Evaluación del riesgo cardiovascular en niños y adolescentes obesos atendidos en un hospital de Nivel III de Posadas- Misiones

Abstract

Argentina suffers from an epidemic of non-communicable chronic diseases and a population with cardiovascular risk factors, particularly obesity. In this work, the cardiovascular risk in obese children and adolescents who attended a level III hospital in the city of Posadas, between September 2018 and January 2020, was studied. Eightyone patients were included, age 10 (2-15) years; 51% female. Body mass index was calculated, blood pressure was measured and serum HDLc, LDLc, triglycerides and glucose were determined. A questionnaire was completed on family history of cardiovascular disease, physical activity, tobacco and alcohol consumption. The presence of metabolic syndrome (SAP) according to Argentine Pediatric Society criteria and cardiovascular risk (Alustiza´s score) were identified and the relationship between them was established. Results: severe obesity: 43 (53%) patients; biochemical or clinical family history 27 individuals (33%); insufficient physical activity: 57 (70%) patients; tobacco and/or alcohol consumption: absent; blood pressure >p95: 11 individuals (14%). Fifty one patients (63%) had some dyslipidemia, 4 (5%) had hyperglycemia; metabolic syndrome was observed in 26 (32%) and 25 (31%) at medium/high cardiovascular (CV) risk. No association was found between CV risk by Alustiza score and metabolic syndrome. Since the pediatric population has cardiovascular risk factors and components of metabolic syndrome, it is important to search for and validate scores to measure this risk.