Analysis of the triglyceride/HDL-cholesterol ratio in adolescents and relationships with abdominal obesity and other anthropometric parameters: data from the erica project in Recife-PE
Abstract
Evidence suggests that inadequate dietary patterns and sedentary lifestyle during adolescence may lead to excessive weight gain, which is associated with increased cardiovascular risk. The triglyceride/HDL-cholesterol ratio seems to a be a strong predictor of atherosclerotic disease allowing a rapid metabolic screening of individuals in different age groups. Objective: The aim of this study was to evaluate the triglyceride/HDL-cholesterol ratio of adolescents enrolled in public schools of Recife/Pernambuco and investigate its relationships with abdominal obesity and other anthropometric parameters. Materials and Methods: Cross-sectional study with 674 adolescents who participated of the Study of Cardiovascular Risks in Adolescents (ERICA) in the city of Recife-Pernambuco. We obtained body mass index by age, waist/height ratio (≥0,5) and waist circumference (P90). The triglyceride/ HDL-cholesterol ratio was classified according to the 50th percentile of the distribution. Results: The final sample was representative for approximately 59,000 adolescents, where 50.4% of the individuals evaluated were male and 27.6% were overweight according to body mass index by age. Obese adolescents had 3.62-fold higher chances of presenting triglyceride/HDL-cholesterol ratio above the median. Conclusion: Obesity contributed with greater chances for high values of the triglyceride/HDL-cholesterol ratio. The results of this research can contribute to the development of strategies aimed at promoting and protecting cardiovascular health in adolescents, in order to encourage changes in lifestyle and early adoption of healthier eating habits.
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