname:Universidade Federal de Goiás (UFG)instacron:UFGLICENSElicense.txtlicense.txttext/plain; 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dc.title.por.fl_str_mv |
Correlação da resistência à insulina, circunferência da cintura, e índice de massa corporal com a pressão arterial de adolescentes |
dc.title.alternative.eng.fl_str_mv |
Correlation of insulin resistance, waist circunference and body mass index with blood pressure of adolescents |
title |
Correlação da resistência à insulina, circunferência da cintura, e índice de massa corporal com a pressão arterial de adolescentes |
spellingShingle |
Correlação da resistência à insulina, circunferência da cintura, e índice de massa corporal com a pressão arterial de adolescentes Morais, Polyana Resende Silva de Adolescente Pressão arterial Resistência à insulina Circunferência da cintura Índice de massa corporal Adolescent Blood pressure Insulin resistance Waist circunference Body massa index CIENCIAS DA SAUDE::MEDICINA |
title_short |
Correlação da resistência à insulina, circunferência da cintura, e índice de massa corporal com a pressão arterial de adolescentes |
title_full |
Correlação da resistência à insulina, circunferência da cintura, e índice de massa corporal com a pressão arterial de adolescentes |
title_fullStr |
Correlação da resistência à insulina, circunferência da cintura, e índice de massa corporal com a pressão arterial de adolescentes |
title_full_unstemmed |
Correlação da resistência à insulina, circunferência da cintura, e índice de massa corporal com a pressão arterial de adolescentes |
title_sort |
Correlação da resistência à insulina, circunferência da cintura, e índice de massa corporal com a pressão arterial de adolescentes |
author |
Morais, Polyana Resende Silva de |
author_facet |
Morais, Polyana Resende Silva de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Jardim, Paulo César Brandão Veiga |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/2292209583823133 |
dc.contributor.advisor-co1.fl_str_mv |
Sousa, Ana Luiza Lima |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/6578713509935374 |
dc.contributor.referee1.fl_str_mv |
Jardim, Paulo César Brandão Veiga |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/2292209583823133 |
dc.contributor.referee2.fl_str_mv |
Póvoa, Thaís Inácio Rolim |
dc.contributor.referee3.fl_str_mv |
Jardim, Thiago de Souza Veiga |
dc.contributor.referee4.fl_str_mv |
Afiune Neto, Abrahão |
dc.contributor.referee5.fl_str_mv |
Souza, Weimar Kunz Sebba Barroso de |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/1661018508147594 |
dc.contributor.author.fl_str_mv |
Morais, Polyana Resende Silva de |
contributor_str_mv |
Jardim, Paulo César Brandão Veiga Sousa, Ana Luiza Lima Jardim, Paulo César Brandão Veiga Póvoa, Thaís Inácio Rolim Jardim, Thiago de Souza Veiga Afiune Neto, Abrahão Souza, Weimar Kunz Sebba Barroso de |
dc.subject.por.fl_str_mv |
Adolescente Pressão arterial Resistência à insulina Circunferência da cintura Índice de massa corporal |
topic |
Adolescente Pressão arterial Resistência à insulina Circunferência da cintura Índice de massa corporal Adolescent Blood pressure Insulin resistance Waist circunference Body massa index CIENCIAS DA SAUDE::MEDICINA |
dc.subject.eng.fl_str_mv |
Adolescent Blood pressure Insulin resistance Waist circunference Body massa index |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
Introduction: Among the major risk factors for cardiovascular diseases are high blood pressure (hypertension), obesity and insulin resistance (IR). Studies show that blood pressure (BP) increases progressively with an increase of the body mass index (BMI) and in individuals with increased waist circumference (WC), they have a higher risk of developing hypertension, IR and other metabolic disorders since childhood. Objective: To evaluate the correlation between RI, WC and BMI in adolescents with altered levels of PA. Methods: Cross-sectional study with a representative sample of 1025 adolescents aged 12 to 17 years enrolled in public and private schools in a large city. Two groups were evaluated, one formed by the PA that had changed the assessment by casual measurement and / or Home Blood Pressure Measurement (HBPM) and another group formed by those with normal BP. Evaluated anthropometric indicators for BMI and WC calculation. Classified as abnormal blood pressure those with BP percentile> 90 on casual measurement and / or HBPM. Measured fasting plasma glucose and plasma insulin using the HOMA-IR index as indicative of RI. Results: We studied 162 adolescents (35 normal BP group and 127 of the amended BP group) and 61.1% (n = 99) boys, mean age 14.9 ± 1.62 years. Observed 38 children (23.5%) with abnormal HOMA-IR index. Teenagers with altered BP had significantly higher mean values of WC, BMI and HOMA-IR (p <0.05). The WC was higher in boys in both groups (p <0.05), and only changed the BP group was observed HOMA-IR values higher among girls (p <0.05). The correlation between BMI and HOMA-IR in altered pressure group, was moderate and significant (ρ = 0.394; p <0.001), higher than that found in the normal pressure group. The correlation between WC and HOMA-IR was also significant and moderate and similar in both groups (ρ = 0.345; p = <0.05). In HOMA-IR logistic regression analysis was predictor of change in BP (OR = 2.0 / p = 0.001).Conclusion: There is a significant association between RI and PA with impact since childhood. The correlation and association between cardiovascular risks markers observed stronger in the amended BP group suggests that primary prevention measures such risk factors should be implemented early. |
publishDate |
2015 |
dc.date.issued.fl_str_mv |
2015-09-25 |
dc.date.accessioned.fl_str_mv |
2017-03-10T10:56:26Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
MORAIS, P. R. S. Correlação da resistência à insulina, circunferência da cintura, e índice de massa corporal com a pressão arterial de adolescentes. 2015. 60 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2015. |
dc.identifier.uri.fl_str_mv |
http://repositorio.bc.ufg.br/tede/handle/tede/6930 |
identifier_str_mv |
MORAIS, P. R. S. Correlação da resistência à insulina, circunferência da cintura, e índice de massa corporal com a pressão arterial de adolescentes. 2015. 60 f. Dissertação (Mestrado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2015. |
url |
http://repositorio.bc.ufg.br/tede/handle/tede/6930 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.program.fl_str_mv |
-1006864312617745310 |
dc.relation.confidence.fl_str_mv |
600 600 600 600 |
dc.relation.department.fl_str_mv |
1545772475950486338 |
dc.relation.cnpq.fl_str_mv |
-969369452308786627 |
dc.relation.sponsorship.fl_str_mv |
-2555911436985713659 |
dc.rights.driver.fl_str_mv |
http://creativecommons.org/licenses/by-nc-nd/4.0/ info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
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UFG |
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Brasil |
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Faculdade de Medicina - FM (RG) |
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Universidade Federal de Goiás |
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Biblioteca Digital de Teses e Dissertações da UFG - Universidade Federal de Goiás (UFG) |
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