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Advisor(s)
Abstract(s)
Enquadramento: A prevalência da síndrome metabólica em idade pediátrica está a
aumentar, em paralelo com as tendências crescentes das taxas de obesidade e
sedentarismo, tornando-se num fator de relevância em saúde pública. As definições
desta síndrome têm dificultado o desenvolvimento de um consenso para os critérios de
diagnóstico na população pediátrica. Embora a patogénese da síndrome metabólica não
esteja completamente compreendida, define-se como o conjunto de alterações
metabólicas que compreendem a resistência à insulina, a intolerância à glicose, a
hipertensão arterial sistémica, aumento de triglicerídeos e diminuição do HDL. Apesar
de serem escassas, as evidências científicas já indicam uma associação entre o
aleitamento materno e o menor risco de desenvolver síndrome metabólica.
Objetivo: Verificar se o aleitamento materno é um fator de proteção para a síndrome
metabólica.
Métodos: Foi realizada uma revisão bibliográfica, utilizando as plataformas
eletrónicas de bases de dados: Medline/Pubmed, Cochrane Library e Scielo, realizando
a avaliação crítica, extração e síntese dos dados, sendo o corpus da investigação
constituído por 11 estudos, selecionados no espaço temporal de 2014 a 2022.
Resultados: Os resultados evidenciam que o aleitamento materno associou-se
independentemente a componentes da síndrome metabólica. Todavia, não houve
relação clara de dose-resposta entre o aleitamento materno e a redução do risco de
síndrome metabólica. Todos os artigos reforçam a necessidade de realizar mais estudos
sobre a associação entre o aleitamento materno e a síndrome metabólica.
Conclusões: O incentivo à amamentação exclusiva até aos seis meses de vida e como
complemento por um período mínimo de dois anos assumem-se como importantes
medidas de prevenção no combate do sobrepeso e da obesidade pediátrica. Tendo em
conta que ainda não existe consenso quanto ao aleitamento materno poder ser um fator
preventivo da síndrome metabólica em idade pediátrica, sugere-se a realização de um
estudo primário com uma amostra dilatada para que se possa ter um conhecimento
mais efetivo desta realidade.
Background: The prevalence of a metabolic syndrome in pediatric age, in parallel with the increasing trends of obesity and sedentary lifestyle of health incidences in an incidence factor is in public health. This syndrome makes it difficult to develop a consensus for diagnostic criteria in the pediatric population. Although the set of metabolic alterations is not completely understood, it is defined as a syndrome of increased resistance to insulin, glucose, systemic arterial hypertension and an increase in HDL. Despite being limited, evidence already indicates an association between maternal risk and lower risk of metabolic development. Objective: To verify if breastfeeding has a preventive factor for metabolic syndrome. Methods: A bibliographic review using as electronic platforms of database studies: Medline/Pubmed and Cochrane, using a critical evaluation, library and data synthesis, with the research corpus consisting of 11 studies, selected from 2014 to 2022. Results: The results show that breastfeeding was independently associated with components of metabolic syndrome. However, there was no clear answer of the relationship between breastfeeding and reduced risk of metabolic syndrome. All articles reinforce the need for further studies on the association between breastfeeding and metabolic syndrome. Conclusions: Encouraging exclusive breastfeeding for up to six months of life and supplementation for a minimum period of two years are important preventive measures in the fight against overweight and pediatric obesity. Bearing in mind that there is still no consensus as to whether breastfeeding can be a preventive factor for the metabolic syndrome in pediatric age, it is suggested to carry out a primary study with a dilated sample in order to have a more effective knowledge of this reality.
Background: The prevalence of a metabolic syndrome in pediatric age, in parallel with the increasing trends of obesity and sedentary lifestyle of health incidences in an incidence factor is in public health. This syndrome makes it difficult to develop a consensus for diagnostic criteria in the pediatric population. Although the set of metabolic alterations is not completely understood, it is defined as a syndrome of increased resistance to insulin, glucose, systemic arterial hypertension and an increase in HDL. Despite being limited, evidence already indicates an association between maternal risk and lower risk of metabolic development. Objective: To verify if breastfeeding has a preventive factor for metabolic syndrome. Methods: A bibliographic review using as electronic platforms of database studies: Medline/Pubmed and Cochrane, using a critical evaluation, library and data synthesis, with the research corpus consisting of 11 studies, selected from 2014 to 2022. Results: The results show that breastfeeding was independently associated with components of metabolic syndrome. However, there was no clear answer of the relationship between breastfeeding and reduced risk of metabolic syndrome. All articles reinforce the need for further studies on the association between breastfeeding and metabolic syndrome. Conclusions: Encouraging exclusive breastfeeding for up to six months of life and supplementation for a minimum period of two years are important preventive measures in the fight against overweight and pediatric obesity. Bearing in mind that there is still no consensus as to whether breastfeeding can be a preventive factor for the metabolic syndrome in pediatric age, it is suggested to carry out a primary study with a dilated sample in order to have a more effective knowledge of this reality.
Description
Keywords
Adolescente Aleitamento Materno Criança Síndrome Metabólica