Banca de DEFESA: ADRIANA LEÃO DE MIRANDA FERREIRA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : ADRIANA LEÃO DE MIRANDA FERREIRA
DATE: 14/09/2021
TIME: 15:30
LOCAL: Sessão pública realizada por meio de vídeo conferência
TITLE:

ASSOCIATION BETWEEN METABOLICALY HEALTH OBESTY AND HEALTH EATING INDEX IN ADOLESCENT FROM A NORTHEST CAPITAL

KEY WORDS:

Obesity, adolescents, Heath Eating Index, metabolically health obesity

PAGES: 102
BIG AREA: Ciências da Saúde
AREA: Nutrição
SUMMARY:

Introduction: Adolescence is a period of transition that significant changes occur, becoming a period of nutritional vulnerability to chronic diseases, including obesity. Obesity phenotypes can be Metabolically Health obesity (MHO) that consist of being overweight, but without metabolic abnormalities and Metabolically Unhealthy Obesity (MUO). The etiological factors of MHO, associated with this favorable metabolic profile is discussed in the literature is eating patterns. In this perspective we highlight the use of dietary patterns through the Health Eating Index (HEI). The HEI is a tool to assess the quality of food by scoring food groups proportionally to the consumption. Objectives: Evaluate the association of nutrition through HEI with adolescents with MHO, physical activity, sleep, income and compare the sociodemographic, antrophometric and food consumption profile stratified by sex. Metodology: Cross-Sectional study, by non-probabilistic sampling, with overweight and obese adolescents, attended at the Pediatric Endocrinology Outpatient Clinical of University Hospital Onofre Lopes during October of 2016 and February of 2020. Biodemographic data (physical activity and sleep hours), food consumption (24-hour recall), anthropometric data (weight, height, BMI, waist-to-height-ratio, waist and blood pressure) and biochemical data (lipid profile, blood glucose and HOMA-IR). MHO were classified as follows by Damanhoury et al (2018). The Student´s T test or One Way ANOVA and Mann-Whitney or Kruskall Wallis test were reported according to distribution. For categorical variable the chi-square and Fisher´s exact test were used. To verify the association between WHO and HEI, logistic regression analyzes were performed using energy consumed, income, physical activity, sleep and WHR as adjustment variables. The significance level of 5% was adopted. Results: The sample consisted in 157 adolescents, with a similar profile between sex, age, metabolic profile (HDL, TG, blood pressure and glucose). The girls had the worst HOMA-IR (p=0,003), the lowest waist circumference (WC) (p=0,021), lowest waist-to-height ratio (WHR) (p=0,004), lowest caloric intake (p=0,002) and worst score in HEI (p=0,05) compared to boys. Among the adolescents 14,6% were MHO and 85,35% were MUO. Adolescents MHO had the lowest sodium consumption, had higher income (p=0,026), lowest waist circumference (p=0,001) and better HOMA-IR (p=0,017). We observe that higher HEI scores in boys were a protective factor against metabolic abnormalities (OD 95% IC 0,77 (0,6-0,99). Conclusions: MHO adolescents have less sodium intake and a better income profile. Boys have higher WC, RCE, higher Kcal consumption and better HEI score; a better quality of food was protective factor in relation to metabolic changes in boys.

BANKING MEMBERS:
Externa ao Programa - 070.661.704-58 - ADÉLIA DA COSTA PEREIRA DE ARRUDA - UFPB
Externo à Instituição - FLÁVIA EMÍLIA LEITE DE LIMA FERREIRA
Externa ao Programa - 2315640 - MARCIA MARILIA GOMES DANTAS LOPES
Presidente - 1452705 - SEVERINA CARLA VIEIRA CUNHA LIMA