DYSLIPIDEMIA AMONG OBESE ADOLESCENTS FOLLOWED IN A HEBIATRY PROGRAM Dislipidemia entre os adolescentes obesos seguidos em um programa de Hebiatria.

2013 
To determine and describe the lipid profi le of obese adolescents followed in a Hebiatry program. This is a retrospective observational study with obese adolescents enrolled in the Hebiatry program of the “Vila Lobato” Community and Social Center (C.M.S.C.V.L.), Faculty of Medicine of Ribeirao Preto. We analyzed weight, height and laboratory results (triglycerides, total cholesterol and fractions) obtained from the medical records. The cut-off points for abnormal lipid levels were used according to the guidelines of the Brazilian Society of Cardiology (2005). To compare the variables among sex we used the Student t- test, Fisher exact test and chi-square test, with the level of signifi cance set at 5%. We studied 178 obese adolescents, 91 (51%) males and 87 (49%) females. Age ranged from 10 years and 6 months to 19 years and 10 months for females and from 10 years and 3 months to 19 years and 6 months for males. The frequency of dyslipidemia was 90.5%. Only the average concentrations of Low Density Lipoprotein- Cholesterol were within normal limits. The frequency of changes observed in laboratorial determinations to males and females were distributed as follows: total cholesterol (28.9%/24.4%), Low Density Lipoprotein-cholesterol (LDL-c) (7.2%/2.2%), triglycerides (25.3%/24.4%) and High Density Lipoprotein-cholesterol (HDL-c) (69.8%/ 60.4%). The diagnosis of dyslipidemia in obese adolescents requires immediate individual and family action in order to modify eating habits and to encourage physical activity, eliminating factors that may contribute to the emergence of chronic degenerative diseases.
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