Effects of social and environmental determinants on overweight and obesity among Brazilian schoolchildren from a developing region.
Objective. To identify the social and environmental determinants most strongly associated with overweight and obesity in Brazilian schoolchildren from a developing region. Methods. Data were collected from a community-based survey of schoolchildren from the Valley of Jequitinhonha, Minas Gerais, Bra...
| Published in: | Pan American Journal of Public Health / Revista Panamericana de Salud Pública Vol. 30; no. 4; pp. 295 - 303 |
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| Main Authors: | , , , , |
| Format: | research tables/charts Journal Article |
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Pan American Health Organization
Oct2011
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=67345024&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 67345024 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10204989 I3S jtl: Pan American Journal of Public Health / Revista Panamericana de Salud Pública issn: 10204989 maglogo: N pubinfo: dt: Oct2011 vid: 30 iid: 4 pid: 13497 pub: Pan American Health Organization place: Washington, District of Columbia artinfo: ui: 67345024 104600599 104600599 67345024 ppf: 295 ppct: 8 formats: fmt: @attributes: type: P db: lth ui: 67345024 tig: atl: Effects of social and environmental determinants on overweight and obesity among Brazilian schoolchildren from a developing region. aug: au: Guedes, Dartagnan Pinto Rocha, Giselle Divino Silva, Ant¢nio Jose Rocha Martins Carvalhal, Isabel MourÆo Coelho, Eduarda Maria affil: Department of Physical Education and Sport, State University of Londrina, Paran, Brazil sug: subj: Obesity Risk Factors Socioeconomic Factors Environment Human Brazil Child Adolescence Questionnaires Male Female Odds Ratio Confidence Intervals Cross Sectional Studies Data Analysis Software Prevalence Logistic Regression Funding Source Child: 6-12 years Adolescent: 13-18 years Male Female ab: Objective. To identify the social and environmental determinants most strongly associated with overweight and obesity in Brazilian schoolchildren from a developing region. Methods. Data were collected from a community-based survey of schoolchildren from the Valley of Jequitinhonha, Minas Gerais, Brazil. The sample was composed of 5 100 schoolchildren aged 6-18 years. Overweight and obesity were defined by body mass index based on the current method recommended by the World Health Organization in 2007. Social and environmental determinants were collected by using a structured questionnaire. Results. The prevalence of overweight and obesity was 11.1% and 2.7% in girls and 8.2% and 1.5% in boys, respectively. The chance of overweight was higher in schoolchildren who engaged in remunerated work (odds ratio [OR] = 2.19, 95% confidence interval [CI] 1.30-3.26), whose parents had higher education levels (OR = 1.52, 95% CI 1.12-2.07), who had two or fewer siblings (OR = 1.74, 95% CI 1.21-2.49), and who were in a high economic class (OR = 1.93, 95% CI 1.32-2.85). Schoolchildren who traveled by car to school (OR = 1.50, 95% CI 1.14-1.91), lived ≤5 km from school (OR = 1.64, 95% CI 1.06]-.39), and consumed foods sold in the school cafeteria (OR = 1.56, 95% CI 1.19-2.16) presented high odds of being overweight. Conclusions. The background from a particular region of a country should be considered when implementing preventive measures regarding overweight and obesity, especially for very poor, developing regions like the Valley of Jequitinhonha. Measures taken should consider a multilevel intervention that includes the family, school, and physical environment. Objetivo. Identificar los determinantes sociales y ambientales más firmemente associados con el sobrepeso y la obesidad en niños que asisten a la escuela en una región en desarrollo del Brasil. Métodos. Se recopilaron los datos de una encuesta comunitaria llevada a cabo en niños inscritos en escuelas del valle de Jequitinhonha, Minas Gerais (Brasil). La muestra estuvo integrada por 5 100 escolares de 6 a 18 años de edad. El sobrepeso y la obesidad se definieron según el índice de masa corporal, con base en el método actualmente recomendado por la Organización Mundial de la Salud (2007). Los determinantes sociales y ambientales se recopilaron mediante un cuestionario estructurado. Resultados. La prevalencia del sobrepeso y de la obesidad fue de 11,1% y 2,7% en niñas y de 8,2% y 1,5% en niños, respectivamente. Las probabilidades de tener sobrepeso fueron mayores en los escolares que desempeñaban un trabajo remunerado (razón de probabilidades [RP] = 2,19; intervalo de confianza [IC] de 95%, 1,30-3,26); en aquellos cuyos padres tenían niveles superiores de educación (RP = 1,52; IC de 95%, 1,12-2,07); en quienes tenían dos o menos hermanos (RP = 1,74; IC de 95%, 1,21-2,49); y en los de clase económica alta (RP = 1,93; IC de 95%, 1,32-2,85). Presentaron altas probabilidades de tener sobrepeso los niños que viajaban en automóvil a la escuela (RP = 1,50; IC de 95%, 1,14-1,91), los que vivían a ? 5 km de la escuela (RP = 1,64; IC de 95%, 1,06-2,39) y los que consumían los alimentos que se venden en la cafetería de la escuela (RP = 1,56; IC de 95%, 1,19-2,16). Conclusiones. Deben tenerse en cuenta las características de cada región particular de un país cuando se ejecutan medidas preventivas del sobrepeso y la obesidad, especialmente en las regiones muy pobres y en desarrollo, como el valle de Jequitinhonha en Brasil. Las medidas que se adopten deben considerar una intervención en varios niveles que incluya a la familia, la escuela y el entorno físico. pubtype: Periodical doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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