DYSLIPIDEMIA AMONG OBESE ADOLESCENTS FOLLOWED IN A HEBIATRY PROGRAM

Abstract

To determine and describe the lipid profile ofobese adolescents followed in a Hebiatry program. This is a retrospective observational study with obese adolescents enrolled in the Hebiatry program ofthe “Vila Lobato” Community and Social Center (C.M.S.C.V.L.), Faculty of Medicine ofRibeirão 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 ofthe Brazilian Society ofCardiology (2005). To compare the variables among sex we used the Student t- test, Fisher exact test and chi-square test, with the level of significance 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 ofdyslipidemia was 90.5%. Only the average concentrations ofLow Density LipoproteinCholesterol 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 ofdyslipidemia 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.

Keywords

• Adolescents
• obesity
• hypertriglyceridemia
• hypercholesterolemia