Cardiovascular and Diabetes Risk in Preschoolers

Martha Nydia Ballesteros-Vásquez, Saraí García-Gámez, Elizabeth Artalejo-Ochoa, Bianca Vargas-Tequida, José Antonio Ponce-Martínez, Alma Elizabeth Robles-Sardin, María Isabel Grijalva-Haro
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Abstract

Objective: To perform an exploratory analysis of possible alterations in clinical markers of cardiovascular risk and type 2 diabetes in preschoolers living in urban and suburban areas of the municipality of Hermosillo, Sonora, Northwest Mexico. Methods: An observational and cross-sectional study was carried out on children from urban and suburban areas. Their weight, height, waist circumference, body fat percentage, and blood pressure were measured, and their lipid profile, glucose, and insulin concentrations were evaluated. Results: Eighty-two children with an average age of five were included in the study; 48 from the conurbation and 34 from the urban area. We found that malnutrition, overweight, and high body fat percentage (27 ± 0.52) coexist. In the suburban area, there was a higher percentage of children with pre-hypertension and alterations in lipids: elevated triglycerides (35%) and low HDL-c (25%) (p < 0.01). In the urban area, there was a higher percentage of children with altered glucose (12%), elevated insulin concentrations, and insulin resistance. Conclusion: The findings of this study show that cardiovascular risk factors and type 2 diabetes are prevalent in children aged three to six living in urban and conurbation areas of Hermosillo, Sonora.
学龄前儿童的心血管和糖尿病风险
目的:对生活在墨西哥西北部索诺拉州埃莫西约市城市和郊区的学龄前儿童心血管风险和2型糖尿病临床标志物可能发生的变化进行探索性分析。方法:对城市和郊区儿童进行观察性和横断面研究。测量了他们的体重、身高、腰围、体脂率和血压,并评估了他们的血脂、葡萄糖和胰岛素浓度。结果:82名平均年龄为5岁的儿童被纳入研究;48人来自市区34人来自市区我们发现营养不良、超重和高体脂率(27±0.52)并存。在郊区,有高血压前期和血脂改变的儿童比例更高:甘油三酯升高(35%)和低HDL-c (25%) (p < 0.01)。在城市地区,出现血糖改变、胰岛素浓度升高和胰岛素抵抗的儿童比例更高(12%)。结论:本研究结果表明,心血管危险因素和2型糖尿病在3至6岁的儿童中普遍存在,这些儿童生活在Hermosillo, Sonora的城市和城市地区。
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