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Vol. 89. Issue 5.
Pages 462-469 (September - October 2013)
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Vol. 89. Issue 5.
Pages 462-469 (September - October 2013)
ARTIGO ORIGINAL
Open Access
Sociodemographic, anthropometric and dietary determinants of dyslipidemia in preschoolers
Determinantes sociodemográficos, antropométricos e alimentares de dislipidemia em pré-escolares
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Luciana N. Nobrea,
Corresponding author
lunerinobre@yahoo.com.br

Corresponding author.
, Joel A. Lamounierb, Sylvia do C.C. Franceschinic
a Doutora. Departamento de Nutrição, Universidade Federal Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, MG, Brasil
b Doutor, Departamento de Medicina, Universidade Federal de São João Del-Rei (UFJS), Divinópolis, MG, Brasil
c Doutora, Departamento de Nutrição, Universidade Federal de Viçosa (UFV), Viçosa, MG, Brasil
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Article information
Abstract
Objective

To investigate the determinants of dyslipidemia in preschoolers.

Methods

A total of 227 preschoolers residing in an urban area of the city of Diamantina, Minas Gerais, Brazil were evaluated at age 5 years, using a cross-sectional design. Dietary intake from a food frequency questionnaire, anthropometric/biochemical parameters, and socioeconomic/behavioral information from a questionnaire were evaluated. ‘Mixed diet’, ‘snack’, and ‘unhealthy’ dietary patterns were identified using principal component analysis. The determinants of dyslipidemia were examined using Poisson regression analysis.

Results

The prevalence of dyslipidemia in this study was 65.19%. Preschoolers who less frequently consumed foods in the ‘mixed diet’ dietary pattern had a higher risk of high concentrations of low-density lipoprotein cholesterol (PR = 2.30; p = 0.004) when compared with those with more frequent consumption of the ‘mixed diet’ dietary pattern. Preschoolers whose mothers had lower levels of education presented a lower risk of high concentrations of low-density lipoprotein cholesterol (PR = 0.43; p = 0.003), and preschoolers who were overweight/obese presented with greater risk of high concentrations of low-density lipoprotein cholesterol (PR = 2.23; p = 0.003).

Conclusion

The determinants of dyslipidemia identified in this study were less frequent consumption of foods in the ‘mixed diet’ dietary pattern, higher body mass index, and higher level of maternal education. This study shows that despite the young age of the group under study, they already present a high prevalence of dyslipidemia, which is an important risk factor for cardiovascular disease.

Keywords:
Hypercholesterolemia
Body mass index
Feeding behavior
Resumo
Objetivo

O objetivo deste estudo foi investigar os determinantes de dislipidemia em pré-escolares.

Métodos

A partir de um desenho transversal, foi avaliado um total de 227 pré-esco- lares com 5 anos de idade residentes em uma área urbana da cidade de Diamantina, Minas Gerais, Brasil. Foram avaliados: variáveis bioquímicas, antropométricas, condição socioeconômica e comportamental, a partir de um questinário; e ingestão alimentar, a partir de um questionário de fequência de consumo de alimentos. Os padrões alimen- tares denominados “dieta mista”, “fast food” e “não saudável” foram identificados por meio de análise de componentes principais. Os determinantes de dislipidemia foram examinados através da análise de regressão de Poisson.

Resultados

A prevalência de dislipidemia, neste estudo, foi de 65,19%. Os pré-escolares que consumiam com menos frequência alimentos do padrão “dieta mista” tiveram um risco maior de concentrações mais altas de lipoproteína de baixa densidade (PR = 2,30; p = 0,004), em comparação com aqueles com um consumo mais frequente do padrão “dieta mista”. Os pré-escolares cujas mães apresentaram uma escolaridade mais baixa tiveram menor risco de concentrações mais altas de lipoproteína de baixa densidade (PR = 0,43; p = 0,003), e os pré-escolares que estavam com sobrepeso/obesos apresentaram maior risco de concentrações mais altas de lipoproteína de baixa densidade (PR = 2,23; p = 0,003).

Conclusão

Os determinantes de dislipidemia identificados neste estudo foram o consu- mo menos frequente de alimentos do padrão “dieta mista”, índice de massa corporal mais alto e um maior nível de escolaridade materna. Este estudo mostra que, apesar da baixa idade do grupo em estudo, já estão apresentando alta prevalência de dislipidemia, que é um fator de risco importante para doença cardiovascular.

Palavras-chave:
Hipercolesterolemia
Índice de massa corporal
Comportamento alimentar
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Como citar este artigo: Nobre LN, Lamounier JA, Franceschini SC. Sociodemographic, anthropometric and dietary determinants of dyslipidemia in preschoolers. J Pediatr (Rio J). 2013;89:462-9.

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