Association between birth weight and cardiovascular risk factors in adolescents.

Abstract:

BACKGROUND:Birth weight (BW) is a medium- and long-term risk determinant of cardiovascular risk factors. OBJECTIVE:To assess the association between BW and cardiovascular risk factors in adolescents of the city of Salvador, Bahia state. METHODS:Cross-sectional study with comparison of BW groups. Sample comprising 250 adolescents classified according to the BMI as follows: high-normal (> 50th percentile and < 85th percentile); overweight (> 85th percentile and < 95th percentile); and obesity (> 95th percentile). The risk variables compared were as follows: waist circumference (WC); arterial blood pressure; lipid profile; glycemia; serum insulin; HOMA-IR; and metabolic syndrome. The BW was informed by parents and classified as follows: low (BW < 2,500g); normal (BW > 2,500g and < 4,000g); and high (BW > 4,000g). RESULTS:One hundred and fifty-three (61.2%) girls, age 13.74 ± 2.03 years, normal BW 80.8%, low BW 8.0%, and high BW 11.2%. The high BW group as compared with the normal BW group showed a higher frequency of obesity (42.9%, p=0.005), elevated SBP and DBP (42.9%, p=0.000 and 35.7%, p=0.007, respectively), and metabolic syndrome (46.4%, p=0.002). High BW adolescents as compared with normal BW adolescents had a prevalence ratio for high SBP 3.3 (95% CI: 1.7-6.4) and obesity 2.6 (95% CI: 1.3-5.2). The WC of high BW adolescents was 83.3 ± 10.1 (p=0.038). The lipid profile showed no statistically significant differences. CONCLUSION:Our findings suggest that obesity, elevated SBP and DBP, and metabolic syndrome during adolescence might be associated with high BW.

journal_name

Arq Bras Cardiol

authors

Sousa MA,Guimarães IC,Daltro C,Guimarães AC

doi

10.5935/abc.20130114

subject

Has Abstract

pub_date

2013-07-01 00:00:00

pages

9-17

issue

1

eissn

0066-782X

issn

1678-4170

pii

S0066-782X2013005000038

journal_volume

101

pub_type

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