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000745599.pdf: 1529654 bytes, checksum: 29805554bc4c5b99d3c809aba4402c67 (MD5) / A obesidade e a osteoporose são duas morbidades que afetam a população geral, consideradas graves problemas de saúde pública. Sabe-se que, o excesso de peso se instala em idades cada vez mais precoces e que, com o ganho em sobrevida, o envelhecimento populacional resulta em aumento da prevalência da osteopenia/osteoporose e das fraturas delas resultantes. Investigar o impacto do excesso de gordura corporal sobre a aquisição da massa óssea de adolescentes de ambos os sexos, de 10 a 19 anos, considerados sobrepesos, obesos e superobesos. Adolescentes de 10 a 19 anos, matriculados na condição de casos novos no Ambulatório de Medicina do Adolescente da Faculdade de Medicina de Botucatu – UNESP, foram avaliados clínica e nutricionalmente, obtendo-se peso, estatura e Índice de Massa Corpórea (IMC). Aqueles que apresentavam IMC ≥85o e <95o percentil das curvas do Centers for Disease Control and Prevention (CDC, 2000) foram considerados sobrepesos, os que se localizavam igual ou acima do 95opercentil, obesos e os com IMC superior ao 99o percentil, superobesos. Realizou-se inquérito alimentar através do recordatório alimentar de 3 dias e obtida a Idade Óssea pelo Método de Greulich & Pyle (1959). Aqueles considerados sobrepesos, obesos e superobesos realizaram avaliação do Conteúdo Mineral Ósseo (CMO g) e da Densidade Mineral Óssea (DMO g/cm2) por densitometria óssea por atenuação de Raio X de dupla energia (DXA) obtida em Coluna Lombar (L1-L4), Fêmur Proximal, Corpo Subtotal e Corpo Total. Todos os procedimentos foram realizados estando os adolescentes e seus responsáveis cientes e de acordo, tendo assinado o Termo de Consentimento Livre e Esclarecido. Os dados foram analisados segundo ajuste para idade cronológica e óssea, apresentados em médias, medianas, desvios padrão, quartis e limites mínimo e máximo para cada variável. Realizada Análise de Variância para comparação segundo a classificação nutricional ... / Obesity and Osteoporosis are two morbities that affect general population, being considered a great public health issue. It is known that overweight is installed in much more precocious ages and with a longer life expectation, population aging has resulted in the prevalence of osteoporosis and resulting fractures. Investigate the impact of body fatness over the acquisition of bone mass in adolescents of both gender, from 10 to 19 years old, considered to be either overweight, obese and extremely obese. Adolescents from 10 to 19 years old signed up as new cases at the Teen's Medical Clinic of Botucatu Medical School - UNESP, were evaluated clinically and nutritionally as far as weight, height and body mass index (BMI). Those who had shown BMI ≥85th and <95th percentile for their age group according to Centers for Disease Control and Prevention criteria (CDC, 2000) were considered overweight, those who were evaluated on equal or above 95th percentiles, were considered obese, and those who had their BMI superior than 99th percentiles, were considered extremely obese. It was performed a dietary survey through a three day food recall and obtained the bone age through the application of the Greulich & Pyle Method (1959). Those considered overweight, obese and extremely obese performed evaluation about the Bone Mineral Content (BMC g) and Bone Mineral Density (BMD g/cm2) evaluations through Dual Energy Xray Absorptiometry (DXA), obtained in Lumbar Spine (L1-L4), Proximal Femur, Body Subtotal and Body Total. All the procedures were done according to parental and patient approval and agreement by signing a Free Consent Form and have it clarified. Collected data was analyzed according to chronological and bone age adjustments presented in mean, median, quartiles, standard deviation and minimum and maximum limits for each variable. Through a Variance Analysis for comparison according to nutritional classification and Tukey test to find out major ...
Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.unesp.br:11449/108467 |
Date | 21 February 2013 |
Creators | Mosca, Luciana Nunes [UNESP] |
Contributors | Universidade Estadual Paulista (UNESP), Goldberg, Tamara Beres Lederer [UNESP] |
Publisher | Universidade Estadual Paulista (UNESP) |
Source Sets | IBICT Brazilian ETDs |
Language | Portuguese |
Detected Language | English |
Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
Format | 54 f. |
Source | Aleph, reponame:Repositório Institucional da UNESP, instname:Universidade Estadual Paulista, instacron:UNESP |
Rights | info:eu-repo/semantics/openAccess |
Relation | -1, -1 |
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