ASSOCIATION BETWEEN METABOLICALLY HEALTHY OBESITY AND HEALTH EATING INDEX IN ADOLESCENTS FROM A NORTHEAST CAPITAL
Adolescent, obesity, Heath Eating Index, metabolically health obesity
Introduction:. Metabolically Health obesity (MHO) consist of being overweight, but without metabolic abnormalities.The etiological factors of MHO, associated with this favorable metabolic profile is discussed in the literature, among them eating patterns, regular practice of physical activity and sleep. From this perspective, evaluating food using the a priori approach using the food quality index is promising. The Health Eating Index (HEI) is a tool to assess the quality of food by scoring food groups proportionally to the consumption. Objectives: To acess the association between lifestyle based onHEI, physical activity and sleep) in MHO adolescents.. Metodology: Cross-Sectional study with overweight adolescentes, attented at the Pediatric Endocrinology Outpatient Clinico of University Hospital Onofre Lopes. Biodemographic data (physical activity and sleep hours), food consuption (24-hour recall), antrophometric 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: HDL-c > 40 mg / dL; Triglycerides ≤150mg / dL; blood glucose measurement <100mg / dl and blood pressure SBP and DBP ≤ 90 th percentile Descreptive statitics with absolute, relative frequencies and logistic regression were calculated. Results: The sample consisted in 157 adolescents (14,6% MHO e 85,35% MUO),, with a similar profile between sex, age, metabolic profile (HDL, TG, blood presure and glucose). The girls had the lowest HOMA-IR (p=0,003), the lowest waist circunference (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). MHO adolescentes had higher income (p=0,026), lowest waist circunference (p=0,001) and better HOMA-IR (p=0,017). In the regression higher HEI scores in boys were a protective factor against metabolic abnormalities. 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.