INTERVENÇÕES EDUCATIVAS EM ADOLESCENTES COM RISCO PARA SÍNDROME METABÓLICA: REVISÃO INTEGRATIVA

Antônia Sylca de Jesus Sousa; Amanda Delmondes Brito Fontenele  Fernandes; Mariana Rodrigues da  Rocha; Raylane da Silva  Machado; Ana Roberta Vilarouca da  Silva; Ana Maria Ribeiro dos  Santos; Grazielle Roberta Freitas da  Silva; Elaine Maria Leite Rangel  Andrade

doi:10.31011/reaid-2023-v.97-n.2-art.1761

Autores

Antônia Sylca de Jesus Sousa Universidade Federal do Piauí https://orcid.org/0000-0003-0604-2132
Amanda Delmondes Brito Fontenele Fernandes Universidade Federal do Piauí (UFPI) https://orcid.org/0000-0002-3665-5274
Mariana Rodrigues da Rocha Universidade Federal do Piauí (UFPI) https://orcid.org/0000-0002-4745-9690
Raylane da Silva Machado Universidade Federal do Piauí (UFPI) https://orcid.org/0000-0002-8682-6481
Ana Roberta Vilarouca da Silva Universidade Federal do Piauí (UFPI) https://orcid.org/0000-0001-5087-4310
Ana Maria Ribeiro dos Santos Universidade Federal do Piauí (UFPI) https://orcid.org/0000-0002-5825-5335
Grazielle Roberta Freitas da Silva Universidade Federal do Piauí (UFPI) https://orcid.org/0000-0002-0402-6801
Elaine Maria Leite Rangel Andrade Universidade Federal do Piauí (UFPI) https://orcid.org/0000-0002-1772-7439

DOI:

https://doi.org/10.31011/reaid-2023-v.97-n.2-art.1761

Palavras-chave:

Adolescentes, Educação em saúde, Fatores de risco, Síndrome metabólica

Resumo

Objetivo: identificar os tipos de intervenções educativas existentes e ou utilizadas em adolescentes com risco para síndrome metabólica. Método: trata-se de revisão integrativa nas seguintes bases: MEDLINE, CINAHL, Embase, Web of Science e LILACS, BDENF e Ibecs. A busca por referência cruzadas também foi realizada, a partir dos descritores: Adolescent, Health Education, Risk Factors e Metabolic Syndrome. Resultados: dezenove artigos foram identificados, revisados, sintetizados e analisados criticamente, sendo que os tipos de intervenções educativas para público-alvo foram as não medicamentosas e as medicamentosas e ou orientações no estilo de vida. Considerações finais: os resultados da revisão mostraram que as intervenções educativas, sejam elas medicamentosas ou não medicamentosas, associadas às orientações no estilo de vida, demostraram melhorias nos cinco fatores determinantes da síndrome metabólica e em outros não determinantes, influenciando diretamente a saúde e o bem-estar dos adolescentes.

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Referências

Félix NDC, Nóbrega MML. Metabolic Syndrome: conceptual analysis in the nursing context. Rev. Latino-Am. Enfermagem. 2019;27:e3154. doi: http://dx.doi.org/10.1590/1518-8345.3008.3154

National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) final report. Circulation [Internet]. 2002 [cited Oct 10, 2022];106(25):3143-421. Available from: https://pubmed.ncbi.nlm.nih.gov/12485966/

Arquivos Brasileiros de Cardiologia. I Diretriz Brasileira de Diagnóstico e Tratamento da Síndrome Metabólica. 2005 [cited Oct 10, 2022];84(suppl I). doi: https://doi.org/10.1590/S0066-782X20050007000017

Reisinger C, Nkeh-Chungag BN, Fredriksen PM, et al. The prevalence of pediatric metabolic syndrome—a critical look on the discrepancies between definitions and its clinical importance. Int J Obes. 2021;45:12–24. https://doi.org/10.1038/s41366-020-00713-1

Bitew ZW, Alemu A, Ayele EG, et al. Metabolic syndrome among children and adolescents in low- and middle-income countries: a systematic review and meta-analysis. Diabetol Metab Syndr. 2020;12:93. https://doi.org/10.1186/s13098-020-00601-8

Bitew ZW, Alemu A, Ayele EG, et al. Prevalence of Metabolic Syndrome among Children and Adolescents in High-Income Countries: A Systematic Review and Meta-Analysis of Observational Studies. BioMed Research International. 2021;6661457:24. https://doi.org/10.1155/2021/6661457

Moura IH, Silva AFR, Rocha AESH, Lima LHO, Moreira TMM, Silva ARV. Construction and validation of educational materials for the prevention of metabolic syndrome in adolescents. Rev. Latino-Am. Enfermagem. 2017;25:e2934. doi: http://dx.doi.org/10.1590/1518-8345.2024.2934

Rocha MR, Vale HS, Moreira TMM, Borges JWP, Machado ALM, Silva RV. Validação de cartilha educativa: efeito no conhecimento sobre prevenção da síndrome metabólica em adolescentes. Texto Contexto Enferm [Internet]. 2022;31:e20210074. Disponível em: https://doi.org/10.1590/1980-265X-TCE-2021-0074.

Cortez RMA, Batista AMO, Rocha MR, Santos IMS, Moura JRA, Silva ARV. Students’ knowledge of metabolic syndrome after educational intervention. Rev Bras Enferm [Internet]. 2018;71(Suppl 4):1493-9. doi: http://dx.doi.org/10.1590/0034-7167-2017-0342

Whittemore R, Knafl K. The integrative review: update methodology. J Adv Nurs. 2005;52(5):546-53. doi: http://dx.doi.org/10.1111/j.1365-2648.2005.03621.x

Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan-a web and mobile app for systematic reviews. Syst Rev. 2016;5:210. doi: http://dx.doi.org/ 10.1186/s13643-016-0384-4

Marziale MH. Instrumento para recolección de datos revisión integrativa [Internet]. 2015 [cited Oct 10, 2022]. Available from: http://gruposdepesquisa. eerp.usp.br/sites/redenso/wp-content/uploads/ sites/9/2016/04/ Instrumiento-revision-de-la-litetarura- RedENSO-2017.pdf

Melnyk BM, Fineout-overholt E. Evidence-based practice in nursing and health care: a guide to best practice. Philadelphia: Lippincott, Williams & Wilkins; 2011

Tufanaru C, Munn Z, Aromataris E, Campbell J, Hopp L. Chapter 3: systematic reviews of effectiveness. In: Aromataris E, Munn Z (Editors). JBI manual for evidence synthesis [Internet]. 2020 [cited Oct 10, 2022]. Available from: https://synthesismanual.jbi.global

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ [Internet]. 2021;372:n71. [acesso 2022 Out 21]. Disponível em: https://doi.org/10.1136/bmj.n71

Kang HS, Gutin B, Barbeau P, Owens S, Lemmon CR, Allison J, et al. Physical training improves insulin resistance syndrome markers in obese adolescentes. Med Sci Sports Exerc. 2002;34(12):1920-7. doi: 10.1097/00005768-200212000-00010

Davis JN, Kelly LA, Lane CJ, Ventura EE, Williams CEB, Alexandar KA, et al. Randomized control trial to improve adiposity and insulin resistance in overweight latino adolescents. Obesity (Silver Spring). 2009;17(8):1542-8. doi: http://dx.doi.org/10.1038/oby.2009.19

Leite N, Milano GE, Cieslak F, Lopes WA, Rodacki A, Radominski RB. Effects of physical exercise and nutritional guidance on metabolic syndrome in obese adolescentes. Braz J Phys Ther. 2009;13(1):73-81. doi: https://doi.org/10.1590/S1413-35552009005000009

Wickham EP, Stern M, Evans RK, Bryan DL, Moskowitz WB, Clore JN, et al. Prevalence of the metabolic syndrome among obese adolescents enrolled in a multidisciplinary weight management program: clinical correlates and response to treatment. Metab Syndr Relat Disord. 2009;7(3):179-86. doi: http://dx.doi.org/10.1089/met.2008.0038

Hakanen M, Lagström H, Pahkala K, Sillanmäki L, Saarinen M, Niinikoski H, et al. Dietary and lifestyle counselling reduces the clustering of overweightrelated cardiometabolic risk factors in adolescentes. Acta Paediatr. 2010;99(6):888-95. doi: http://dx.doi.org/10.1111/j.1651-2227.2009.01636.x

Pastor MMC, Pardo MDS, Soto MLF, Castillo JDL, Jiménez FE. Impact of a ‘school-based’ nutrition intervention on anthropometric parameters and the metabolic syndrome in spanish adolescents. Ann Nutr Metab; 2012;61:281-8. doi: http://dx.doi.org/10.1159/000341495

Kelishadi R, Malekahmadi M, Hashemipour M, Soghrati M, Soghrati M, Mirmoghtadaee P, et al. Can a trial of motivational lifestyle counseling be effective for controlling childhood obesity and the associated cardiometabolic risk factors? Pediatr Neonatol. 2012;53(2):90-7. doi: http://dx.doi.org/10.1016/j.pedneo.2012.01.005

Kong AS, Sussman AL, Yahne C, Skipper BJ, Burge MR, Davis SM. School-based health center intervention improves body mass index in overweight and obese adolescents. J Obes. 2013;2013:575016. doi: http://dx.doi.org/10.1155/2013/575016

Bianchini JA, da Silva DF, Nardo CC, Carolino ID, Hernandes F, Nardo N Jr. Multidisciplinary therapy reduces risk factors for metabolic syndrome in obese adolescents. Eur J Pediatr. 2013;172(2):215-21. doi: http://dx.doi.org/10.1007/s00431-012-1865-7

Ryder JR, Vega-López S, Ortega R, Konopken Y, Shaibi GQ. Lifestyle intervention improves lipoprotein particle size and distribution without weight loss in obese latino adolescents. Pediatr Obes. 2013;8(5):e59-63. doi: http://dx.doi.org/10.1111/j.2047-6310.2013.00162.x

Luo B, Yang Y, Nieman DC, Zhang Y, Wang J, Wang R, et al. A 6-week diet and exercise intervention alters metabolic syndrome risk factors in obese chinese children aged 11 e 13 years. J Sport Health Sci. 2013;2:236-41. doi: http://dx.doi.org/10.1016/j.jshs.2013.05. 001

Vásquez F, Díaz E, Lera L, Meza J, Salas I, Rojas P, et al. Impacto del ejercicio de fuerza muscular en la prevención secundaria de la obesidad infantil; intervención al interior del sistema escolar. Nutr Hosp. 2013;28(2):347-56. doi: http://dx.doi.org/10.3305/nh.2013.28.2.6280

Abrams P, Katz LEL, Moore RH, Xanthopoulos MetS, Bishop-Gilyard CT, Wadden TA, Berkowitz RI. Threshold for improvement in insulin sensitivity with adolescent weight loss. J Pediatr. 2014;163(3). doi: http://dx.doi.org/10.1016/j.jpeds.2013.04.003

Nourian M, Kelishadi R, Najimi A. Lifestyle interventions and weight control of adolescents with abdominal obesity: a randomized controlled trial based on health belief model. Iran Red Crescent Med J. 2017;19(2):e30638. doi: http://dx.doi.org/10.5812/IRCMJ.30638

Laguna-Alcaraz AD, Mejía-Rodríguez O, Rendón-Paredes AL, Villa-Barajas R, Sierra RP. Impact of a comprehensive intervention to families with teenage sons with overweight and obesity in a primary care setting: a case report. Diabetes Metab Syndr. 2017;11:S195-S200. doi: https://doi.org/10.1016/ j.dsx.2016.12.031

Amiri P, Farahani SJ, Akbar HM, Cheraghi L, Khalili D, Momenan A. The effects of a community-based lifestyle intervention on metabolic syndrome and its components in adolescents: findings of a decade follow-up. Metab Syndrand Relat Disord. 2018;16(5):1-8. doi: http://dx.doi.org/10.1089/met.2017.0055

Leite N, Tadiotto MC, Corazza PRP, Menezes Junior FJ, Carli MEC, Milano-Gai GE, et al. Responsiveness on metabolic syndrome criteria and hepatic parameters after 12 weeks and 24 weeks of multidisciplinar intervention in overweight adolescentes. J Endocrinol Invest. 2022;45:741-52. doi: https://doi.org/10.1007/s40618-021-01699-x

Clarson CL, Mahmud FH, Baker JE, Clark HE, Mckay WM, Schauteet VD, et al. Metformin in combination with structured lifestyle intervention improved body mass index in obese adolescents, but did not improve insulin resistance. Endocr. 2009;36:141-6. doi: http://dx.doi.org/10.1007/s12020-009-9196-9

Sena BS, Andrade MIS, Silva APF, Dourado KF, Silva ALF. Overweight and associated factors in children and adolescents with phenylketonuria: a systematic review. Rev Paul Pediatr. 2020;38:e2018201. doi: https://doi.org/10.1590/1984-0462/2020/38/2018201

World Health Organization. Obesity and overweight [Internet] 2022 [cited Oct 10, 2022]. Geneva: WHO. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

Amiri P, Farahani SJ, Akbar HM, Cheraghi L, Khalili D, Momenan A. The Effects of a Community-Based Lifestyle Intervention on Metabolic Syndrome and Its Components in Adolescents: Findings of a Decade Follow-Up. METABOLIC SYNDROME AND RELATED DISORDERS. 2018;16(5):1-8. Disponível em: https://scihub.se/10.1089 /met. 2017.0055.

Précoma DB, Oliveira GMM, Simão AF, Dutra OP, Coelho OR, Izar MCO, et al. Atualização da Diretriz de Prevenção Cardiovascular da Sociedade Brasileira de Cardiologia – 2019. Arq Bras Cardiol. 2019; 113(4):787-891.

Diretrizes da Sociedade Brasileira de Diabetes 2019-2020. São Paulo: Editora Clannad; 2019.

Silva Giselia AP, Costa Karla AO, Giugliani Elsa RJ. Alimentação infantil: além dos aspectos nutricionais. J. Pediatr. (Rio J.) [Internet]. 92(3 Suplemento 1): 2-7. Disponível em: https://doi.org/10.1016/j.jped.2016.02.006.

Fidelix YL, Farias Júnior JC, Lofrano-Prado MC, Guerra RLF, Cardel M, Prado WL. Intervenção multidisciplinar em adolescentes obesos: preditores de desistência. Einstein. 2015;13(3):388-94. https://www.scielo.br/pdf/eins/v13n3/pt_1679-4508-eins-13-3-0388.pdf

Al-Hamad D, Raman V. Metabolic syndrome in children and adolescents. Transl Pediatr. 2017 Oct;6(4):397-407. doi: 10.21037/tp.2017.10.02.