ABDOMINAL OBESITY IN SCHOOL CHILDREN: PREVALENCE AND ASSOCIATED FACTORS
DOI:
https://doi.org/10.12957/demetra.2014.4851Abstract
This cross-sectional study aimed to estimate the prevalenceof abdominal obesity and its association with demographic,socioeconomic, anthropometric, body image and behaviorsrelated to its variables among children and their parents. Students(n = 717) from the 4th and 5th grades were randomly selectedfrom 22 public schools of Itajai, in the state of Santa Catarina,Brazil. Variables were collected through a questionnaire appliedto children and parents. Weight, height and waist circumference(indicator of abdominal obesity) measures were collected. Crudeand adjusted odds ratios (OR) and 95% confidence intervals (95%CI) were calculated through unconditional logistic regression.All analyses were adjusted for design effect. Participants were602 children (81.7%), with age average of 9.9 years. Prevalenceof abdominal obesity was 11.3% (95% CI: 8.7 to 14.0%). Parentsvariables as having middle (OR: 3.7, 95% CI: 1.4 to 10.1) or highincome (OR: 2.6, 95% CI 1.0 to 6.7), and overweight (OR: 4.9,95% CI: 1.2 to 20.2) were associated with higher prevalence ofabdominal obesity among school children. Dieting to lose weight(OR: 3.9, 95% CI 1.7 to 9.1), and assessment of children healthby parents as inadequate or poor (OR 3.6 95% CI, 1 0.0 to 13,2) were associated with the outcome. Intervention measures toreduce the prevalence of obesity among children investigatedshould include parents.
DOI 10.12957/demetra.2014.4851
Downloads
References
Van Hook J, Altman CE, Balistreri KS. Global patterns in overweight among children and mothers in less developed countries. Public. Health Nutr. 2012; 14:1-9.
Aussem A, Tchernof A, Morais SR, Rome S. Analysis of lifestyle and metabolic predictors of visceral obesity with Bayesian Networks. BMC Bioinformatics. 2010;11:487.
Garnett SP, Baur LA, Srinivasan S, Lee JW, Cowell CT. Body mass index and waist circumference in midchildhood and adverse cardiovascular disease risk clustering in adolescence. Am. J. Clin. Nutr. 2007; 86(3):549-55.
Haas GM, Bertsch T, Schwandt P. Trends of Components of the metabolic syndrome in german first graders throughout 10 years: the pep family heart study. Cholesterol. 2012; 2012:231962.
Weiss R, Bremer AA, Lustig RH. What is metabolic syndrome, and why are children getting it? Ann. NY Acad. Sci. 2013; 1281:123-40.
Pereira PF, Serrano HMS, Carvalho GQ, Lamounier JA, Peluzio MCG, Franceschini SC, Priore SE. Circunferência da cintura e relação cintura/estatura: úteis para identificar risco metabólico em adolescentes do sexo feminino?. Rev. Paul. Pediatr. 2011; 29(3):372-7.
Chrzanowska M, Suder A, Kruszelnicki P. Tracking and risk of abdominal obesity in the adolescence period in children aged 7-15. The cracow longitudinal growth study. Am. J. Hum. Biol. 2012; 24(1):62-7.
Kahn HS, Imperatore G, Cheng YJ. A population-based comparison of BMI percentiles and waist-to-height ratio for identifying cardiovascular risk in youth. J. Pediatr. 2005; 146(4):482-8.
Modi N, Murgasova D, Ruager-Martin R, Thomas EL, Hyde MJ, Gale C, et al. The influence of maternal body mass index on infant adiposity and hepatic lipid content. Pediatr. Res. 2011; 70(3):287-91.
Fernandes RA, Casonatto J, Christofaro DGD, Cucato GG, Oliveira ARd, Freitas Júnior IF. Fatores familiares associados à obesidade abdominal entre adolescentes. Rev. Bras. Saúde Mater. Infant. 2009; 9(4):451-457.
United Nations. IDH que mede desigualdade aponta queda de 19% no país. Brasília: PNUD; 2011.
Barros F, Victora C. Epidemiologia da saúde infantil: um manual para diagnósticos comunitários. São Paulo: HUCITEC/UNICEF; 1998.
Instituto Brasileiro de Geografia e Estatística. Censo demográfico 2000. Agregado por setores censitários dos resultados do universo. Rio de Janeiro: IBGE; 2003. p. 157.
Tiggemann M, Wilson-Barrett E. Children's figure ratings: relationship to self-esteem and negative stereotyping. Int. J. Eat. Disord. 1998; 23(1):83-8.
Lohman T, Roche A, Martorell R. Anthropometric standardization reference manual. Champaign: Human Kinetics Books; 1988.
Taylor RW, Jones IE, Williams SM, Goulding A. Evaluation of waist circumference, waist-to-hip ratio, and the conicity index as screening tools for high trunk fat mass, as measured by dual-energy X-ray absorptiometry, in children aged 3-19 y. Am. J. Clin. Nutr. 2000; 72(2):490-5.
World Health Organization. Growth reference 5-19 years. BMI-for-age (5-19 years). Geneva: WHO; 2010.
World Health Organization. Obesity: preventing and managing the global epidemic. Report of a WHO consultation. Geneva: WHO; 2000. World Health Organ. Tech. Rep. Ser; 894.
Victora CG, Huttly SR, Fuchs SC, Olinto MT. The role of conceptual frameworks in epidemiological analysis: a hierarchical approach. Int. J. Epidemiol. 1997; 26(1):224-7.
Pinto IC, Arruda IK, Diniz Ada S, Cavalcanti AM. Prevalence of overweight and abdominal obesity according to anthropometric parameters and the association with sexual maturation in adolescent schoolchildren. Cad. Saúde Pública. 2010; 26(9):1727-37.
Minatto G, Pelegrini A, Silva DAS, Silva AFd, Petroski EL. Composição corporal inadequada em adolescentes: associação com fatores sociodemográficos. Rev. Paul. Pediatr. 2011; 29(4):553-9.
Wang Y, Lim H. The global childhood obesity epidemic and the association between socio-economic status and childhood obesity. Int. Rev. Psychiatry. 2012; 24(3):176-88.
Birch LL, Fisher JO. Development of eating behaviors among children and adolescents. Pediatrics. 1998; 101(3 Pt 2):539-49.
Davison KK, Markey CN, Birch LL. Etiology of body dissatisfaction and weight concerns among 5-year-old girls. Appetite. 2000; 35(2):143-51.
Vander Wal JS, Thelen MH. Eating and body image concerns among obese and average-weight children. Addict. Behav. 2000; 25(5):775-8.
McCabe MP, Ricciardelli LA. Body image and strategies to lose weight and increase muscle among boys and girls. Health Psychol. 2003; 22(1):39-46.
McCabe MP, Ricciardelli LA. A prospective study of pressures from parents, peers, and the media on extreme weight change behaviors among adolescent boys and girls. Behav. Res. Ther. 2005; 43(5):653-68.
Ricciardelli LA, McCabe MP. Children's body image concerns and eating disturbance: a review of the literature. Clin. Psychol. Rev. 2001; 21(3):325-44.
Carvalho AMP, Cataneo CC, Galindo EMCG, Tomain C. Auto-conceito e imagem corporal em crianças obesas. Paidéia. 2005; 15(30):131-139.
Sant'Anna M, Priore S, Franceschini S. Métodos de avaliação da composição corporal em crianças. Rev. Paul. Pediatr. 2009; 27(3):315-321.
Downloads
Published
How to Cite
Issue
Section
License
STATEMENT OF AUTHORSHIP RESPONSIBILITY
Title of the manuscript:
________________________________________________________
1. Statement of responsability
I certify that I have participated in the work above specified and take public responsibility for its content.
I certify that the manuscript represents an original work and that none of the material in the manuscript has been previously published, is included in another manuscript, or is currently under consideration for publication elsewhere, whether in printed form or in electronic media, except that described in the attachment.
In case of acceptance of this text by Demetra: Alimentação, Nutrição & Saude, I declare to be in accordance with the policy of public access and copyright adopted by Demetra, which provides as follows: (a) the authors retain the copyright and grant to the Journal the right of first publication, the work being simultaneously licensed under the Creative Commons Attribution License, which allows the sharing of the work with acknowledgment of authorship and initial publication in this journal; (b) authors are authorized to enter additional contracts separately for non-exclusive distribution of the version of the work published in this journal (eg, publishing in institutional repository or book chapter), with acknowledgment of authorship and initial publication in this journal; and (c) authors are permitted and encouraged to post and distribute their work online (eg, in institutional repositories or on their personal page) at any point before or during the editorial process, as this may lead to productive changes, as well as increase the impact and citation of the published work.
2. Conflict of Interest Statement
I certify that there is no conflict of interest in connection with the submitted article.
Date, signature and full address of all authors.