Clustering of cardiometabolic risk factors and the continuous cardiometabolic risk score in children from Southern Brazil: a cross-sectional study

巴西南部儿童心脏代谢风险因素聚类和连续心脏代谢风险评分:一项横断面研究

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作者:Cézane Priscila Reuter, Jane Dagmar Pollo Renner, João Francisco de Castro Silveira, Priscila Tatiana da Silva, Rodrigo Antunes Lima, Karin Allor Pfeiffer, Lars Bo Andersen, Elza Daniel de Mello

Conclusion

The use of clustering of cardiometabolic risk factors identified a high proportion of children with the presence of relevant cardiometabolic alterations. A cMetS value higher than 0.91 (relative to an international standard) indicated higher clustering of cardiometabolic risk factors amongst children.

Methods

Cross-sectional study with 631 children aged 6 to 9 years. Cardiorespiratory fitness, glucose, systolic blood pressure, total cholesterol/high-density lipoprotein cholesterol ratio, triglycerides, and waist circumference were assessed. The number of children in whom the risk factors were not independently distributed was analyzed. Z-scores were computed for each risk factor to calculate the cMetS.

Purpose

The present study aimed to verify the clustering of cardiometabolic risk factors for cardiovascular diseases (CVD) and its relationship with the continuous cardiometabolic risk score (cMetS).

Results

There was a high proportion of children with clustering of risk factors for CVD. The clustering of risk factors was apparent in 11.3% of the children for four or more risk factors, and 21.9% had three or more risk factors. The cMetS showed a linear relationship with the increase in the number of risk factors. A cMetS value higher than 0.91 indicated clustering of cardiometabolic risk factors amongst children.

Supplementary Information

The online version contains supplementary material available at 10.1007/s40200-021-00845-9.

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