Anthropometric nutritional status and association with blood pressure in children and adolescents: a population-based study
DOI:
https://doi.org/10.15448/1980-6108.2017.1.25592Keywords:
nutritional status, child, adolescent, obesity, hypertension, blood pressure, high.Abstract
DOI: 10.15448/1980-6108.2017.1.25592
Aims: To evaluate the nutritional status of children and adolescents by anthropometric indicators and to evaluate the association of these results with blood pressure.
Methods: Children and adolescents between four and 19 years of age from rural and urban schools of a municipality of Rio Grande do Sul were included in this study. Those who refused (or whose parents refused) to participate or did not sign the consent form, or in whom it was not possible to carry out the anthropometric or blood pressure measurements, were excluded. Weight, height, waist circumference, skin folds and blood pressure were measured, and the body mass index was calculated. Data were described by mean, standard deviation, amplitude of variation, absolute and relative frequencies. Stratification by gender, body mass index and central obesity was performed to analyze the influence of these on the other variables. Pearson's Chi-square was used to evaluate the associations. The level of significance was p<0.05.
Results: At the time of data collection, 7,082 children and adolescents within the age group were enrolled in the municipal schools, and they were invited to participate. After applying the exclusion criteria, 5,936 children/adolescents were included in the study. The sample presented prevalence of overweight of 30.3%, central obesity 31.1% and excess body fat 8.7%. Overweight was higher in children from private schools (44.1%) than in state schools (29.5%) and municipal schools (29.9%) (p<0.001). There were statistically significant associations of high blood pressure with overweight, obesity, and central obesity (p<0.001).
Conclusions: Prevalence of overweight was high and hypertension was associated with overweight, obesity and central obesity in children and adolescents of the studied population.Downloads
References
World Health Organization. Global Strategy on Diet, Physical Activity and Health [Internet]. [cited 2017]. Available from: http://www.who.int/dietphysicalactivity/childhood_what/en/
Wilmore JH, Costill DL, Kenney WL. Fisiologia do Esporte e do Exercício. 4ª ed. Barueri: Manole; 2010.
Instituto de Pesquisa Econômica Aplicada. Objetivos de Desenvolvimento do Milênio: Relatório Nacional de Acompanhamento. Brasília: IPEA; 2010.
Vasconcelos AMN, Gomes MMF. Transição demográfica: a experiência brasileira. Epidemiol Serv Saúde. 2012;21(4):10. https://doi.org/10.5123/S1679-49742012000400003
Kac G, Velásquez-Meléndez G. A transição nutricional e a epidemiologia da obesidade na América Latina. Cad Saúde Pública, 2003;19(1):S4-S5. https://doi.org/10.1590/S0102-311X2003000700001
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 Apr;2(4):321-32. https://doi.org/10.1016/S2213-8587(13)70173-6
Rosaneli CF, Auler F, Manfrinato CB, Rosaneli CF, Sganzerla C, Bonatto MG, Cerqueira MLW, Oliveira AAB, Oliveira-Netto ER, Faria-Neto JR. Avaliação da prevalência e de determinantes nutricionais e sociais do excesso de peso em uma população de escolares: análise transversal em 5. 037 crianças. Rev Assoc Med Bras 2012;58(4):472-6. https://doi.org/10.1590/S0104-42302012000400019
Leal VS, Lira PIC, Oliveira JS, Menezes RCE, Sequeira LAS, Arruda Neto MA, Andrade SLLS, Batista Filho M. Excesso de peso em crianças e adolescentes no Estado de Pernambuco, Brasil: prevalência e determinantes. Cad Saúde Pública. 2012;28(6):1175-82. https://doi.org/10.1590/S0102-311X2012000600016
Reuter CP, Burgos LT, Camargo MD, Possuelo LG, Reckziegel MB, Reuter ÉM, Meinhardt FP, Burgos MS. Prevalence of obesity and cardiovascular risk among children and adolescents in the municipality of Santa Cruz do Sul, Rio Grande do Sul. Sao Paulo Med J. 2013;131(5):323-30. https://doi.org/10.1590/1516-3180.2013.1315518
World Health Organization. Global Status Report on noncommunicable diseases [Internet]. 2014 [cited 2017 Feb 9]. Available from: http://www.who.int/nmh/publications/ncd-status-report-2014/en/
Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Saúde da criança: crescimento e desenvolvimento [Internet]. Brasília: Ministério da Saúde; 2012 [cited 2017]. (Cadernos de Atenção Básica, 33). Available from: http://189.28.128.100/dab/docs/publicacoes/cadernos_ab/caderno_33.pdf
World Health Organization. WHO Child Growth Standards: length/height-for-age, weight-for age, weight-for-length, weight-for-height and body mass index-for-age. Methods and development. Geneva: WHO; 2006.
McCarthy HD, Jarret KV, Crawley HF. The development of waist circumference percentiles in British children aged 5.0-16.9 y. Eur j Clin Nutr. 2001;55(10):902-7. https://doi.org/10.1038/sj.ejcn.1601240
Alberti KG, Eckel RH, Grundy SM, Zimmet PZ, Cleeman JI, Donato KA, Fruchart JC, James WP, Loria CM, Smith SC Jr; International Diabetes Federation Task Force on Epidemiology and Prevention; Hational Heart, Lung, and Blood Institute; American Heart Association; World Heart Federation; International Atherosclerosis Society; International Association for the Study of Obesity. Harmonizing the metabolic syndrome: A joint interim statement of the international diabetes federation task force on epidemiology and prevention; national heart, lung, and blood institute; American heart association; world heart federation; international atherosclerosis society; and international association for the study of obesity. Circulation. 2009 Oct 20;120(16):1640-5 https://doi.org/10.1161/CIRCULATIONAHA.109.192644
Slaughter MH, Lohman TG, Boileau RA, Horswill CA, Stillman RJ, Van Loan MD, Bemben DA. Skinfold equations for estimation of body fatness in children and youth. Hum Biol. 1988 Oct;60(5):709-23.
Lohman TG. The use of skinfold to estimate body fatness on children and youth J Physical Educ Recreation Dance 1987;58:98-102. https://doi.org/10.1080/07303084.1987.10604383
VI Diretrizes Brasileira de Hipertensão. Arq Bras Cardiol. 2010;95(supl 1):1-51.
National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 2004;114:555-76. https://doi.org/10.1542/peds.114.2.S2.555
Vicenzi K, Henn RL, Weber AP, Backes V, Paniz VMV, Donatti T, Olinto MTA. Insegurança alimentar e excesso de peso em escolares do primeiro ano do Ensino Fundamental da rede municipal de São Leopoldo, Rio Grande do Sul, Brasil. Cad. Saúde Pública. 2015;31(5):1084-94 https://doi.org/10.1590/0102-311X00055914
Reuter CP, Burgos MS, Pritsch CVM, Silva PT, Marques KC, Souza S, Pasa L, Silva R, Muradás R. Obesidade, aptidão cardiorrespiratória, atividade física e tempo de tela em escolares da zona urbana e rural de Santa Cruz do Sul-RS. Cinergis. 2015;16(1):52-6. https://doi.org/10.17058/cinergis.v16i1.6271
Hoehr CF, Reuter CP, Tornquist L, Nunes HMB, Burgos MS. Prevalência de obesidade e hipertensão arterial em escolares: estudo comparativo entre escolas rurais do município de Santa Cruz do Sul/RS. Rev Epidemiol Control Infect. 2014;4(2):122-6. https://doi.org/10.17058/reci.v4i2.4772
Burgos MS, Reuter CP, Burgos LT, Pohl HH, Pauli LT, Horta JA, Reckziegel MB, Franke SI, Prá D, Camargo M. Uma análise entre índices pressóricos, obesidade e capacidade cardiorrespiratória em escolares. Arq Bras Cardiol. 2010;94(6):788-93. https://doi.org/10.1590/S0066-782X2010005000046
Bergmann MLA, Graup S, Bergmann GG. Pressão arterial elevada em adolescentes e fatores associados: um estudo de base escolar em Uruguaiana, Rio Grande do Sul, 2011. Rev Bras Saude Mater Infant. 2015;15(4):,377-87. https://doi.org/10.1590/S1519-38292015000400002
World Health Organization. Cardiovascular disease. A global brief on hypertension [Internet]: silent killer, global public health crisis. Geneva: WHO; 2013 [cited 2017]. Available from: http://www.who.int/cardiovascular_diseases/publications/global_brief_hypertension/en
Rao G. Diagnosis, Epidemiology, and Management of Hypertension in Children. Pediatrics. 2016 Aug;138(2). pii: e20153616. https://doi.org/10.1542/peds.2015-3616
Paula FAR, Lamboglia CMGF, Silva VTBL, Monteiro MS, Moreira AP, Pinheiro MHNP, Silva CAB. Prevalência de sobrepeso e obesidade em escolares da rede pública e particular da cidade de Fortaleza. Rev Bras Promoc Saúde. 2015;27(4):455-61. https://doi.org/10.5020/18061230.2014.p455
Miranda JMQ, Palmeira MV, Polito LFT, Brandão MRF, Bocalini DS, Figueira J. Ponciano K, Vichi RB. Prevalência de sobrepeso e obesidade infantil em instituições de ensino: públicas vs. privadas. Rev Bras Med Esporte. 2015;21(2):104-7. https://doi.org/10.1590/1517-869220152102143660
Ribas SA, Santana da Silva LC. Anthropometric indices: predictors of dyslipidemia in children and adolescents from north of Brazil. Nutr Hosp. 2012 Jul-Aug;27(4):1228-35.
Casonatto J, Ohara D, Christofaro DGD, Fernandes RA, Milanez V, Dias DF, Freitas Júnior I, Oliveira AR. Pressão arterial elevada e obesidade abdominal em adolescentes. Rev Paul Pediatr. 2011;29(4):567-71. https://doi.org/10.1590/S0103-05822011000400015
Siqueira DGB, Souza RKT, Mesas AE, Santos HG, Bortoletto MSS. Diferenças entre sexos nos determinantes da obesidade abdominal em adultos de 40 anos ou mais: estudo de base. Rev Nutr. 2015;28(5):485-96. https://doi.org/10.1590/1415-52732015000500003
