Excesso de peso e o risco cardiovascular em jovens seguidos por 17 anos: estudo do Rio de Janeiro

background: the adoption of primary prevention measures among young people has a favorable impact on the context of cardiovascular diseases. objective: to assess blood pressure (bp) and cardiovascular risk variables among young adults stratified according to the body mass index (bmi) behavior obtained along 17 years, since childhood/adolescence (c/a). methods: three assessments were carried out in 115 individuals pertaining to the study cohort of rio de janeiro, brazil. a1: 12.97 ± 1.48 years old; a2: 21.90 ± 1.71 years old; a3: 30.65 ± 2.00 years olds and divided into three groups according to bmi in the three assessments: group n (always normal bmi; n=46), group l (varying bmi; n=49) and group o/o (always increased bmi; n=20). in a1, a2 and a3, bp and bmi were obtained. in a2 and a3, glucose (g) and lipidic profile were dosed. also in a2, insulin (ins) was dosed and homa-ir was calculated. in a3, the measurement of waist circumference (wc), abdomen/hip relation (ahr) and body fat percentage (%bf) were added. results: 1) group o/o presented higher mean values of increased bp (p<0.0001) at the three assessments; 2) in a3, group o/o showed higher mean values for wc, ahr and %bf and prevalence of increased wc and metabolic syndrome (ms) (p<0.0001); 3) higher mean values were observed for ins, homa-ir, ldl-c in a2, and g, cholesterol, ldl-c and triglycerides in a3 for group o/o (p<0.05); 4) masculine sex and o/o at a1 determined higher risk for ms occurrence in adult age. conclusion: the presence of o/o since c/a was associated with higher bp values, anthropometric indexes and higher prevalence of ms in the young adult phase.