Banca de DEFESA: THATYANE OLIVEIRA SOUZA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : THATYANE OLIVEIRA SOUZA
DATE: 09/06/2020
TIME: 14:00
LOCAL: Defesa realizada de forma virtual pela plataforma Google Meet
TITLE:

METABOLIC SYNDROME, HYPERTRIGLYCHERIDEMIC WAIST AND NUTRIENT INTAKE IN OVERWEIGHT ADOLESCENTS

KEY WORDS:

Adolescent, overweight, obesity, metabolic syndrome, hypertriglyceridemic waist, habitual consumption.

PAGES: 150
BIG AREA: Ciências da Saúde
AREA: Nutrição
SUMMARY:

The worldwide epidemic of obesity in the pediatric age group is responsible for the occurrence of metabolic disorders that can culminate in Metabolic Syndrome (MS). The study aimed to evaluate the frequency of MS and Hypertriglycerodemic Waist (CHT) and its association with the prevalence of micronutrient inadequacy in overweight adolescents with and without MS. Cross-sectional study, by non-probabilistic sampling, with overweight adolescents, attended at Hospital Universitário Onofre Lopes / UFRN, Natal / RN. Anthropometric, biochemical, food and dietary consumption data were collected. We conducted two 24-hour reminders to estimate the usual consumption of energy and nutrients. The prevalence of inadequacy of micronutrients was estimated by the Estimated Average Requirement (EAR) as a cutoff point, with adjustments for intra and interpersonal and energy variances. The normality of data distribution was verified by the Komolgorov-Smirnov test and the Mann-Whitney U test. The t-Student test to verify differences in the metabolic characteristics of adolescents with and without MS, and with and without CHT. Pearson's Chi-square test or Fisher's exact test to verify the binary association of variables with MS. Poisson regression was used to verify the prevalence ratio between CHT and SM. The final sample consisted of 168 adolescents, 53% male and an average age of 11.6 ± 1.6 years. We registered 57.1% with obesity, 22.2% with MS and 42.3% with CHT. We found significant differences between adolescents with and without MS for CP, fasting glycemia, fasting insulin, HOMA-IR, triglycerides and HDL-cholesterol. MS was associated with BMI, CP, fasting glycemia, fasting insulin, HOMA-IR, HDL-cholesterol, triglyceride, both by the cutoff point for SM and for CHT, just as it was associated with CHT. CHT was associated with MS regardless of fasting glucose, HDL-cholesterol and triglycerides, and the prevalence ratio between CHT and MS was 5.02 (95% CI, 1.94 to 12.99; P = 0.001). The average consumption of energy and macronutrients in adolescents with MS was 1671.58 Kcal / day, 52.45% carbohydrate, 16.70% protein, 30.85% total fat and 16.77 g / day fiber . The prevalence of micronutrient inadequacy in both sexes was 100% for the following nutrients, regardless of the presence of MS: vitamin D, vitamin E, calcium, vitamin B12. We found high prevalence of inadequacy for adolescents with and without MS respectively, vitamin A (80.51 - 98.54%), vitamin B1 (81.59 - 99.62%), vitamin B2 (92.79 - 100%), vitamin B6 (96.86 - 99.78%), phosphorus (91.31 - 97.13%), magnesium (95.15 - 100%), copper (77.34 - 92.22%). We concluded that there was a high prevalence of MS, correlated with anthropometric status, CP, fasting blood glucose, HOMA-IR, HDL-c and triglycerides, as well as associated with CHT. Adequacy was observed regarding energy and macronutrient consumption and high prevalence of inadequate vitamin and mineral consumption regardless of the presence of MS.

BANKING MEMBERS:
Interna - 2646462 - BRUNA LEAL LIMA MACIEL
Externo à Instituição - FLÁVIA EMÍLIA LEITE DE LIMA FERREIRA - UFPB
Presidente - 1452705 - SEVERINA CARLA VIEIRA CUNHA LIMA