Severity of obesity is associated with worse cardiometabolic risk profile in adolescents: Findings from a Brazilian national study (ERICA)
Severity of obesity is associated with worse cardiometabolic risk profile in adolescents: Findings from a Brazilian national study (ERICA)
Data
2020
Autores
Sbaraini, Mariana
Cureau, Felipe Vogt
Sparrenberger, Karen
Teló, Gabriela Heiden
Kuschnir, Maria Cristina Caetano
Oliveira, Juliana Souza
Leal, Vanessa Sa
Bloch, Katia Vergetti
Schaan, Beatriz D.
Journal Title
Journal ISSN
Volume Title
Publisher
Nutrition
Resumo
Objective: The prevalence of obesity and severe obesity among adolescents has increased dramatically in
developing countries. However, the distribution of cardiometabolic risk factors through the severity of obe-
sity continuum is relatively unknown among youth. The aim of this study was to evaluate the association of
weight categories with cardiometabolic risk factors among Brazilian adolescents.
Methods: ERICA (The Study of Cardiovascular Risk in Adolescents) was a multicenter, school-based, cross-sec-
tional study composed of Brazilian adolescents (1217 y of age). Severity of obesity was classified according
to the International Obesity Task Force reference values for body mass index (BMI) and several cardiometa-
bolic risk factors were measured after clinical and biochemical exams and categorized using standard defini-
tions of abnormal values.
Results: Among the 37 892 adolescents enrolled, 8708 had excess weight, being classified with overweight
(17.2%), obesity (5.6%), and severe obesity (1.3%). Increasing severity of obesity was associated with a worse
cardiometabolic profile in the overall sample. Multivariable models that controlled for age, sex, skin color,
socioeconomic status, physical activity, and total energy intake, showed that individuals in higher categories
of severity of obesity tended to have higher prevalence ratios of most cardiometabolic risk factors compared
with the other weight groups, except for high fasting blood glucose among boys.
Conclusions: Progressive degrees of excess weight are positively associated with cardiometabolic risk factors
in youth from a middle-income country, indicating the importance in classifying the severity of weight
excess among adolescents and considering this to plan prevention programs against early development of
obesity-related diseases.
Description
Palavras-chave
Pediatric obesity, Severe obesity, Metabolic syndrome, Cardiovascular diseases
Citação
Sbaraini M, Cureau FV, Sparrenberger K, Teló GH, Kuschnir MCC, Oliveira JS, Leal VS, Bloch KV, Schaan BD. Severity of obesity is associated with worse cardiometabolic risk profile in adolescents: Findings from a Brazilian national study (ERICA). Nutrition. 2020 Jul-Aug;75-76:110758. doi: 10.1016/j.nut.2020.110758