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

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 Scho...

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Autores principales:	Zaccarelli-Marino MA, Fonseca FLA, Gascón TM, Filipini R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	obesity diabetes mellitus glucose intolerance adolescents public school brazil Specialties of internal medicine RC581-951
Acceso en línea:	https://doaj.org/article/c7c91022321b4e4d949e8cc549f5ffe6
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spelling	oai:doaj.org-article:c7c91022321b4e4d949e8cc549f5ffe62021-12-02T08:19:24ZProfile of Overweight and Obesity in Children and Adolescents and Frequency of Type 2 Diabetes Mellitus and Glucose Intolerance: A Study in Public School in Brazil1178-7007https://doaj.org/article/c7c91022321b4e4d949e8cc549f5ffe62020-05-01T00:00:00Zhttps://www.dovepress.com/profile-of-overweight-and-obesity-in-children-and-adolescents-and-freq-peer-reviewed-article-DMSOhttps://doaj.org/toc/1178-7007Maria 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, BrazilCorrespondence: Thaís Moura GascónClinical Analysis Laboratory of Faculdade de Medicina ABC, 2000, Lauro Gomes Avenue, Santo André CEP 09060-650, SP, BrazilTel +55 11 972280763Email tmoura46@gmail.comObjective: 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, BrazilZaccarelli-Marino MAFonseca FLAGascón TMFilipini RDove Medical Pressarticleobesitydiabetes mellitusglucose intoleranceadolescentspublic schoolbrazilSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 13, Pp 1733-1741 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	obesity diabetes mellitus glucose intolerance adolescents public school brazil Specialties of internal medicine RC581-951
spellingShingle	obesity diabetes mellitus glucose intolerance adolescents public school brazil Specialties of internal medicine RC581-951 Zaccarelli-Marino MA Fonseca FLA Gascón TM Filipini R 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
description	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, BrazilCorrespondence: Thaís Moura GascónClinical Analysis Laboratory of Faculdade de Medicina ABC, 2000, Lauro Gomes Avenue, Santo André CEP 09060-650, SP, BrazilTel +55 11 972280763Email tmoura46@gmail.comObjective: 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
format	article
author	Zaccarelli-Marino MA Fonseca FLA Gascón TM Filipini R
author_facet	Zaccarelli-Marino MA Fonseca FLA Gascón TM Filipini R
author_sort	Zaccarelli-Marino MA
title	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
title_short	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
title_full	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
title_fullStr	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
title_full_unstemmed	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
title_sort	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
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/c7c91022321b4e4d949e8cc549f5ffe6
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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

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