Banner Portal
Síndrome metabólica e educação física escolar
PDF

Palavras-chave

Síndrome metabólica. Educação física escolar. Saúde coletiva.

Como Citar

CAHLI, Gustavo Monnerat; GUIMARÃES, Thiago Teixeira; OLIVEIRA, Alexandre Palma de. Síndrome metabólica e educação física escolar. Conexões, Campinas, SP, v. 11, n. 1, p. 124–143, 2013. DOI: 10.20396/conex.v11i1.8637634. Disponível em: https://periodicos.sbu.unicamp.br/ojs/index.php/conexoes/article/view/8637634. Acesso em: 5 jul. 2024.

Resumo

Síndrome metabólica é a designação atribuída a um conjunto de alterações fisiológicas no metabolismo humano que aumenta drasticamente o risco de desenvolver doenças cardiovasculares e diabetes, patologias que são as principais causas de morbidez emortalidade atualmente. Um dos grupos frequentemente atingidos é o de crianças e jovensem idade escolar. Diversos estudos epidemiológicos e biológicos sugerem que a prática de atividades físicas pode melhorar significativamente esse quadro clínico, sendo uma importante ferramenta para o seu controle e tratamento, gerando saúde, menos sofrimento e redução de gastos públicos em saúde. Neste contexto, os objetivos do presente estudo são: a) rever a literatura sobre síndrome metabólica, no que diz respeito aos aspectos fisiopatológicos e epidemiológicos envolvendo crianças e jovens; b) discutir o papel da atividade física para a prevenção primária e secundária, bem como a relevância e as dificuldades de atuação do profissional de educação física escolar em seu ambiente de trabalho. Concluímos que a síndrome metabólica tem se intensificado epidemicamente e combater a inatividade física é uma necessidade urgente. Políticas que exaltem a educação física escolar e o seu profissional podem contribuir para a cultivação de hábitos saudáveis e a promoção do ser humano.
https://doi.org/10.20396/conex.v11i1.8637634
PDF

Referências

ALBERTI, K. G. et al. The metabolic syndrome: a new worldwide definition. Lancet, London, v. 366, p. 1059-1062, 2005.

SEKI, M.; MATSUO, T.; CARRILHO, A. J. Prevalence of metabolic syndrome and associated risk factors in brazilian schoolchildren. Public Health Nutrition, v. 12, n. 7, p. 947-952, july 2009.

CHEN, W.; BERENSON, G. S. Metabolic syndrome: definition and prevalence in children. Jornal de Pediatria, Rio de Janeiro, v. 83, n. 1, 2007.

SCHOLZE, J. et al. Epidemiological and economic burden of metabolic syndrome and its consequences in patients with hypertension in germany, spain and italy; a prevalence-based model. BMC Public Health, v.10, p. 529, 2010.

SALMON, J.; TIMPERIO, A. Prevalence, trends and environmental influences on child and youth physical activity. Medicine and Sport Science, v. 50, p.183-199, 2007.

HASLAM, D. W.; JAMES, W. P. Obesity. Lancet, London, v. 366, p.1197-1209, 2005.

BRANDÃO, A. P. et al. Management of metabolic syndrome in young population. American Journal of Therapy, v.15, p. 356-361, 2008.

HALPERN, A. et al. Metabolic syndrome, dyslipidemia, hypertension and type 2 diabetes in youth: from diagnosis to treatment. Diabetology & Metabolic Syndrome, n. 2, p. 55, 2010.

LEÃO, L. S. Nutritional interventions in metabolic syndrome: a systematic review. Arquivos Brasileiros de Cardiologia, São Paulo, v. 97, n. 3, p. 260-265, 2011.

MISIGOJ-DURAKOVIĆ, M.; DURAKOVIĆ, Z. The early prevention of metabolic syndrome by physical exercise. Collegium Antropologicum, v. 33, n. 3, p. 759-764, 2009.

OSHIDA, Y. Effects of exercise-training on metabolic syndrome. Nihon Rinsho, v. 64, suppl 9, p. 584-588, 2006.

MCCALL, A.; RAJ, R. Exercise for prevention of obesity and diabetes in children and adolescents. Clinics in Sports Medicine, v. 28, p. 393-421, 2009.

NAGATOMO, F. et al. The effects of running exercise on oxidative capacity and pgc-1α mrna levels in the soleus muscle of rats with metabolic syndrome. Journal of Physiology Science, v. 62, n. 2, p. 105-114, 2012.

PESCATELLO, L. S. et al. The metabolic syndrome and the immediate antihypertensive effects of aerobic exercise: a randomized control design. BMC Cardiovascular Disorders,v. 8, p. 12, 2008.

POTTEIGER, J. A. et al. Resistance exercise and aerobic exercise when paired with dietary energy restriction both reduce the clinical components of metabolic syndrome in previously physically inactive males. European Journal of Applied Physiology, Heidelberg, v. 112, n. 6, p. 2035-2044, 2012.

SOARES-MIRANDA, L. et al. Metabolic syndrome, physical activity and cardiac autonomic function. Diabetes Metabolism Research and Reviews, 2012

SVACINOVÁ H. Exercise therapy for patients with metabolic syndrome. Vnitriní Lékarstvi, v. 53, n. 5, p. 540-544, 2007.

AZAMBUJA, M. I. et al. Economic burden of severe cardiovascular diseases in Brazil: an estimate based on secondary data. Arquivos Brasileiros de Cardiologia, São Paulo, v. 91, n. 3, p. 148-155, p. 163-171, 2008.

BIELEMANN, R.; KNUTH, A.; HALLAL, P. Atividade física e redução de custos por doenças crônicas ao sistema único de saúde; physical activity and cost savings for chronic diseases to the sistema único de saúde. Revista Brasileira de Atividade Física & Saúde, Londrina, v. 15, n.1, p. 9-14, 2010.

ORFEI, J. M.; TAVARES, V. P. Promoção da saúde na escola através das aulas de Educação Física. Campinas: Ed. da Unicamp, 2007.

DAMIÃO, R. et al. Impact of a lifestyle intervention program on metabolic, anthropometrical and dietary profile of Japanese-Brazilians with and without metabolic syndrome. Arquivos Brasileiros de Endocrinologia e Metabologia, São Paulo, v. 55, n. 2, p. 134-145, mar. 2011.

GUINHOUYA, B. C. et al. Evidence of the influence of physical activity on the metabolic syndrome and/or on insulin resistance in pediatric populations: a systematic review. International Journal Pediatric and Obesity, v. 6, n. 5-6, p. 361-388, oct. 2011.

JAGO, R. et al. Healthy intervention: fitness, physical activity, and metabolic syndrome results. Medicine and Science in Sports and Exercise, Hagerstown, v. 43, n. 8, p. 1513-1522, aug. 2011.

MUSTAFA, Z. H. A Educação Física e a educação para a saúde nas escolas públicas da cidade de Dourados/MS. 2006. 188f. Dissertação (Mestrado em Ciências da Saúde) – Universidade de Brasília, Brasília, 2006.

CAGAMPANG, F. R.; POORE, K. R.; HANSON, M. A. Developmental origins of the metabolic syndrome: body clocks and stress responses. Brain Behavior and Immunity, Orlando, v. 25, n. 2, p. 214-220, feb. 2011.

CAMPANA, E. M. et al. Blood pressure in young individuals as a cardiovascular risk marker: the Rio de Janeiro study. Arquivos Brasileiros de Cardiologia, São Paulo, v. 93, n. 6, p. 608-615, p. 657-665, dec. 2009.

GRUNDY, S. M. et al. Cardiorespiratory fitness and metabolic risk. American Journal of Cardiology, New York, v. 109, p. 988-993, jan. 2012.

RODRIGUES, A. N. et al. Cardiovascular risk factors, their associations and presence of metabolic syndrome in adolescents. Jornal de Pediatria, Rio de Janeiro, v. 85, n. 1, p. 55-60, 2009.

SCHROEN, B.; HEYMANS, S. Small but smart--microRNAs in the centre of inflammatory processes during cardiovascular diseases, the metabolic syndrome, and ageing. Cardiovascular Research, London, nov. 2011.

STABELINI NETO, A. et al. Physical activity, cardiorespiratory fitness, and metabolic syndrome in adolescents: a cross-sectional study. BMC Public Health, v. 11, p. 674, 2011.

FERREIRA, A. P.; NÓBREGA, O. E. T.; FRANÇA, N. M. Association of body mass index and insulin resistance with metabolic syndrome in Brazilian children. Arquivos Brasileiros de Cardiologia, São Paulo, v. 93, n. 2, p. 147-153, aug. 2009.

FERREIRA, A. P. et al. Prediction of metabolic syndrome in children through anthropometric indicators. Arquivos Brasileiros de Cardiologia, São Paulo, v. 96, n. 2, p. 121-125, feb. 2011.

FONSECA, F. L. et al. Overweight and cardiovascular risk among young adults followed-up for 17 years: the Rio de Janeiro study, Brazil. Arquivos Brasileiros de Cardiologia, São Paulo, v. 94, n. 2, p. 193-201, p. 207-215, p.196-204, feb. 2010.

WEISS, R. et al. Obesity and the metabolic syndrome in children and adolescents. New England Journal of Medicine, Waltham, v. 350, n. 23, p. 2362-2374, jun. 2004.

ALVAREZ, M. M. et al. Insulin resistance in Brazilian adolescent girls: association with overweight and metabolic disorders. Diabetes Research and Clinical Practice, Amsterdam, v. 74, n. 2, p. 183-188, nov. 2006.

SILVA, R. C. et al. Metabolic syndrome and insulin resistance in normal glucose tolerant brazilian adolescents with family history of type 2 diabetes. Diabetes Care, Alexandria, v. 28, n. 3, p. 716-718, mar. 2005.

STRUFALDI, M. W.; DA SILVA, E. M.; PUCCINI, R. F. Insulin resistance among Brazilian schoolchildren: association with risk factors for cardiovascular diseases. Acta Paediatrica, Oslo, v. 98, n. 10, p. 1646-1650, oct. 2009.

SUNG, K. C. et al. Elevated fasting insulin predicts the future incidence of metabolic syndrome: a 5-year follow-up study. Cardiovascular Diabetology, v. 10, p. 108, 2011.

AIZAWA, K. et al. Effects of lifestyle modification on central artery stiffness in metabolic syndrome subjects with pre-hypertension and/or pre-diabetes. Diabetes Research and Clinical Practice, Amsterdam, v. 83, n. 2, p. 249-256, feb. 2009.

JIALAL, I. et al. Increased toll-like receptor activity in patients with metabolic syndrome. Diabetes Care, Alexandria, feb. 2012.

PARRETT, A. L. et al. Adiposity and aerobic fitness are associated with metabolic disease risk in children. Applied Physiology Nutrition and Metabolism, v. 36, n. 1, p. 72-79, feb. 2011.

PERGHER, R. N. et al. Is a diagnosis of metabolic syndrome applicable to children? Jornal de Pediatria, Rio de Janeiro, v. 86, n. 2, p. 101-108, mar./apr. 2010.

MANCINI, M. C. Metabolic syndrome in children and adolescents: criteria for diagnosis. Diabetol and Metabolic Syndrome, v. 1, n. 1, p. 20, 2009.

BUFF, C. D. G. et al. Freqüência de síndrome metabólica em crianças e adolescentes com sobrepeso e obesidade. Revista Paulista de Pediatria, São Paulo, v. 25, n. 3, p. 221-226, set. 2007.

OGDEN, C. L. et al. Prevalence of obesity and trends in body mass index among US children and adolescents, 1999-2010. JAMA, Chicago, v. 307, n. 5, p. 483-490, feb. 2012.

MORAES, A. C. et al. Prevalence of metabolic syndrome in adolescents: a systematic review. Cadernos de Saude Pública, Rio de Janeiro, v. 25, n. 6, p. 1195-1202, jun. 2009.

DE FERRANTI, S. D. et al. Prevalence of the metabolic syndrome in American adolescents: findings from the Third National Health and Nutrition Examination Survey. Circulation, Baltimore, v. 110, n. 16, p. 2494-2497, oct. 2004.

SCHWANDT, P. et al. A three-country study on the components of the metabolic syndrome in youths: the BIG study. International Journal of Obesity, Washington, v. 5, n. 4, p. 334-341, aug. 2010.

WORLD HEALTH ORGANIZATION (WHO). Physical inactivity: a global public health problem. Washington, 2008.

MICHAUD, C. M.; MURRAY, C. J.; BLOOM, B. R. Burden of disease: implications for future research. JAMA, Chicago, v. 285, n. 5, p. 535-539, feb. 2001.

ANDERSEN, L. B. et al. Physical activity and cardiovascular risk factors in children. British Journal of Sports Medicine, Loghborough, v. 45, n. 11, p. 871-876, sept. 2011.

LEE, D. C. et al. Changes in fitness and fatness on the development of cardiovascular disease risk factors hypertension, metabolic syndrome, and hypercholesterolemia. Journal of the American College of Cardiology, New York, v. 59, n. 7, p. 665-672, feb. 2012.

VARO, J. J. et al. Distribution and determinants of sedentary lifestyles in the European Union. Internatoional Journal of Epidemiology, Oxford, v. 32, n. 1, p. 138-146, feb. 2003.

PITANGA, F. J. G. Prevalência e fatores associados ao sedentarismo no lazer em adultos. Cadernos de Saúde Pública, Rio de Janeiro, v. 21, n. 3, p. 870-877, 2005.

RADAK, Z.; CHUNG, H. Y.; GOTO, S. Systemic adaptation to oxidative challenge induced by regular exercise. Free Radical Biology & Medicine, New York, v. 44, n. 2, p. 153-159, jan. 2008.

BOOTH, F. W.; CHAKRAVARTHY, M. V.; SPANGENBURG, E. E. Exercise and gene expression: physiological regulation of the human genome through physical activity. Journal of Physiology, Cambridge, v. 543, n. pt 2, p. 399-411, sept. 2002.

SALTIEL, A. R. New perspectives into the molecular pathogenesis and treatment of type 2 diabetes. Cell, Cambridge, v. 104, n. 4, p. 517-529, feb. 2001.

ROPELLE, E. R. et al. Acute exercise modulates the Foxo1/PGC-1alpha pathway in the liver of diet-induced obesity rats. Journal of Physiology, Cambridge, v. 587, n. pt. 9, p. 2069-2076, may 2009.

DE LA MONTE, S. M. Insulin resistance and Alzheimer's disease. BMB Reports, Korea, v. 42, n. 8, p. 475-481, aug. 2009.

DE FELICE, F. G. et al. Protection of synapses against Alzheimer's-linked toxins: insulin signaling prevents the pathogenic binding of abeta oligomers. Proceedings of the National Academy of Sciences of the United States of America, v. 106, n. 6, p. 1971-1976, feb. 2009.

DESLANDES, A. et al. Exercise and mental health: many reasons to move. Neuropsychobiology, Switzerland, v. 59, n. 4, p. 191-198, 2009.

SATO, Y. et al. Clinical aspects of physical exercise for diabetes/metabolic syndrome. Diabetes Research and Clinical Practice, v. 77, suppl 1, p. S87-91, sept. 2007.

KIM, Y.; LEE, S. Physical activity and abdominal obesity in youth. Applied Physiology, Nutrition and Metabolism, v. 34, n. 4, p. 571-581, aug 2009.

NEUMANN, N. U.; FRASCH, K. Coherences between the metabolic syndrome, depression, stress and physical activity. Psychiatrische Praxis, v. 36, n. 3, p. 110-114, apr. 2009.

HOLMES, M. E. et al. Physical activity, stress, and metabolic risk score in 8- to 18-year-old boys. Journal Phys Act Health, v. 5, n. 2, p. 294-307, mar. 2008.

MORRIS, H. H. The role of school physical education in public health. Research Quarterly and Exercise in Sport, v. 62, n. 2, p. 143-147, jun. 1991.

TORRES, H. D. C.; HORTALE, V. A.; SCHALL, V. A experiência de jogos em grupos operativos na educação em saúde para diabéticos. Cadernos de Saúde Pública, Rio de Janeiro, v. 19, n. 4, p. 1039-1047, ago. 2003.

COPPEN, A. M.; RISSER, J. A.; VASH, P. D. Metabolic syndrome resolution in children and adolescents after 10 weeks of weight loss. Journal Cardiometab Syndr, v. 3, n. 4, p. 205-210, 2008.

GUINHOUYA, B. C. Physical activity in preventing metabolic syndrome in children. Medicine Science, Paris, v. 25, n. 10, p. 827-833, oct. 2009.

MICHELI, L. et al. Fitness and health of children through sport: the context for action. British Journal of Sports Medicine, Loughborough, v. 45, n. 11, p. 931-936, sept. 2011.

SUBIRATS BAYEGO, E.; SUBIRATS VILA, G.; SOTERAS MARTÍNEZ, I. Exercise prescription: indications, dosage and side effects. Medicina Clinica, Barcelona, v. 138, n. 1, p. 18-24, jan. 2012.

TANAKA, K. et al. Exercise prescription for people with metabolic syndrome. Nihon Rinsho: japanese journal of clinical medicine, v. 64, suppl. 9, p. 574-579, dec. 2006.

O periódico Conexões: Educação Física, Esporte e Saúde utiliza a licença do Creative Commons (CC), preservando assim, a integridade dos artigos em ambiente de acesso aberto.

Downloads

Não há dados estatísticos.