Prevalence of high HbA1c levels in Brazilian adolescents: The Study of Cardiovascular Risk in Adolescents.

作者: Rita de Cássia Lima Fernandes , Gabriela H. Teló , Felipe V. Cureau , Laura A. Barufaldi , Maria Cristina C. Kuschnir

DOI: 10.1016/J.DIABRES.2017.01.003

关键词:

摘要: Abstract Aim To evaluate the prevalence of elevated glycated haemoglobin (HbA1c) levels in a population adolescents participating Study Cardiovascular Risk Adolescents. Methods This is school-based cross-sectional study based on complex sample 12–17years old representative at national and macro-regional for each Brazilian state capital. Blood was collected schools then evaluated single laboratory. HbA1c were considered if ⩾5.7% (39mmol/mol) analyzed according to sex, age, macro-region, type school, skin color, nutritional status. Results Data from 37,804 analyzed. The mean level 5.4% (95%CI 5.4–5.4) (36mmol/mol [95%CI 36–36]), 20.5% 19.1–22.0) presented values (⩾39mmol/mol). Among males, 23.6% 21.8–25.6) showed compared 17.5% 15.9–19.2) observed females. higher with black color (27.6%; 95%CI 23.2–32.4) vs . white (16.9%; 15.4–18.5), those who studied public (21.6%; 20.0–23.4) private (16.7%; 14.7–19.0). obese adolescents, 29.7% 25.4–34.3) had HbA1c, 19.3% 18.0–20.7) normal weight students 19.7% 17.1–22.6) overweight adolescents. Conclusions Obese male lower socioeconomic status levels. Our findings highlight importance focusing this high risk group interventions prevent diabetes.

参考文章(39)
Yang Bai, Senlin Chen, Kelly R Laurson, Youngwon Kim, Pedro F Saint-Maurice, Gregory J Welk, None, The Associations of Youth Physical Activity and Screen Time with Fatness and Fitness: The 2012 NHANES National Youth Fitness Survey PLOS ONE. ,vol. 11, ,(2016) , 10.1371/JOURNAL.PONE.0148038
Shengwei Wu, Zhengzheng Xuan, Fei Li, Wei Xiao, Xiuqiong Fu, Pingping Jiang, Jieyu Chen, Lei Xiang, Yanyan Liu, Xiaoli Nie, Ren Luo, Xiaomin Sun, Hiuyee Kwan, Xiaoshan Zhao, None, Work-Recreation Balance, Health-Promoting Lifestyles and Suboptimal Health Status in Southern China: A Cross-Sectional Study International Journal of Environmental Research and Public Health. ,vol. 13, pp. 339- ,(2016) , 10.3390/IJERPH13030339
Stephanie A. Amiel, Robert S. Sherwin, Donald C. Simonson, Albert A. Lauritano, William V. Tamborlane, Impaired insulin action in puberty. A contributing factor to poor glycemic control in adolescents with diabetes. The New England Journal of Medicine. ,vol. 315, pp. 215- 219 ,(1986) , 10.1056/NEJM198607243150402
Tae Joon Lee, Sarah Safranek, A1C Testing in the Diagnosis of Diabetes Mellitus American Family Physician. ,vol. 74, pp. 143- ,(2006)
Bettcher Dw, Asma S, Jones Nr, Warren Cw, Peruga A, Fishburn B, Rahman K, Chauvin J, Baptiste Jp, Tsouros A, Costa de Silva, el Awa F, Global youth tobacco surveillance, 2000--2007 Morbidity and Mortality Weekly Report. ,vol. 57, pp. 1- 28 ,(2008)
S. S. Fajans, Classification and Diagnosis of Diabetes Ellenberg and Rifkin's Diabetes Mellitus-Theory and Practice. pp. 346- 356 ,(1990)
Jenner C. V. Azevedo, Lana M. P. Brasil, Taísa B. M. A. Macedo, Lúcia F. C. Pedrosa, Ricardo F. Arrais, Comparison between objective assessment and self-assessment of sexual maturation in children and adolescents Jornal De Pediatria. ,vol. 85, pp. 135- 142 ,(2009) , 10.2223/JPED.1875
J. M. Tanner, Growth at Adolescence ,(1978)
Laura Augusta Barufaldi, Moyses Szklo, Mauricio Teixeira Leite de Vasconcellos, Maria Cristina Caetano Kuschnir, Katia Vergetti Bloch, Gabriela de Azevedo Abreu, Pedro Luis do Nascimento Silva, Carlos Henrique Klein, Sampling design for the Study of Cardiovascular Risks in Adolescents (ERICA) Cadernos De Saude Publica. ,vol. 31, pp. 921- 930 ,(2015) , 10.1590/0102-311X00043214