Coexistence of risk factors for cardiovascular diseases among brazilian adolescents: individual characteristics and school environment
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Universidade Federal de Minas Gerais
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Artigo de periódico
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Membros da banca
Resumo
Cardiovascular diseases (CVD) share common and modifiable risk factors; among them,
unhealthy eating, physical inactivity, alcohol intake and smoking habit. However, these fac
tors are not observed in separate and, most often, they influence each other. Risk factors
established during adolescence are highly likely to remain in adult life. The aims of the cur
rent study were to evaluate the prevalence and coexistence of risk factors for CVD, as well
as to investigate individual characteristic of the adolescent and environmental factors asso
ciated with risk factors’ coexistence profiles. This was a cross-sectional, national, school
based epidemiological study that estimated the prevalence of cardiovascular risk factors
andmetabolic syndrome in adolescents aged 12 to 17 years who attended public and pri
vate schools located in Brazilian counties with a population of more than 100 thousand. For
this study, thematic blocks referring to alcohol consumption, eating habits, smoking, and
physical activity were used. The grade of membership method was usedto identify the coex
istence of risk and protective factors for CVD among adolescents. The study analytical sam
ple comprised 71,552 adolescents. Multilevel logistic regression was used to assess the
association between factors influencing the coexistence profile of risk factors for CVD.
Based onadolescent-level variables, has shown that meeting positive criterion for Common
Mental Disorders and not consuming the meals provided by the school have significantly
increased the likelihood of belonging to the CVD-risk profile. On the other hand, school-level
variables, show that studying in private schools and living in economically favored Brazilian
regions have increased adolescents’ likelihood of belonging to the CVD-risk profile. These
results can be used to substantiate the inclusion of food environment variables in public poli
cies focused on preventing CVD development among Brazilian adolescents.
Abstract
Assunto
Doenças Cardiovasculares, Adolescente
Palavras-chave
Doenças Cardiovasculares, Adolescente
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Curso
Endereço externo
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0254838