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Clustering of cardiometabolic risk factors and the continuous cardiometabolic risk score in children from Southern Brazil: a cross-sectional study

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Abstract

Purpose

The present study aimed to verify the clustering of cardiometabolic risk factors for cardiovascular diseases (CVD) and its relationship with the continuous cardiometabolic risk score (cMetS).

Methods

Cross-sectional study with 631 children aged 6 to 9 years. Cardiorespiratory fitness, glucose, systolic blood pressure, total cholesterol/high-density lipoprotein cholesterol ratio, triglycerides, and waist circumference were assessed. The number of children in whom the risk factors were not independently distributed was analyzed. Z-scores were computed for each risk factor to calculate the cMetS.

Results

There was a high proportion of children with clustering of risk factors for CVD. The clustering of risk factors was apparent in 11.3% of the children for four or more risk factors, and 21.9% had three or more risk factors. The cMetS showed a linear relationship with the increase in the number of risk factors. A cMetS value higher than 0.91 indicated clustering of cardiometabolic risk factors amongst children.

Conclusion

The use of clustering of cardiometabolic risk factors identified a high proportion of children with the presence of relevant cardiometabolic alterations. A cMetS value higher than 0.91 (relative to an international standard) indicated higher clustering of cardiometabolic risk factors amongst children.

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Availability of data and material

Data are available under reasonable request with the corresponding author.

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Funding

The present study did not receive funding resources.

Author information

Authors and Affiliations

  1. Graduation Program in Health Promotion, University of Santa Cruz do Sul (UNISC), Av. Independência, 2293 – Zip code: 96816-501, Bairro Universitário, Santa Cruz do Sul, Rio Grande do Sul, Brazil

    Cézane Priscila Reuter, Jane Dagmar Pollo Renner, João Francisco de Castro Silveira & Priscila Tatiana da Silva

  2. Department of Health Sciences, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil

    Cézane Priscila Reuter

  3. Department of Life Sciences, University of Santa Cruz do Sul (UNISC), Santa Cruz do Sul, RS, Brazil

    Jane Dagmar Pollo Renner

  4. Multiprofessional Residency Program in Health. Santa Cruz Hospital, University of Santa Cruz Do Sul (UNISC), Santa Cruz do Sul, RS, Brazil

    Priscila Tatiana da Silva

  5. Research, Innovation and Teaching Unit, Parc Sanitari Sant Joan de Déu, CIBERSAM, Sant Boi de Llobregat, Barcelona, Spain

    Rodrigo Antunes Lima

  6. Department of Kinesiology, Michigan State University, East Lansing, MI, USA

    Karin Allor Pfeiffer

  7. Department of Sports Medicine, Norwegian School of Sport Sciences, Oslo, Norway

    Lars Bo Andersen

  8. Graduation Program in Child and Adolescent Health, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil

    Elza Daniel de Mello

Authors
  1. Cézane Priscila Reuter
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  2. Jane Dagmar Pollo Renner
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  3. João Francisco de Castro Silveira
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  4. Priscila Tatiana da Silva
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  5. Rodrigo Antunes Lima
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  6. Karin Allor Pfeiffer
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  8. Elza Daniel de Mello
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Corresponding author

Correspondence to Cézane Priscila Reuter.

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Ethics approval

The study was approved by the Committee of Ethics in Research with Human Subjects of the University of Santa Cruz do Sul (UNISC), under number 37338314.6.0000.5343.

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All parents or guardians were informed about the study objectives and signed informed consent.

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Reuter, C.P., Renner, J.D.P., de Castro Silveira, J.F. et al. Clustering of cardiometabolic risk factors and the continuous cardiometabolic risk score in children from Southern Brazil: a cross-sectional study. J Diabetes Metab Disord 20, 1221–1228 (2021). https://doi.org/10.1007/s40200-021-00845-9

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