Obesity and Cardiometabolic Risk Stratification in Schoolchildren from Santa Clara

<p><strong>Background:</strong> noncommunicable diseases have been among the leading causes of morbidity and mortality in the world and in Cuba for more than 20 years. These include: obesity, high blood pressure and diabetes mellitus. These pathologies appear from childhood and the...

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Main Authors: Elizabeth Fernández Martínez, Clara Luz Rodríguez Cervera, Emilio González Rodríguez, Yosvani García Nóbrega, Alianny Rodríguez Urrutia, Merlin Gari Llanes
Format: Article
Language:Spanish
Published: Universidad de las Ciencias Médicas de Cienfuegos 2022-06-01
Series:Revista Finlay
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Online Access:https://revfinlay.sld.cu/index.php/finlay/article/view/1163
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author Elizabeth Fernández Martínez
Clara Luz Rodríguez Cervera
Emilio González Rodríguez
Yosvani García Nóbrega
Alianny Rodríguez Urrutia
Merlin Gari Llanes
author_facet Elizabeth Fernández Martínez
Clara Luz Rodríguez Cervera
Emilio González Rodríguez
Yosvani García Nóbrega
Alianny Rodríguez Urrutia
Merlin Gari Llanes
author_sort Elizabeth Fernández Martínez
collection DOAJ
description <p><strong>Background:</strong> noncommunicable diseases have been among the leading causes of morbidity and mortality in the world and in Cuba for more than 20 years. These include: obesity, high blood pressure and diabetes mellitus. These pathologies appear from childhood and their prevention must begin from an early age. <br /><strong>Objectives:</strong> to determine obesity, stratify cardiometabolic risk and promote healthy lifestyles in schoolchildren from Santa Clara. <br /><strong>Methods:</strong> an epidemiological, descriptive investigation with a cross-sectional design was carried out on 959 schoolchildren between 8 and 12 years of age in Santa Clara and between 2012 and 2020. Computer programs were developed, which allowed studying obesity and calculating body mass indexes, waist -hip and waist-height. Variables were included such as: age, sex, skin color, weight, height, waist circumference, hip circumference, blood pressure, personal and family pathological history, clinical laboratory tests, electrocardiograms and echocardiograms. Double-entry contingency tables were used to record the frequency of appearance of the values of two variables simultaneously. Non-parametric tests were applied, such as Chi Square for factor independence and proportion difference hypothesis test for independent groups. <br /><strong>Results:</strong> 17.94 % of schoolchildren were overweight and 15.95 % obese. 4.48 % were moderately obese and 9.18 % were severely obese. The means of cholesterol, triglycerides and uric acid increased with the degree of obesity. Cardiometabolic risk estimates were developed in Android and WEB formats.<br /><strong>Conclusions:</strong> there are high percentages of obese and overweight. The waist-hip ratio was the best predictor of cardiometabolic risk in the study conducted in Santa Clara. Greater clinical and educational intervention is required, which guarantees the adoption of healthier lifestyles.</p>
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spelling doaj-art-d33e701d1067423a94a06a19f07a69a22025-01-30T21:22:01ZspaUniversidad de las Ciencias Médicas de CienfuegosRevista Finlay2221-24342022-06-01122196207578Obesity and Cardiometabolic Risk Stratification in Schoolchildren from Santa ClaraElizabeth Fernández Martínez0Clara Luz Rodríguez Cervera1Emilio González Rodríguez2Yosvani García Nóbrega3Alianny Rodríguez Urrutia4Merlin Gari Llanes5Universidad de Ciencias Médicas de Villa Clara. Hospital Pediátrico Universitario José Luis Miranda. Villa Clara.Dirección Provincial de Educación. Villa Clara.Universidad Central Marta Abreu de Las Villas. Villa Clara.Universidad de Ciencias Médicas de Villa Clara. Hospital Pediátrico Universitario José Luis Miranda. Villa Clara.Universidad Central Marta Abreu de Las Villas. Villa Clara.Universidad de Ciencias Médicas de Villa Clara. Hospital Pediátrico Universitario José Luís Miranda. Villa Clara.<p><strong>Background:</strong> noncommunicable diseases have been among the leading causes of morbidity and mortality in the world and in Cuba for more than 20 years. These include: obesity, high blood pressure and diabetes mellitus. These pathologies appear from childhood and their prevention must begin from an early age. <br /><strong>Objectives:</strong> to determine obesity, stratify cardiometabolic risk and promote healthy lifestyles in schoolchildren from Santa Clara. <br /><strong>Methods:</strong> an epidemiological, descriptive investigation with a cross-sectional design was carried out on 959 schoolchildren between 8 and 12 years of age in Santa Clara and between 2012 and 2020. Computer programs were developed, which allowed studying obesity and calculating body mass indexes, waist -hip and waist-height. Variables were included such as: age, sex, skin color, weight, height, waist circumference, hip circumference, blood pressure, personal and family pathological history, clinical laboratory tests, electrocardiograms and echocardiograms. Double-entry contingency tables were used to record the frequency of appearance of the values of two variables simultaneously. Non-parametric tests were applied, such as Chi Square for factor independence and proportion difference hypothesis test for independent groups. <br /><strong>Results:</strong> 17.94 % of schoolchildren were overweight and 15.95 % obese. 4.48 % were moderately obese and 9.18 % were severely obese. The means of cholesterol, triglycerides and uric acid increased with the degree of obesity. Cardiometabolic risk estimates were developed in Android and WEB formats.<br /><strong>Conclusions:</strong> there are high percentages of obese and overweight. The waist-hip ratio was the best predictor of cardiometabolic risk in the study conducted in Santa Clara. Greater clinical and educational intervention is required, which guarantees the adoption of healthier lifestyles.</p>https://revfinlay.sld.cu/index.php/finlay/article/view/1163obesidadsobrepesofactores de riesgo cardiometabóliconiñocuba
spellingShingle Elizabeth Fernández Martínez
Clara Luz Rodríguez Cervera
Emilio González Rodríguez
Yosvani García Nóbrega
Alianny Rodríguez Urrutia
Merlin Gari Llanes
Obesity and Cardiometabolic Risk Stratification in Schoolchildren from Santa Clara
Revista Finlay
obesidad
sobrepeso
factores de riesgo cardiometabólico
niño
cuba
title Obesity and Cardiometabolic Risk Stratification in Schoolchildren from Santa Clara
title_full Obesity and Cardiometabolic Risk Stratification in Schoolchildren from Santa Clara
title_fullStr Obesity and Cardiometabolic Risk Stratification in Schoolchildren from Santa Clara
title_full_unstemmed Obesity and Cardiometabolic Risk Stratification in Schoolchildren from Santa Clara
title_short Obesity and Cardiometabolic Risk Stratification in Schoolchildren from Santa Clara
title_sort obesity and cardiometabolic risk stratification in schoolchildren from santa clara
topic obesidad
sobrepeso
factores de riesgo cardiometabólico
niño
cuba
url https://revfinlay.sld.cu/index.php/finlay/article/view/1163
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AT yosvanigarcianobrega obesityandcardiometabolicriskstratificationinschoolchildrenfromsantaclara
AT aliannyrodriguezurrutia obesityandcardiometabolicriskstratificationinschoolchildrenfromsantaclara
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