Vázquez PE, Sotelo CN, Celaya CK

Language: Spanish
References: 39
Page: 162-166
PDF size: 59.24 Kb.

ABSTRACT

Objective. This study had the proposal to know the fat mass values in eutrophic and overweight-obesity adolescents and try to identify the lipid profile in both groups. Material and methods. In 216 adolescents between 10-18 years old: 108 eutrophic and 108 with overweight-obesity were classified by the body mass index (BMI) criteria. Measurements of cholesterol, tryglicerides and lipoproteins were taken. The measurement of body fat mass was made by direct bioelectrical impedance. Results. In the overweight-obesity group 59 (54.7%) were overweight and 49 (43.7%) had obesity. The systolic blood pressure was higher in obese individuals (p ‹ 0.0001). There was an statistical differences (p ‹ 0.002) in the cholesterol and triglycerides concentrations between both groups; the difference in the C-LDL was in the significant level of p = 0.05. In the overweight-obesity group, there was a body weight-fat-mass correlation coefficient of r = 0.89 (p ‹ 0.01). Conclusions. The high serum levels of lipids in overweigth group must be taken as an indicator that the risk factors in cardiovascular disease should be taken under control since the adolescense.

REFERENCES

1. Bourges H. Nutritional status of the mexican population. In: Bengoa JM, Editor. Nutrition in the 1980’s: Constraints in our knowledge. New York: Alan Liss Inc 1981: 249-69.

2. Bourges RH. Ateroesclerosis. En: Nutriología médica. México: Ed. Panamericana: 1995: 232-54.

3. Gushiken NR, González BJ. Importancia de la valoración del paciente con obesidad. Rev Endocrinol Nutr 1995; 3: 13-6.

4. Encuesta Nacional de Enfermedades Crónicas. Secretaría de Salud. México. Segunda edición 1995.

5. Sepúlveda AJ. Estado nutricional de los preescolares y las mujeres en México. Resultados de una encuesta nacional probabilística. México: Academia Nacional de Medicina; (Informe) 1989.

6. Encuesta Nacional de Nutrición 1999. Estado nutricio de niñas y mujeres en México. 1ª ed. Cuernavaca, Mor.: Instituto Nacional de Salud Pública (México); 2001: 104-23.

7. Hoyos-Nuño LC. Canasta Estatal de Consumo de Alimentos y Aporte de Nutrimento. Tesis. Centro de Investigación en Alimentos A.C. Hermosillo, Sonora, México, 1991.

8. World Health Organization, obesity, preventing and managing the global epidemic. Report of a WHO consultation on obesity. Geneva 1997.

9. NCHS-United States Clinical Growth Charts. Using the BMI-for-age Growth Charts. www.CDC.gov/nchs/growth/charts/clinical-htm.2000CDC.

10. Must A, Dallal GE, Dietz WH. Reference data for obesity: 85th and 95th percentiles of body mass index (Wt/ht2) and triceps skinfold thickness. Amer J Clin Nutr 1991; 53: 839-46.

11. Rolland-Cachera MF, Cole TJ, Sempe M, Tichetj, Rossingnol C, Charroced A. Body mass index variations: centiles from birth to 87 years. Eur J Clin Nutr 1991; 45: 1321.

12. Secretaría de Salud. Norma Oficial Mexicana para el manejo integral de la obesidad (NOM-174-SSA1-1998). Diario Oficial de la Federación. México Abril 2000: 27-34.

13. Houtkooper LB, Lohmon TG, Going SB, Hall MC. Validity of bioelectrical impedance for body composition assessment in children. J Applied Physiol 1989; 66: 814-21.

14. Bell NA, Mclure PD, Hill RJ, Davies PS. Assessment of foot-to-foot bioelectrical impedance analysis for the prediction of total body water. Eur J Clin Nutr 1998; 52: 856-9.

15. Daviers PSW, Preece MA, Hicks CJ, Halliday D. The prediction of total body water using bioelectrical impedance in children and adolescents. Ann Hum Biol 1988; 15: 237-40.

16. Software JMP. Versión actualizada (4.0), SAS Institute. 2001.

17. Heald FP. History of paediatric concern with atherosclerosis. In: Jacobson MS, editor. Atherosclerosis prevention. Identification and treatment of the child with high cholesterol. Boston: Harwood Academic Publishers 1991: 9-14.

18. Pesonen E, Norio R, Hirovonen J. Intimal thickening in the coronary arteries of infants and children as an indicator of risk for coronary heart disease. Eur Heart J 1990; 11: 53-60.

19. Tavella M, Souza ESA. Hipercolesterolemia en la infancia. Encycl Med Chir Pediatr 4-040-A-10. París: Elsevier, 1997: 1-5.

20. National Cholesterol Education Program. Report of the expert panel on blood cholesterol levels in children and adolescents. Pediatrics 1992; 89: 528-58.

21. Sirivanson SR, Bao W, Waltingrey WA, Berenson GS. Adolescent overweighs associated with adult overweigths and relate multiple cardiovascular risk factors: The Bougalusa heart study metabolism 1996; 45: 235-40.

22. Guillman NW, Cupples LA, Moore LL, Ellison RC. Impact of within person variability on identifying children with hypercholesterolemia: Framingam children’s study. J Pediatr 1992; 121: 342-7.

23. McGill HC, McMahan CA, Herderick EE, Malcom GT, Tracy RE, Strong JP. Origin of artherosclerosis in childhood and adolescence. Am J Clin Nutr 2000; 27: 1307S-15S.

24. Stuhldreher W, Donahue R, Drash A, Kuller LH, Gloninger M, Orchard T. The beaver county lipid study. Sixteen-year cholesterol traking. Ann NY Acad Sci 1991; 623: 446-68.

25. Fundación Kellog WK. Detección y tratamiento de los factores de riesgo cardiovascular desde la adolescencia en la medicina ambulatoria de adolescentes. Guía práctica para diagnóstico y tratamiento. México: FUSA 2000 Eds. 1992: 130-7.

26. Calzada-León R. Obesidad en la infancia y la adolescencia. En: Vargas-Ancora L, Eds. Obesidad en México. México: Fundación Mexicana para la Salud/Universidad Autónoma de Yucatán, 1999: 205-33.

27. Sánchez-Bayle M, Fernández-Ruíz ML. Colesterol HDL en la infancia. Su influencia en el diagnóstico de hipercolesterolemia. An Esp Pediatr 1997; 47: 285-8.

28. Sánchez-Bayle M, V de Miguel F, Martín F, González-Requejo A. Comparación del perfil lipídico en niños y adolescentes de Madrid. Clin Invest Arteroesclerosis 1994; 6: 7-11.

29. Velázquez-Jones L. Hipertensión arterial y obesidad. Bol Med Hosp Infant Mex 1990; 47: 139-41.

30. Velázquez-Jones L. Hipertensión en niños y adolescentes. En: Libro1-A PAC (P-I) Academia Mexicana de Pediatría. México: Intersistemas 1996: 7-45.

31. Ávila-Rosas H, Tejero-Barrera B. Evaluación del estado de nutrición. En: Nutriología médica. 2ª ed. México: Editorial Panamericana, 2001: 593-672.

32. Wells JCK, Fuller NJ, Dewito, Fewtrell MS, Elea M, Cole T. Four component model of body composition in children: Density and hydration of fat-free mass and comparison with simple models. Am J Clin Nutr 1999; 69: 904-12.

33. Danford LC, Schoeller DA, Kushner RF. Comparison of two bioelectrical impedance analysis models for total body water measurement in children. Ann Hum Biol 1992; 19: 603-7.

34. Fuller NJ, Laskey MA, Elia M. Assessment of the composition of major body regions by dual-energy X-ray absortiometry (DEXA), with special reference to limb muscle mass. Clin Physiol 1992; 12: 253-66.

35. Puniani RE, Valencia JM, Plank LD. Validation of bioelectrical impedance, measurement of body water with deuterium dilution in maori, pacific and european children. Eur J Clin Nutr (in print) 2003.

36. Wong WW, Stuff JE, Bulte NF, Smith O’BF, Ellis K. Estimating body fat in african american and white adolescent girls: Comparison of skinfold-tickness equations with a 4-compartment criterion model. Ann J Clin Nutr 2000; 72: 348-54.

37. Saucedo-Molina T, Gómez-Perezmitre G. Validez diagnóstica del índice de masa corporal, en una muestra de adolescentes mexicanos. Acta Pediatr Mex 1997; 18: 1927.

38. Saucedo-Molina T, Ocampo-Tellez GMT, Mancilla-Díaz JM, Gómez-Perezmitre G. Índice de masa corporal en preadolescentes y adolescentes mexicanos. Acta Pediatr Mex 2001; 22: 184-90.

39. Calzada-León R, Loredo-Abdalá A. Conclusiones de la reunión nacional de consensos sobre prevención, diagnóstico y tratamiento de la obesidad en niños y adolescentes. Academia Mexicana de Pediatría. Bol Med Hosp Infant Mex 2002; 59: 517-24.