Cardiometabolic risk burden and associated behaviours in schoolchildren aged 7–10 years from public urban schools in the Federal District, Brazil
5 affiliations
- 1Department of Nutrition, Faculty of Health Sciences, University of Brasília, Brasília, Brazil.
- 2Graduate Programme in Human Nutrition, Faculty of Health Sciences, University of Brasília, Brasília, Brazil.
- 3Department of Collective Health, Graduate Programme in Collective Health, University of Brasília, Brasília, Brazil.
- 4Department of Clinical and Social Nutrition, Federal University of Ouro Preto, Ouro Preto, Minas Gerais, Brazil.
- 5Department of Nutrition, Centro Universitário IESB, Brasília, Brazil.
Abstract
Objective: To assess cardiometabolic risk burden among schoolchildren aged 7–10 years attending public urban elementary schools in the Federal District, Brazil, and examine its association with health behaviours and socioeconomic characteristics. Methods: This population-based cross-sectional study included 978 children, with a subsample of 315 undergoing biochemical assessment. Data were collected on dietary intake, eating and sedentary behaviours, physical activity, anthropometry, blood pressure, and biochemical markers. A composite cardiometabolic risk outcome was constructed and assessed only in the biochemical subsample. Analyses accounted for the complex sampling design. Results: Among children included in the biochemical subsample, 89.9% presented at least one cardiometabolic risk factor and dyslipidaemia was present in 72.0%. In the full sample, overweight was observed in 30.2% of the children. Eating with distractions was associated with higher odds of cardiometabolic risk burden, increasing the likelihood of one to two risk factors (odds ratio = 2.98; 95% confidence interval: 1.62–5.47) and three or more risk factors (odds ratio = 2.52; 95% confidence interval:1.08–5.90). Consuming snacks or treats, compared with a homemade meal, was associated with lower odds of presenting one to two risk factors (odds ratio = 0.32; 95% confidence interval: 0.10–0.99), but no association was observed with three or more risk factors. Conclusions: Within the non-random biochemical subsample of morning-shift students, a high burden of cardiometabolic risk factors was observed, and eating with distractions was associated with greater cardiometabolic risk burden. Early preventive strategies targeting modifiable behaviours are needed.
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BibTeX
@article{diogo2026cardiometabolic,
title = {{Cardiometabolic risk burden and associated behaviours in schoolchildren aged 7–10 years from public urban schools in the Federal District, Brazil}},
author = {Shirley Silva Diogo and Muriel Bauerman Gubert and Vivian Siqueira Santos Gonçalves and Ariene Silva do Carmo and Giselle Rhaisa do Amaral E Melo and Giovanna Angela Leonel Oliveira and Natacha Toral},
journal = {PLOS One},
year = {2026},
month = nov,
doi = {10.1371/journal.pone.0361898},
url = {https://doi.org/10.1371/journal.pone.0361898},
note = {CC BY},
}
RIS
TY - JOUR
TI - Cardiometabolic risk burden and associated behaviours in schoolchildren aged 7–10 years from public urban schools in the Federal District, Brazil
AU - Shirley Silva Diogo
AU - Muriel Bauerman Gubert
AU - Vivian Siqueira Santos Gonçalves
AU - Ariene Silva do Carmo
AU - Giselle Rhaisa do Amaral E Melo
AU - Giovanna Angela Leonel Oliveira
AU - Natacha Toral
PY - 2026
DA - 2026/11/02
JO - PLOS One
DO - 10.1371/journal.pone.0361898
UR - https://doi.org/10.1371/journal.pone.0361898
AB - Objective: To assess cardiometabolic risk burden among schoolchildren aged 7–10 years attending public urban elementary schools in the Federal District, Brazil, and examine its association with health behaviours and socioeconomic characteristics. Methods: This population-based cross-sectional study included 978 children, with a subsample of 315 undergoing biochemical assessment. Data were collected on dietary intake, eating and sedentary behaviours, physical activity, anthropometry, blood pressure, and biochemical markers. A composite cardiometabolic risk outcome was constructed and assessed only in the biochemical subsample. Analyses accounted for the complex sampling design. Results: Among children included in the biochemical subsample, 89.9% presented at least one cardiometabolic risk factor and dyslipidaemia was present in 72.0%. In the full sample, overweight was observed in 30.2% of the children. Eating with distractions was associated with higher odds of cardiometabolic risk burden, increasing the likelihood of one to two risk factors (odds ratio = 2.98; 95% confidence interval: 1.62–5.47) and three or more risk factors (odds ratio = 2.52; 95% confidence interval:1.08–5.90). Consuming snacks or treats, compared with a homemade meal, was associated with lower odds of presenting one to two risk factors (odds ratio = 0.32; 95% confidence interval: 0.10–0.99), but no association was observed with three or more risk factors. Conclusions: Within the non-random biochemical subsample of morning-shift students, a high burden of cardiometabolic risk factors was observed, and eating with distractions was associated with greater cardiometabolic risk burden. Early preventive strategies targeting modifiable behaviours are needed.
SN - 1932-6203
ER -