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dc.contributor.authorRodrigues, Rodolfo Rêgo Deusdará-
dc.contributor.authorSouza, Amanda de Moura-
dc.contributor.authorSzklo, Moyses-
dc.date.accessioned2022-11-29T19:49:04Z-
dc.date.available2022-11-29T19:49:04Z-
dc.date.issued2022-11-03-
dc.identifier.citationDEUSDARÁ, Rodolfo; SOUZA, Amanda de Moura; SZKLO, Moyses. Positive additive and multiplicative interactions among clustered components of metabolic syndrome with type 2 diabetes mellitus among Brazilian adolescent students. Nutrients, Basel, v. 14, n. 21, art. 4640, 2022. DOI 10.3390/nu14214640. Disponível em: https://www.mdpi.com/2072-6643/14/21/4640. Acesso em: 29 nov. 2022.pt_BR
dc.identifier.urihttps://repositorio.unb.br/handle/10482/45232-
dc.language.isoInglêspt_BR
dc.publisherMDPIpt_BR
dc.rightsAcesso Abertopt_BR
dc.titlePositive additive and multiplicative interactions among clustered components of metabolic syndrome with type 2 diabetes mellitus among Brazilian adolescent studentspt_BR
dc.typeArtigopt_BR
dc.subject.keywordSíndrome metabólicapt_BR
dc.subject.keywordDiabetes mellitus tipo 2pt_BR
dc.subject.keywordBiomarcadorespt_BR
dc.subject.keywordAdolescentes - saúde e higienept_BR
dc.rights.licenseCopyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/).pt_BR
dc.identifier.doihttps://doi.org/10.3390/nu14214640pt_BR
dc.description.abstract1Background: It is still controversial whether the joint effect of Metabolic syndrome (MetS) components is greater than that expected based on their independent effects, regarding type 2 diabetes mellitus in adolescents. We evaluated additive and multiplicative interactions between pair-wise combinations of metabolic syndrome components regarding type 2 diabetes mellitus. Methods: We studied 37,815 Brazilian adolescents from a national school-based survey, The Study of Cardiovascular Risk Factors in Adolescents (Portuguese acronym, ERICA). A Poisson regression model was used to calculate sex-, age-, obesity-, smoking status-, sedentary behavior-, physical inactivity-, alcoholic consumption- and socioeconomic status-adjusted prevalence ratios to evaluate both additive and multiplicative interactions. Results: In the comparison of observed and expected joint effects, relative excess risk due to additive interaction (RERI) for high triglycerides and low high-density lipoprotein-cholesterol, high triglycerides and elevated waist circumference, elevated waist circumference and low high-density lipoprotein-cholesterol and elevated waist circumference and high blood pressure were 2.53 (−0.41, 5.46), 2.86 (−2.89, 8.61), 1.71 (−1.05, 4.46) and 0.97 (0.15, 1.79), respectively, thus suggesting additive interactions. Multiplicative interactions for those pairs of components were also observed, as expressed by interaction ratios > 1.0. Conclusions: The joint presence of some of the components of MetS showed a greater association with the prevalence of type 2 diabetes mellitus in adolescents than expected from the sum of their isolated effects. From a public health perspective, preventing one of the components of the pairs that interact may result in a greater reduction in the prevalence of T2DM than focusing on an individual component that does not interact with another component.pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-1343-3265pt_BR
dc.contributor.emailmailto:rodolfodeusdara@gmail.compt_BR
dc.description.unidadeFaculdade de Medicina (FMD)-
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