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...

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Published in:Pan American Journal of Public Health Vol. 30; no. 4; pp. 295 - 303
Main Authors: Pinto Guedes, Dartagnan, Rocha, Giselle Divino, Martins Silva, António José Rocha, Mourão Carvalhal, Isabel, Coelho, Eduarda Maria
Format: Article
Published: World Health Organization Oct2011
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      dt: Oct2011
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        atl: Effects of social and environmental determinants on overweight and obesity among Brazilian schoolchildren from a developing region.
      aug:
        au:
          Pinto Guedes, Dartagnan
          Rocha, Giselle Divino
          Martins Silva, António José Rocha
          Mourão Carvalhal, Isabel
          Coelho, Eduarda Maria
        affil:
          Department of Physical Education and Sport, State University of Londrina, Paraná, Brazil
          Research Center in Sport, Health and Human Development, University of Trás-os-Montes and Alto Douro, Vila Real, Portugal
      su:
        Brazil
        Obesity
        Socioeconomics
        Body mass index
        Nutritional assessment
      sug:
        subj:
          Obesity
          Socioeconomics
          Brazil
          Body mass index
          Nutritional assessment
      keyword:
        adolescence
        body mass index
        child
        nutrition assessment
        overweight
        socioeconomic factors
        índice de masa corporal
        adolescente
        Brasil
        evaluación nutricional
        factores socio-económicos
        niño
        Obesidad
        sobrepeso
        adolescence
        body mass index
        child
        nutrition assessment
        overweight
        socioeconomic factors
        índice de masa corporal
        adolescente
        Brasil
        evaluación nutricional
        factores socio-económicos
        niño
        Obesidad
        sobrepeso
      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 school-children 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 1.06-2.39), 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.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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