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Instituto Nacional de Salud Pública

2008, Número 3

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salud publica mex 2008; 50 (3)


Programa para mejorar marcadores de riesgo cardiovascular en escolares mexicanos

Perichart-Perera O, Balas-Nakash M, Ortiz-Rodríguez V, Morán-Zenteno JA, Guerrero-Ortiz JL, Vadillo-Ortega F

Idioma: Español
Referencias bibliográficas: 39
Paginas: 218-226
Archivo PDF: 180.83 Kb.


RESUMEN

Objetivo. Evaluar el efecto de un programa de actividad física sobre los marcadores de riesgo cardiovascular en escolares mexicanos. Material y métodos. Escolares de dos escuelas públicas de Querétaro (n= 360, 8-14 años) realizaron una rutina de actividad física durante 16 semanas (febrero a mayo de 2006). Se compararon mediciones antropométricas, de presión arterial y química sanguínea, antes y después de la intervención. Resultados. La presión sistólica, los triacilglicéridos y el colesterol total disminuyeron de forma significativa en los escolares. La reducción de los lípidos fue mayor en los escolares con valores iniciales alterados. En niñas con riesgo cardiovascular inicial, el puntaje de conglomerado de riesgo disminuyó en grado considerable. No se observaron cambios en el IMC, circunferencia de cintura e insulina sérica. Conclusiones. La aplicación de una rutina de ejercicio sencilla tiene efectos notorios sobre los indicadores de riesgo cardiovascular en escolares. Estos resultados pueden considerarse un modelo de intervención para paliar los efectos de la obesidad infantil.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Olaiz G, Rivera J, Shamah T, Rojas R, Villalpando S, Hernández M, et al. Encuesta Nacional de Salud y Nutrición 2006. Cuernavaca, México: Instituto Nacional de Salud Pública, 2006.

  2. Perichart-Perera O, Balas-Nakash M, Schiffman-Selechnik E, Barbato-Dosal A, Vadillo-Ortega F. Obesity increases metabolic syndrome risk factors in school-age children from an urban school in Mexico City. J Am Diet Assoc 2007;107:81-91.

  3. Hernandez B, Gortmaker S, Colditz G, Peterson K, Laird N, Parra- Cabrera S. Association of obesity with physical activity, television programs and other forms of video viewing among children in Mexico City. Int J Obes Relat Metab Disord 1999;23(8):845-855.

  4. Freedman D, Dietz W, Srinivasan S, Berenson G. The relation of overweight to cardiovascular risk factors among children and adolescents: The Bogalusa Heart Study. Pediatrics 1999;103:1175-1182.

  5. Weiss R, Dziura J, Burgert T, Tamborlane W, Taksali S, Yeckel C, et al. Obesity and the metabolic syndrome in children and adolescents. N Engl J Med 2004;350(23):2362-2375.

  6. Rodriguez-Moran M, Salazar-Vazquez B, Violante R, Guerrero-Romero F. Metabolic syndrome among children and adolescents aged 10-18 years. Diabetes Care 2004;27(10):2516-2517.

  7. Consensus Statement from the American Heart Association. Dietary recommendations for children and adolescents. A guide for practitioners. Circulation 2005;112:2061-2075.

  8. Bonhauser M, Fernandez G, Puschel K, Yañez F, Montero J, Thompson B, et al. Improving physical fitness and emotional well-being in adolescents of low socioeconomic status in Chile: results of a school based controlled trial. Health Prom Inter 2005;20(2):113-122.

  9. Summerbell C, Waters E, Edmunds LD, Kelly S, Brown T, Campbell K. Interventions for preventing obesity in children (review). The Cochrane Collaboration. USA: Wiley Publishers, 2006.

  10. Froberg K, Andersen L. Mini review: physical activity and fitness and its relations to cardiovascular risk factors in children. Inter J Obes 2005;29:35-39.

  11. Tolfrey K, Jones A, Campbell I. The effect of aerobic exercise training on the lipid-lipoprotein profile of children and adolescents. Sports Med 2000;29(2):99-112.

  12. Tolfrey K, Jones AM, Campbell IG. Lipid-lipoproteins in children: an exercise dose-response study. Med Sci Sports Exerc 2004;36(3):418-427.

  13. Kelley G, Kelley K. Aerobic exercise and lipids and lipoproteins in children and adolescents: a meta-analysis of randomized controlled trials. Atherosclerosis 2007;191:447-453.

  14. Centro Nacional de Estadísticas de Salud y el Centro Nacional para la Prevención de Enfermedades Crónicas y Promoción de Salud. Tablas de percentiles del Índice de Masa Corporal por edad y sexo para niños y niñas de 2 a 20 años de edad. Estados Unidos, 2000. Disponible en: http://www.cdc.gov/growthcharts/.

  15. Lohman T. Advances in body composition assessment. Champaign IL: Human Kinetics Publishers, 1992.

  16. National Institutes of Health. National Heart, Lung and Blood Institute. Clinical Guidelines on the Identification, Evaluation and Treatment of Overweight and Obesity in Adults. The Evidence Report. United States, 1998. Disponible en: http://www.nhlbi.nih.gov/guidelines/obesity/ob_home.htm.

  17. Esmaillzadeh A, Mirmiran P, Azizi F. Clustering of metabolic abnormalities in adolescents with the hypertriglyceridemic waist phenotype. Am J Clin Nutr 2006;83(1):36-46.

  18. Maffeis C, Pietrobelli A, Grezzani A, Provera S, Tato L. Waist circumference and cardiovascular risk factors in prepubertal children. Obes Res 2001;9(3):179-187.

  19. Pickering T, Hall J, Appel L, Falkner B, Graves J, Hill M, et al. Recommendations for blood pressure measurement in humans and experimental animals. A statement for professionals from the Subcommittee of Professional and Public Education of the American Heart Association Council on high blood pressure research. Hypertension 2005;45:142-161.

  20. National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics 2004;114(2):555-576.

  21. Frieldwald W, Levy R, Frederickson D. Estimation of the concentration of low density lipoprotein cholesterol in plasma without use of preparative ultracentrifuge. Clin Chem 1972;18:499-502.

  22. Trinder P. Determination of glucose in blood using glucose oxidase with an alternative oxygen acceptor. Ann Clin Biochem 1969;6:24.

  23. Keskin M, Kurtoglu S, Kendirci M, Atabek M, Yazici C. Homeostasis model assessment is more reliable than the fasting glucose/insulin ratio and quantitative insulin sensitivity check index for assessing insulin resistance among obese children and adolescents. Pediatrics 2005;115:500-503.

  24. Conwell L, Trost S, Brown W, Batch J. Indexes of insulin resistance and secretion in obese children and adolescents. Diabetes Care 2004;27: 314-319.

  25. Bayne-Smith M, Fardy P, Azzollini A, Magel J, Schmitz K, Agin D. Improvements in heart health behaviors and reduction in coronary artery disease risk factors in urban teenaged girls through a school-based intervention: the PATH Program. Am J Public Health 2004;94(9):1538-1543.

  26. Hansen H, Froberg K, Hyldebrandt N, Nielsen J. A controlled study of eight months of physical training and reduction of blood pressure in children: the Odense schoolchild study. BMJ 1991;303:682-685.

  27. Nader P, Sallis J, Patterson T, Abramson I, Rupp J, Senn K, et al. A family approach to cardiovascular risk reduction: results from the San Diego Family Health Program. Health Educ Q 1989;16(2):229-244.

  28. Craig S, Bandini L, Lichtenstein A, Schaefer E, Dietz W. The impact of physical activity on lipids, lipoproteins, and blood pressure in preadolescent girls. Pediatrics 1996;98(3):389-395.

  29. Nemet D, Barkan S, Epstein Y, Fiedland O, Kowen G, Eliakim A. Short and long term beneficial effects of a combined dietary behavioral physical activity intervention for the treatment of childhood obesity. Pediatrics 2005;115:443-449.

  30. Sudi K, Gallistl , Tröbinger M, Payerl D, Aigner R, Borkenstein M. The effects of changes in body mass and subcutaneous fat on the improvement in metabolic risk factors in obese children after short-term weight loss. Metabolism 2001;50(11):1323-1329.

  31. Wei C, Srinivasan R, Elkasabany A, Berenson G. Cardiovascular risk factors clustering features of insulin resistance syndrome (syndrome X) in a biracial (black-white) population of children, adolescents, and young adults: The Bogalusa Heart Study. Am J Epidemiology 1999;150(7):667-674.

  32. Andersen L, Sardinha L, Froberg K, Ekelund U, Brage S, Anderssen S. Physical activity and clustered cardiovascular risk in children: a crosssectional study (The European Youth Heart Study). Lancet 2006;368: 299-304.

  33. Flynn M, McNeil D, Maloff B, Mutasingwa D, Wu M, Ford C, et al. Reducing obesity and related chronic disease risk in children and youth: a synthesis of evidence with best practice recommendations. Obesity Rev 2006;7(1):S7-S66.

  34. Marrugat J, Elosua R, Covas M, Molina L, Rubies-Prat J. Amount and intensity of physical activity, physical fitness and serum lipids in men. Am J Epidemiol 1996;143:562-569.

  35. Ekelund U, Griffin S, Wareham S. Physical activity and metabolic risk in individuals with a family history of type 2 diabetes. Diabetes Care 2007;30(2):337-342.

  36. Thompson P, Rader D. Does exercise increase HDL cholesterol in those who need it the most? Arter Thromb Vasc Biol 2001;21:1097-2000.

  37. Goran M, Gower B. Longitudinal study on pubertal insulin resistance. Diabetes 2001;50:21444-21450.

  38. Eisenmann J. Blood lipids and lipoproteins in child and adolescent athletes. Sports Med 2002;32(5):297-307.

  39. Eisenmann J, Malina R. Age-related changes in subcutaneous adipose tissue of adolescent distance runners and association with blood lipoproteins. Ann Hum Biol 2002;29(4):389-397.




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