Perfil metabólico comparativo entre pacientes com obesidade infantil do CEMEC e pacientes eutróficos do ambulatório geral de pediatria do Preventório Santa Terezinha

Abstract

Introduction: Brazil has a high prevalence of overweight and obesity, with a significant growth of children with obesity between 6 and 18 years old mainly. Among the consequences, there is a change in the lipid profile, hypertension and early diabetes. This promotes considerable complications in adulthood, such as Metabolic Syndrome. Obesity is identified as one of the main risk factors for altering the metabolic profile in children, hence the importance of establishing epidemiological profiles that facilitate interventions. Objective: Describe the comparative metabolic profile between patients with childhood obesity at CEMEC and eutrophic patients at the general pediatric outpatient clinic, Belém-PA. Methodology: Cross-sectional study of a descriptive character with a quantitative approach. Based on medical records from the childhood obesity outpatient clinic of CEMEC-CESUPA and the General Pediatric Outpatient Clinic of Preventório Santa Terezinha, dated from 2017 to 2019. A chi-square likelihood ratio test was performed, with a significance level adopted for the analysis of the variables: Fasting glycemia, total cholesterol, LDL, HDL, triglycerides in eutrophic and obese men and women aged 5 to 10 years and 10 to 15 years. Results: Children with obesity compared to eutrophic children had a higher blood glucose level of 6.73 mg / dL, a higher cholesterol level of 14.20 mg / dL, a lower HDL level of -3.17 mg / dL, the highest LDL at 11.25 mg / dL and the highest triglyceride level at 36.90 ml / dL in relation to eutrophic. In children with abnormalities, obese men, 10 to 15 years of age, stand out. Conclusion: Most children, obese and eutrophic, had normality in almost all variables except for triglycerides. It was also noticed that, despite the majority being normal, the obese had average values higher than the eutrophic in all variables, except in HDL where they had lower levels.