Excess weight in a sample of schoolchildren from a city in southern Brazil
DOI:
https://doi.org/10.15448/1983-652X.2018.4.31339Keywords:
excess weight, childhood obesity, overweight children.Abstract
Objective: To assess the prevalence and associated factors, both of the child and the caregiver, with excess weight among schoolchildren in a city of south of Brazil.
Materials and Methods: It is a cross-sectional study, with representative sample of schoolchildren. Twenty public schools were selected by systematic random sampling. We included schoolchildren who were seven and eight years old or who completed during the year of data collection, and their caregivers (responsible for the child). A sociodemographic data collection questionnaire was applied. Anthropometric data were collected for the calculation of body mass index, and nutritional status categorized according to the World Health Organization (WHO). Hypothesis tests were conducted by chi-square and adjusted by Poisson regression.
Results: 596 children and their caregivers participated in the study. The prevalence of overweight was 20.4% and childhood obesity was 24.0%. Belonging to high-income families (p=0.031) and having overweight caregivers (p=0.004) or obesity (p=0.017) was associated with a higher prevalence of childhood overweight. Being female (p=0.002), belonging to middle income families (p=0.014) or high income (p=0.002) and having a caregiver with overweight (p<0.001) or obesity (p<0.001) was associated with a high prevalence of childhood obesity.
Conclusion: We can conclude from these findings that almost half of the children evaluated were overweight or obese. Both overweight and obesity in childhood were associated with a higher economic status and nutritional status of the caregiver.
References
World Health Organization. Obesity and overweight [Internet]. Geneva: WHO; 2018 [capturado 2017 jun 15]. Disponível em:
http://www.who.int/mediacentre/factsheets/fs311/en/.
Malik VS, Willett WC, Hu FB. Global obesity: trends, risk factors and policy implications. Nat Rev Endocrinol. 2013;9(1):13-27.
https://doi.org/10.1038/nrendo.2012.199
GBD 2015 Obesity Collaborators, Afshin A, Forouzanfar MH, Reitsma MB, Sur P, Estep K, Lee A, Marczak L, Mokdad AH, Moradi-Lago M, Naghavi M, Salama JS, Vos T, Abate KH, Abbafati C, Ahmed MB, Al-Aly Z, A Alkerwi, Al-Raddadi R, Amare A, Amberbir A, Amega AK, Amini E, Amrock SM, Anjana RM, Arnlöv J, Asayesh H, Banerjee A, Barac A, Baye E, Bennett DA, Beyene AS, S Biadgilign, Biryukov S, Bjertness E, DJ Boneya, Campos-Nonato I, Carrero JJ, Cecilio P, Cercy K, Ciobanu LG, Cornaby G, Damtew SA, Dandona G, Dandona R, Dharmaratne SD, Duncan BB, Eshrati B, Esteghamati A, Feigin VL, Fernandes JC, Fürst T, Gebrehi TT, Ouro A, PN Gona, A A, Haberwold TD, KT Hadush, N Hafezi-Nejad, Hay SI, Horino M, Islami F, Kamal R, Kasaeian A, Katikireddi SV, AP Kengne, Kesavachandran CN, Khader YS, Khang YH, Khubchandani J, Kim D, Kim YJ, Kinfu Y, Kosen S, Ku t, Defo BK Kumar GA, Larson HJ, Leinsalu M, Liang X, Lim SS, Liu P Lopez AD, Lozano R, Majeed A, Malekzadeh R, Malta DC, M Mazidi, McAlinden C, McGarvey ST, Mengistu DT, Mensah GA, Mensink GBM, Mezgebe HB, EM Mirrakhimov, Mueller UO, Noubiap JJ, CM Obermeyer, Ogbo FA,Owolabi MO, Patton GC, Pourmalek F, M Qorbani, Rafay A, Rai RK, Ranabhat CL, Reinig N, Safiri S, Salomon JA, Sanabria JR, Santos IS, Sartorius B, Sawhney H, Schmidhuber J, Schutte AE, Schmidt MI, SG Sepanlou, Shamsizadeh M, Sh Sheikhbahaei, MJ Shin, Shiri R, Shiue eu, Roba HS, Silva DAS, Silverberg JI , Singh JA,
Stranges S , Swaminathan S , Tabarés-Seisdedos R , Tadese F, Tedla BA, Tegegne BS, Terkawi AS, Thakur JS, Tonelli H, Topor-Madry R, Tyrovolas S, Ukwaja KN, Osman OA, Vaezghasemi M, Vasankari T, Vlassov VV, Vollset SE, Weiderpass E, Werdecker A, Wesana J, Westerman R, Yano Y, Yonemoto N, Yonga G, Zaidi Z, Zenebe ZM, Zipkin B, Murray CJL. Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med. 2017;377(1):13-27.
https://doi.org/10.1056/NEJMoa1614362
Barbosa Filho VC, Campos Wd, Fagundes RR, Lopes Ada S, Souza EA. Isolated and combined presence of elevated anthropometric indices in children: prevalence and sociodemographic correlates. Cien Saude Colet. 2016;21(1):213-24.
https://doi.org/10.1590/1413-81232015211.00262015
Kaufmann CC, Albernaz EP. Prevalência e fatores associados ao excesso de peso em crianças de uma coorte no Sul do Brasil. Ciênc Saúde (Porto Alegre). 2013;6(3):172-80.
https://doi.org/10.15448/1983-652X.2013.3.11058
Soares LD, Petroski EL. Tratamento da obesidade infantil. Rev Bras Cineantropometria Desenvolv Hum. 2003;5(1):63-74.
Schuch I, Castro TG, Vasconcelos FAG, Dutra CLC, Goldani MZ. Excess weight in preschoolers: prevalence and associated factors. J Pediatr (Rio J). 2013;89(2):179-88.
https://doi.org/10.1016/j.jped.2013.03.003
Chagas DC, Silva AAM, Batista RFL, Simões VMF, Lamy ZC, Coimbra LC, Alves MTSSB . Prevalência e fatores associados à desnutrição e ao excesso de peso em menores de cinco anos nos seis maiores municípios do Maranhão. Rev Bras Epidemiol. 2013;16(1):146-56.
https://doi.org/10.1590/S1415-790X2013000100014
Weng SF, Redsell SA, Swift JA, Yang M, Glazebrook CP. Systematic review and meta-analyses of risk factors for childhood overweight identifiable during infancy. Arch Dis Child. 2012;97(12):1019-26.
https://doi.org/10.1136/archdischild-2012-302263
Melzer MRTF, Magrini IM, Domene SMA, Martins PA. Factors associated with abdominal obesity in children. Rev Paul Pediatr. 2015;33(4):437-44.
https://doi.org/10.1016/j.rpped.2015.04.002
Acharya K, Feese M, Franklin F, Kabagambe EK. Body mass index and dietary intake among head start children and caregivers. J Am Diet Assoc. 2011;111(9):1314-21.
https://doi.org/10.1016/j.jada.2011.06.013
Bhawra J, Cooke MJ, Hanning R, Wilk P, Gonneville SL. Community perspectives on food insecurity and obesity: focus groups with caregivers of metis and Off-reserve first nations children. Int J for Equity Health. 2015;14:96.
https://doi.org/10.1186/s12939-015-0232-5
Mello ED, Luft VC, Meyer F. Obesidade infantil: como podemos ser eficazes? J Pediat (Rio J). 2004;80(3):173-82.
Carey FR, Singh GK, Brown HS 3rd, Wilkinson AV. Educational outcomes associated with childhood obesity in the United States: cross-sectional results from the 2011-2012 National Survey of Children’s Health. Int J Behav Nutr Phys Act. 2015;12 Suppl 1:S3.
https://doi.org/10.1186/1479-5868-12-S1-S3
Venn AJ, Thomson RJ, Schmidt MD, Cleland VJ, Curry BA, Gennat HC, Dwyer T. Overweight and obesity from childhood to adulthood: a follow-up of participants in the 1985 Australian Schools Health and Fitness Survey. Med J Aust. 2007;186(9):458-60.
Reilly JJ, Armstrong J, Dorosty AR, Emmett PM, Ness A, Rogers I, Steer C, Sherriff A; Avon Longitudinal Study of Parents and Children Study Team. Early life risk factors for obesity in childhood: cohort study. BMJ. 2005;330(7504):1357.
https://doi.org/10.1136/bmj.38470.670903.E0
Instituto Nacional de Estudos e Pesquisas Educacionais Anísio Teixeira. Resultados finais do Censo Escolar 2015 [Internet]. Brasília: INEP; 2015 [capturado 2017 jun 15]. Disponível em:
http://portal.inep.gov.br/resultados-e-resumos
Organização Pan-Americana da Saúde, Organização Mundial de Saúde. Obesidade entre crianças e adolescentes aumentou dez vezes em quatro décadas, revela novo estudo do Imperial College London e da OMS [Internet]. Brasília: OMS; 2017 [capturado 2017 jun 16]. Disponível em:
OWorld Health Organization. The optimal duration of exclusive breastfeeding: report of the expert consultation [Internet]. Geneva: WHO; 2001 [capturado 2017 jun 15]. Disponível em:
http://www.who.int/nutrition/publications/infantfeeding/WHO_NHD_01.09/en/
Barros AJD, Victora CG. Indicador econômico para o Brasil baseado no censo demográfico de 2000. Rev Saúde Pública. 2005;39(4):523-9.
https://doi.org/10.1590/S0034-89102005000400002
World Health Organization. Global Database on Body Mass Index (BMI) [Internet]. Geneva: WHO; 2017 [capturado 2017 jun 15]. Disponível em:
http://www.who.int/nutrition/databases/bmi/en/
World Health Organization. The WHO Child Growth Standards [Internet]. Geneva: WHO; 2017 [capturado 2017 jun 15]. Disponível em:
http://www.who.int/childgrowth/en/
Ferrari GL, Araújo TL, Oliveira LC, Matsudo V, Fisberg M. Association between electronic equipment in the bedroom and sedentary lifestyle, physical activity, and body mass index of children. J Pediatr (Rio J). 2015;91(6):574-82.
https://doi.org/10.1016/j.jped.2015.01.009
Rivera JA, de Cossío TG, Pedraza LS, Aburto TC, Sánchez TG, Martorell R. Childhood and adolescent overweight and obesity in Latin America: a systematic review. Lancet Diabetes Endocrinol. 2014;2(4):321-32.
https://doi.org/10.1016/S2213-8587(13)70173-6
Lobstein T, Baur L, Uauy R; IASO International Obesity TaskForce. Obesity in children and young people: a crisis in public health. Obes Rev. 2004;5 Suppl 1:4-104.
https://doi.org/10.1111/j.1467-789X.2004.00133.x
Mondini L, Levy RB, Saldiva SR, Venâncio SI, de Azevedo Aguiar J, Stefanini ML. Overweight, obesity and associated factors in first grade schoolchildren in a city of the metropolitan region of São Paulo, Brazil. Cad Saude Publica. 2007;23(8):1825-34.
https://doi.org/10.1590/S0102-311X2007000800009
Ogden CL, Carroll MD, Kit BK, Flegal KM. Prevalence of childhood and adult obesity in the United States, 2011-2012. JAMA. 2014;311(8):806-14.
https://doi.org/10.1001/jama.2014.732
Schuster MA, Elliott MN, Bogart LM, Klein DJ, Feng JY, Wallander JL, Cuccaro P, Tortolero SR. Changes in obesity between fifth and tenth grades: a longitudinal study in three metropolitan areas. Pediatrics. 2014;134(6):1051-8.
https://doi.org/10.1542/peds.2014-2195
Martins EB, Carvalho MS. Associação entre peso ao nascer e o excesso de peso na infância: revisão sistemática. Cad Saúde Pública. 2006;22(11):2281-300.
https://doi.org/10.1590/S0102-311X2006001100003
Souza MM, Pedraza DF, Menezes TN. Nutritional status of children attended in day-care-centers and food (in)security of their families. Ciênc Saúde Coletiva. 2012:17(12):3425-36.
https://doi.org/10.1590/S1413-81232012001200027
Abdullah A, Stoelwinder J, Shortheed S, Wolfe R, Stevenson C, Walls H, de Courten M, Peeters A. The duration of obesity and the risk of type 2 diabetes. Public Health Nutr. 2011;14(1):119-26.
https://doi.org/10.1017/S1368980010001813
Inge TH, King WC, Jenkins TM, Courcoulas AP, Mitsnefes M, Flum DR, Wolfe BM, Pomp A, Dakin GF, Khandelwal S, Zeller MH, Horlick M, Pender JR, Chen JY, Daniels SR. The effect of obesity in adolescence and adult health status. Pediatrics. 2013;132(6): 1098-104.
https://doi.org/10.1542/peds.2013-2185
Sánches-Cruz JJ, de Ruiter I, Jiménez-Moleón JJ. Individual, family and environmental factors associated with pediatric excess weight in Spain: a cross-sectional study. BMC Pediatr. 2014;14:3.
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