Profile of Overweight and Obesity in Children and Adolescents and Frequency of Type 2 Diabetes Mellitus and Glucose Intolerance: A Study in Public School in Brazil
Authors Zaccarelli-Marino MA, Fonseca FLA, Gascón TM, Filipini R
Received 16 January 2020
Accepted for publication 29 April 2020
Published 21 May 2020 Volume 2020:13 Pages 1733—1741
Checked for plagiarism Yes
Review by Single-blind
Peer reviewer comments 2
Editor who approved publication: Prof. Dr. Juei-Tang Cheng
Maria Angela Zaccarelli-Marino,1 Fernando Luiz Affonso Fonseca,2,3 Thaís Moura Gascón,2 Rosangela Filipini4
1Internal Medicine Department, Endocrinology Service, ABC Medical School Foundation, Santo André, SP, Brazil; 2Clinical Laboratory Analysis of ABC Medical School Foundation, Santo André, SP, Brazil; 3Federal University of São Paulo, Diadema, SP, Brazil; 4Nursing Course ABC Medical School Foundation, Santo André, SP, Brazil
Correspondence: Thaís Moura Gascón
Clinical Analysis Laboratory of Faculdade de Medicina ABC, 2000, Lauro Gomes Avenue, Santo André CEP 09060-650, SP, Brazil
Tel +55 11 972280763
Objective: To verify if there is an increase in frequency of type 2 diabetes mellitus (DM2) and glucose intolerance in children and adolescents who are overweight and obese.
Methods: This was a cross-sectional survey. The study population consisted of 2757 students of both sexes (1415 girls and 1342 boys) attending public schools in São Paulo state, Brazil,aged 10– 19 years, from 2011 to 2012. Students not within this age range and those with type 1 diabetes mellitus were excluded. Upon interview, anthropometry, capillary blood glucose testing, fasting glucosemia (FG) and glucosemia 2 hours after 75 g of dextrose (AD) variables were obtained. We emphasize that, inspite of the 2757 students included in the next stage, only 88 students agreed to participate, and low compliance of those participants is due to the fact that they were children and adolescents who depend on the authorization of their parents or tutors, who have demonstrated deficient knowledge of familial chronic diseases such as obesity and its consequences, and the risk of DM2.
Results: More often girls, 1415 (51.3%). A total of 27.3% was overweight/obese/severely obese. Capillary blood glucose testing was performed in 88 (3.2%) children and adolescents with low values of glycemic results after the glucose load. There was no statistical significance between sex and glucosemia, with an average FG and AD of 92.8 mg/dL (male), 91.8 mg/dL (female) and 89.1 mg/dL (male) and 88.9 mg/dL (female), respectively.
Conclusion: This survey emphasizes that more attention should be paid to diet interventions and practicing of physical activities demanding habit changes and acquisition of special behaviour for self-care, and provision of a better educational health program, suggesting the effective participation of the family.
Keywords: obesity, diabetes mellitus, glucose intolerance, adolescents, public school, Brazil
This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.Download Article [PDF] View Full Text [HTML][Machine readable]