Comportamento sedentário e excesso de peso estão associados à alteração do perfil cardiometabólico em meninas / Sedentary behavior and overweight are associated with altered cardiometabolic profile in girls

Maria Eduarda Casagrande Carli, Patricia Ribeiro Paes Corazza, Maiara Cristina Tadiotto, Kátia Sheylla Malta Purim, Francisco José de Menezes Junior, Derick Andrade Michel, Maria de Fátima Aguiar Lopes, Neiva Leite

Abstract


O comportamento sedentário (CS) e o excesso de peso têm sido associados aos fatores cardiometabólicos, contribuindo com comorbidades em fases precoces da vida. Objetivo: comparar o perfil cardiometabólico de adolescentes com CS elevado, de acordo com o índice de massa corporal escore-Z (IMC-z). Métodos: Participaram do estudo 47 meninas, insuficientemente ativas (10-18 anos), com tempo de tela ≥2h/dia. Avaliaram-se as medidas antropométricas de massa corporal, estatura e calculou-se o IMC-z. As participantes foram alocadas em três grupos: grupo eutróficas (GE; n=19), grupo sobrepeso (GSP; n=14) e grupo obesas (GO; n=14). Mensuraram-se a glicemia, insulinemia, concentração de proteína C-Reativa (PCR) e perfil lipídico em jejum. A aptidão cardiorrespiratória (VO2pico) foi mensurada por teste de esforço em esteira utilizando o analisador metabólico. Utilizaram-se testes paramétricos e não-paramétricos, com nível de significância p≤0,05. Resultados: As médias de estatura, colesterol total, low density lipoprotein (LDL-c) e triglicerídeos foram semelhantes entre os grupos. Maiores concentrações de glicemia, insulinemia e PCR (p<0,05) foram apresentadas pelo GO, enquanto o GE apresentou maiores high density lipoprotein (HDL-c) e VO2pico (p<0,05). O GSP e GO agrupados apresentaram maiores proporções de HDL baixos (55,56%), maiores concentrações de insulinemia (40,74%) e PCR (37,04%) quando comparados ao GE (p<0,05), que, respectivamente, apresentou proporções de alterações em 25%, 10% e 5%. Conclusão: independente do CS e inatividade física, o excesso de peso pode ser considerado fator de risco importante nas alterações do perfil cardiometabólico, o que sugere a importância da educação para saúde e a redução do IMC-z e CS.


Keywords


Antropometria, Excesso de Peso, Aptidão Cardiorrespiratória, Comportamento Sedentário.

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DOI: https://doi.org/10.34119/bjhrv5n1-016

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