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Costa LDCF, Barboza BP, Rossi CE, Roberto DMT, Hinnig PDF, de Vasconcelos FDAG. Temporal trend of food consumption markers, breakfast consumption and association with overweight/obesity in schoolchildren aged 7 to 10 years between 2007 and 2019. NUTR BULL 2024; 49:168-179. [PMID: 38616357 DOI: 10.1111/nbu.12671] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Revised: 01/18/2024] [Accepted: 03/19/2024] [Indexed: 04/16/2024]
Abstract
Obesity has a multifactorial origin. Among the behavioural risk factors, excessive consumption of unhealthy foods, skipping breakfast and reduced physical activity stand out. The main objective of this article was to identify trends in dietary habits and their association with overweight/obesity over a 12-year period in schoolchildren aged 7 to 10 years in Florianópolis, southern Brazil. A cross-sectional panel analysis study, using anthropometric, sociodemographic, physical activity and food consumption data of schoolchildren aged 7 to 10 years, collected in three waves of the Study of Prevalence of Obesity in Children and Adolescents (EPOCA), carried out during the years 2007, 2012/2013 and 2018/2019, was performed. To analyse the trend in dietary variables over the years, the 95% CIs were compared with the non-overlap of intervals indicating statistical significance. Multiple logistic regression analysis was performed to test the association of weight status with dietary markers. The prevalence of overweight/obesity was 34.4%, 37.2% and 34.2% in 2007, 2012/2013 and 2018/2019, respectively, and there were no statistically significant differences among waves. There was a progressive and significant reduction in the consumption of soft drinks and sweets and in eating breakfast by schoolchildren, from 2007 to 2019. Breakfast consumption was inversely associated with the chance of overweight/obesity (OR 0.74, 95% CI 0.59-0.93), and female students were less likely to have overweight/obesity when compared to boys (OR 0.70, 95% CI 0.61-0.81). The reduction in the consumption of soft drinks and sweets over the years might be caused by efforts in public policies that intended to reduce the consumption of unhealthy foods among schoolchildren. The progressive and significant reduction in having breakfast should be better elucidated in future studies, to minimise the potential impact of this practice on schoolchildren's bodyweight.
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Affiliation(s)
| | - Bernardo Paz Barboza
- Postgraduate Program in Nutrition, Universidade Federal de Santa Catarina, Florianópolis, Brazil
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Spanholi MW, Matsuo LH, Roberto DMT, Pereira LJ, Belchor ALL, Cezimbra VG, Junior CASA, Vieira FGK, Silva DAS, de Vasconcelos FDAG, Soar C, Corrêa EN, Rockenbach G, Leite MS, de Assis MAA, Di Pietro PF, Kupek E, Leal DB, Hinnig PDF. Trends in the prevalence of obesity, overweight, and thinness among schoolchildren aged 7-14 years from southern Brazil (2002-2019). Am J Hum Biol 2024; 36:e24013. [PMID: 37971206 DOI: 10.1002/ajhb.24013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 10/05/2023] [Accepted: 11/01/2023] [Indexed: 11/19/2023] Open
Abstract
OBJECTIVE To analyze the obesity, overweight, and thinness trends among Brazilian schoolchildren by sex, age group, and type of school according to World Health Organization (WHO) and International Obesity Task Force (IOTF) criteria. METHODS We conducted four surveys between 2002 and 2018/19 involving schoolchildren aged 7-14 years from a state capital in southern Brazil. Weight status was classified using both WHO and IOTF criteria. RESULTS In the total sample, obesity prevalence based on the IOTF and the WHO criteria were 72% and 44% higher in 2018/19 compared with 2002, respectively. Over the whole period, the obesity prevalence increased among children (WHO: 10.1% vs. 14.1%; IOTF: 5.0% vs. 8.3%), and those from public schools (WHO: 10.5% vs. 16.4%; IOTF: 5.6% vs. 10.1%). There was no significant reduction in thinness prevalence over the analyzed period. CONCLUSION Obesity prevalence remains on an upward trend in a state capital in southern Brazil, especially among children from public schools. A higher prevalence of overweight and obesity was observed using the WHO criteria compared with IOTF criteria.
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Affiliation(s)
- Mariana Winck Spanholi
- Department of Nutrition, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Luísa Harumi Matsuo
- Department of Nutrition, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | | | - Luciana Jeremias Pereira
- Department of Nutrition, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Ana Luisa Lages Belchor
- Department of Public Health, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Vanessa Guimarães Cezimbra
- Department of Public Health, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | | | | | - Diego Augusto Santos Silva
- Department of Physical Education, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | | | - Cláudia Soar
- Department of Nutrition, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Elizabeth Nappi Corrêa
- Department of Nutrition, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Gabriele Rockenbach
- Department of Nutrition, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Maurício Soares Leite
- Department of Nutrition, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | | | - Patrícia Faria Di Pietro
- Department of Nutrition, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Emil Kupek
- Department of Public Health, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Danielle Biazzi Leal
- Federation of Industries of the State of Santa Catarina (FIESC), Florianópolis, Santa Catarina, Brazil
| | - Patrícia de Fragas Hinnig
- Department of Nutrition, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
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Gardone DS, Novaes JF, de Albuquerque FM, Filgueiras MDS, Novaes TG, Mendes LL, Pessoa MC. Community food environment and childhood obesity in a medium-sized Brazilian city: An approach to school and neighborhood environments. Am J Hum Biol 2023; 35:e23935. [PMID: 37318148 DOI: 10.1002/ajhb.23935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Revised: 04/12/2023] [Accepted: 05/28/2023] [Indexed: 06/16/2023] Open
Abstract
OBJECTIVE We aimed to analyze the relationship of community food environments with childhood obesity in a medium-sized Brazilian city. METHODS This is a cross-sectional study with 366 schoolchildren aged 8 and 9 years. Children's body mass index (BMI), waist circumference and concentrations of total cholesterol (TC), high cholesterol density lipoprotein (HDL-c), low cholesterol density lipoprotein (LDL-c) and triglycerides (TG) were measured. The parent's nutritional status was assessed by calculating the BMI. All food stores within a 200- and 400-m radius buffers of schools and households were evaluated. The food stores were classified as healthy, unhealthy, and mixed according to the predominance of foods commercialized. Binary logistic regression models were proposed for each category. RESULTS Over seventy percent (70.2%) of the food stores were categorized as "unhealthy". The prevalence of obesity was 15.6%. In the 200-m buffer around schools, there was an inverse and direct association between obesity and the presence of healthy food stores and unhealthy food stores, respectively. Around the households, there was an inverse association between the presence of healthy food stores and obesity in both buffers. CONCLUSION The community food environment may be protective or potentiating childhood obesity, depending on the access and types of food sold.
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Affiliation(s)
- Danielle Soares Gardone
- Departamento de Nutrição, Programa de Pós Graduação em Nutrição e Saúde, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Juliana Farias Novaes
- Departamento de Nutrição e Saúde, Programa de Pós Graduação em Ciência da Nutrição, Universidade Federal de Viçosa (UFV), Viçosa, Brazil
| | - Fernanda Martins de Albuquerque
- Departamento de Nutrição e Saúde, Programa de Pós Graduação em Ciência da Nutrição, Universidade Federal de Viçosa (UFV), Viçosa, Brazil
| | - Mariana De Santis Filgueiras
- Departamento de Nutrição e Saúde, Programa de Pós Graduação em Ciência da Nutrição, Universidade Federal de Viçosa (UFV), Viçosa, Brazil
| | | | - Larissa Loures Mendes
- Departamento de Nutrição, Programa de Pós Graduação em Nutrição e Saúde, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Milene Cristine Pessoa
- Departamento de Nutrição, Programa de Pós Graduação em Nutrição e Saúde, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Brazil
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Carducci B, Oh C, Roth DE, Neufeld LM, Frongillo EA, L'Abbe MR, Fanzo J, Herforth A, Sellen DW, Bhutta ZA. Gaps and priorities in assessment of food environments for children and adolescents in low- and middle-income countries. NATURE FOOD 2021; 2:396-403. [PMID: 37118231 DOI: 10.1038/s43016-021-00299-5] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/13/2020] [Accepted: 05/06/2021] [Indexed: 04/30/2023]
Abstract
School-aged children and adolescents have complex interactions with their food environments-the point of engagement of individuals with the food system-and are influenced by a diversity of individual, household and organizational factors. Although a wide range of methods have been proposed to define, monitor and evaluate food environments, few are tailored to school-aged children and adolescents. Here, we interrogate published literature on food metrics and methodologies for the characterization of food environments for school-aged children and adolescents living in low- and middle-income counties. We identify key priority actions and potential indicators for better monitoring and evaluation to galvanize policymaking to improve the healthiness of these interactions, which are so crucial to future adult well-being.
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Affiliation(s)
- Bianca Carducci
- Centre for Global Child Health, Peter Gilgan Centre for Research, Learning Hospital for Sick Children, Toronto, Ontario, Canada
- Department of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Christina Oh
- Centre for Global Child Health, Peter Gilgan Centre for Research, Learning Hospital for Sick Children, Toronto, Ontario, Canada
| | - Daniel E Roth
- Centre for Global Child Health, Peter Gilgan Centre for Research, Learning Hospital for Sick Children, Toronto, Ontario, Canada
- Department of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
- Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada
- Dalla Lana School of Public, Health University of Toronto, Toronto, Ontario, Canada
- Joannah and Brian Lawson Centre for Child Nutrition, University of Toronto, Toronto, Ontario, Canada
| | | | - Edward A Frongillo
- Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
| | - Mary R L'Abbe
- Department of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
- Joannah and Brian Lawson Centre for Child Nutrition, University of Toronto, Toronto, Ontario, Canada
| | - Jessica Fanzo
- Berman Institute of Bioethics, Johns Hopkins University, Baltimore, MD, USA
- Johns Hopkins Nitze School of Advanced International Studies, Johns Hopkins University, Washington DC, USA
- Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Anna Herforth
- Department of Global Health and Population, Harvard TH Chan School of Public Health, Boston, MA, USA
| | - Daniel W Sellen
- Centre for Global Child Health, Peter Gilgan Centre for Research, Learning Hospital for Sick Children, Toronto, Ontario, Canada
- Department of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada
- Joannah and Brian Lawson Centre for Child Nutrition, University of Toronto, Toronto, Ontario, Canada
- Department of Anthropology, University of Toronto, Toronto, Ontario, Canada
| | - Zulfiqar A Bhutta
- Centre for Global Child Health, Peter Gilgan Centre for Research, Learning Hospital for Sick Children, Toronto, Ontario, Canada.
- Department of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
- Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada.
- Dalla Lana School of Public, Health University of Toronto, Toronto, Ontario, Canada.
- Joannah and Brian Lawson Centre for Child Nutrition, University of Toronto, Toronto, Ontario, Canada.
- Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
- Institute for Global Health and Development, Aga Khan University, Karachi, Pakistan.
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Wagner KJP, Rossi CE, Hinnig PDF, Alves MDA, Retondario A, Vasconcelos FDAGD. ASSOCIATION BETWEEN BREASTFEEDING AND OVERWEIGHT/OBESITY IN SCHOOLCHILDREN AGED 7-14 YEARS. ACTA ACUST UNITED AC 2021; 39:e2020076. [PMID: 33656144 PMCID: PMC7903410 DOI: 10.1590/1984-0462/2021/39/2020076] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Accepted: 07/29/2020] [Indexed: 11/29/2022]
Abstract
Objective: To evaluate the prevalence of breastfeeding (BF) and the association between occurrence/duration of BF and overweight/obesity in schoolchildren aged 7-14 years. Methods: This is a cross-sectional study, conducted in 2012-2013, on schoolchildren aged 7-14 years from Florianópolis, Santa Catarina, Southern Brazil. Weight and height were measured according to procedures of the World Health Organization. Breastfeeding and sociodemographic data were obtained from a questionnaire responded by parents/guardians. BF was categorized as a dichotomous variable (yes/no) and according to duration (months). Nutritional status was evaluated according to the Z score of the body mass index per age for sex and it was categorized into two groups: normal weight (<Z score+1) and overweight/obesity (≥Z score+1). The adjusted analysis was performed by logistic regression in two age strata (age groups of 7-10 and 11-14 years). Results: 6.6% of schoolchildren had never breastfed; 16.8% had been breastfed for ≤3 months; 16.7%, for 4-6 months; and 59.9%, for ≥7 months. No statistically significant differences were found in the occurrence and duration of BF between the age groups. The prevalence of overweight/obesity was 34.2%. For age groups (7-10 and 11-14 years), the prevalence of overweight/obesity was 36.7% and 29.8%, respectively. Chance of overweight/obesity for the age group of 7-10 years was lower among schoolchildren who were breastfed (OR=0.54; 95%CI 0.33-0.88), when compared with those who never breastfed. When categorized, the chance of overweight/obesity in the age group of 7-10 years was lower for duration of BF ≤3 months (OR=0.41; 95%CI 0.20-0.83), and 4-6 months (OR=0.48; 95%CI 0.28-0.82) when compared with children who never breastfed. Conclusions: BF for at least six months was associated with a lower chance of overweight/obesity for schoolchildren aged 7-10 years. No association was found for schoolchildren aged 11-14 years.
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Rossi CE, Patrícia de Fragas H, Corrêa EN, das Neves J, de Vasconcelos FDAG. Association between food, physical activity, and social assistance environments and the body mass index of schoolchildren from different socioeconomic strata. J Public Health (Oxf) 2020; 41:e25-e34. [PMID: 29846685 DOI: 10.1093/pubmed/fdy086] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2017] [Revised: 04/13/2018] [Indexed: 01/24/2023] Open
Abstract
The aim of this article was to evaluate associations between body mass index (BMI) and use of and distance from subjects homes of elements of the food and physical activity environments and use of social assistance environment, in schoolchildren from 7 to 14 years living in Florianópolis (South Brazil), stratified by monthly family income. A cross-sectional study was conducted with a probabilistic sample of 2152 schoolchildren. Univariate and multivariate linear regression analyses were conducted to test for associations between BMI and the use of and distance from supermarkets, bakeries and farmers' markets; use of and distance from parks/playgrounds and football pitches; and use of health centers, Reference Centers for Social Assistance, instructional facilities, residents associations, religious groups and a Brazilian program for cash transfer. Overweight and obesity rates were 21.5 and 12.7%, respectively. Among schoolchildren from low-income families, living more than 11 min' walk from parks/playgrounds was associated with higher BMI (β = 0.53; 95% CI = 0.33-0.73). In the high-income strata, a longer distance from home to football pitches was associated with lower BMI (β = -0.49; 95% CI = -0.69; -0.29). Neither food nor social assistance environments were associated with BMI of schoolchildren, even when analyzed by income strata.
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Affiliation(s)
- Camila Elizandra Rossi
- Programa de Pós-Graduação em Nutrição (PPGN), Universidade Federal de Santa Catarina, Rua Engenheiro Agronômico Andrei Cristian Ferreira, s/n, Centro de Ciências da Saúde, Bloco A, 208, Trindade, Florianópolis, SC, Brazil
| | - Hinnig Patrícia de Fragas
- Programa de Pós-Graduação em Nutrição (PPGN), Universidade Federal de Santa Catarina, Rua Engenheiro Agronômico Andrei Cristian Ferreira, s/n, Centro de Ciências da Saúde, Bloco A, 208, Trindade, Florianópolis, SC, Brazil
| | - Elizabeth Nappi Corrêa
- Departamento de Nutrição, Universidade Federal de Santa Catarina, Rua Engenheiro Agronômico Andrei Cristian Ferreira, s/n, Centro de Ciências da Saúde, Bloco A, 208, Trindade, Florianópolis, SC, Brazil
| | - Janaina das Neves
- Departamento de Nutrição, Universidade Federal de Santa Catarina, Rua Engenheiro Agronômico Andrei Cristian Ferreira, s/n, Centro de Ciências da Saúde, Bloco A, 208, Trindade, Florianópolis, SC, Brazil
| | - Francisco de Assis Guedes de Vasconcelos
- Programa de Pós-Graduação em Nutrição (PPGN), Universidade Federal de Santa Catarina, Rua Engenheiro Agronômico Andrei Cristian Ferreira, s/n, Centro de Ciências da Saúde, Bloco A, 208, Trindade, Florianópolis, SC, Brazil
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The food environment in Latin America: a systematic review with a focus on environments relevant to obesity and related chronic diseases. Public Health Nutr 2019; 22:3447-3464. [PMID: 31666140 DOI: 10.1017/s1368980019002891] [Citation(s) in RCA: 53] [Impact Index Per Article: 10.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
OBJECTIVE Food environments may be contributing to the rapid increase in obesity occurring in most Latin American (LA) countries. The present study reviews literature from LA that (i) describes the food environment and policies targeting the food environment (FEP); and (ii) analytic studies that investigate associations between the FEP and dietary behaviours, overweight/obesity and obesity related chronic diseases. We focus on six dimensions of the FEP: food retail, provision, labelling, marketing, price and composition. DESIGN Systematic literature review. Three databases (Web of Science, SciELO, LILACS) were searched, from 1 January 1999 up to July 2017. Two authors independently selected the studies. A narrative synthesis was used to summarize, integrate and interpret findings. SETTING Studies conducted in LA countries. PARTICIPANTS The search yielded 2695 articles of which eighty-four met inclusion criteria. RESULTS Most studies were descriptive and came from Brazil (61 %), followed by Mexico (18 %) and Guatemala (6 %). Studies were focused primarily on retail/provision (n 27), marketing (n 16) and labelling (n 15). Consistent associations between availability of fruit and vegetable markets and higher consumption of fruits and vegetables were found in cross-sectional studies. Health claims in food packaging were prevalent and mostly misleading. There was widespread use of marketing strategies for unhealthy foods aimed at children. Food prices were lower for processed relative to fresh foods. Some studies documented high sodium in industrially processed foods. CONCLUSIONS Gaps in knowledge remain regarding policy evaluations, longitudinal food retail studies, impacts of food price on diet and effects of digital marketing on diet/health.
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Lobo AS, de Assis MAA, Leal DB, Borgatto AF, Vieira FK, Di Pietro PF, Kupek E. Empirically derived dietary patterns through latent profile analysis among Brazilian children and adolescents from Southern Brazil, 2013-2015. PLoS One 2019; 14:e0210425. [PMID: 30620755 PMCID: PMC6324812 DOI: 10.1371/journal.pone.0210425] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2017] [Accepted: 12/21/2018] [Indexed: 12/25/2022] Open
Abstract
The aims of this study were to identify dietary patterns (DPs) of children and adolescents participating in three cross-sectional surveys (2013-2015) and to test their associations with sociodemographic variables, physical activity (PAS), screen-based sedentary activity (SA), and weight status. One-day data were obtained from 5,364 schoolchildren (7-12 years) from public schools of Florianopolis (South of Brazil), using the validated questionnaire Web-CAAFE (Food Intake and Physical Activity of Schoolchildren). DPs were derived from the frequency of daily consumption of 32 foods/beverages by latent profile analysis. Multinomial logistic regression analysis was used to estimate the association of the DPs with sociodemographic variables, physical activity, screen activity and weight status. 'Traditional', 'Monotonous', and 'Mixed' DPs were identified. The percentages of children and adolescents within these profiles were 41.3, 36.3, and 22.4%, respectively. Children and adolescents in the highest tertiles of both PAS and daily frequency of SA had a higher probability to present a 'Mixed' DP compared to peers with less PAS and SA. Children and adolescents who reported having a school meal were significantly more likely to present the 'Traditional'DP, while boys who did not report having a school meal had a higher probability to present the 'Monotonous' DP. The DPs were not associated with the year of survey, age, family income, or weight status.
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Affiliation(s)
- Adriana Soares Lobo
- Postgraduate Program in Nutrition, Center for Health Sciences, Federal University of Santa Catarina, Florianópolis, SC, Brazil
| | - Maria Alice Altenburg de Assis
- Postgraduate Program in Nutrition, Center for Health Sciences, Federal University of Santa Catarina, Florianópolis, SC, Brazil
- Postgraduate Program in Physical Education, Sports Center, Federal University of Santa Catarina, Florianópolis, SC, Brazil
| | - Danielle Biazzi Leal
- Postgraduate Program in Nutrition, Center for Health Sciences, Federal University of Santa Catarina, Florianópolis, SC, Brazil
- Postgraduate Program in Physical Education, Sports Center, Federal University of Santa Catarina, Florianópolis, SC, Brazil
| | - Adriano Ferreti Borgatto
- Postgraduate Program in Physical Education, Sports Center, Federal University of Santa Catarina, Florianópolis, SC, Brazil
- Department of Informatics and Statistics, Technological Center, Federal University of Santa Catarina, Florianópolis, SC, Brazil
| | - Francilene Kunradi Vieira
- Postgraduate Program in Nutrition, Center for Health Sciences, Federal University of Santa Catarina, Florianópolis, SC, Brazil
| | - Patricia Faria Di Pietro
- Postgraduate Program in Nutrition, Center for Health Sciences, Federal University of Santa Catarina, Florianópolis, SC, Brazil
| | - Emil Kupek
- Department of Public Health, Center for Health Sciences, Federal University of Santa Catarina, Florianópolis, SC, Brazil
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Alexius SL, Mocellin MC, Corrêa EN, Neves JD, Vasconcelos FDAGD, Corso ACT. Evidences of the association between individual attributes and bullying: a cross-sectional study with adolescents from Florianópolis, Santa Catarina State, Brazil. CAD SAUDE PUBLICA 2018; 34:e00118617. [PMID: 30570038 DOI: 10.1590/0102-311x00118617] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2017] [Accepted: 06/08/2018] [Indexed: 01/31/2023] Open
Abstract
This study aimed to estimate the prevalence of bullying and to verify the association between nutritional status, demographic and socioeconomic factors, and individual attributes among schoolchildren aged from 11 to 14 years. This is cross-sectional study with a probabilistic sample of 975 adolescents attending public and private schools in Florianópolis, Santa Catarina State, Brazil. Bullying was investigated with a self-administered questionnaire by applying Item Response Theory and dichotomized according to victimization or not. Body mass index (BMI) was classified according to the World Health Organization criteria. Data such as age, school type and location, household income, as well as the education background of the parents were collected by a questionnaire given to the parents. Crude and adjusted analyses were performed using logistic regression. The prevalence of victims of bullying and of overweight/obese adolescents was 13.2% and 29%, respectively. No association was found between bullying and age, sex, school type, mother's education, household income, and overweight/obesity. The crude analysis model indicated that overweight/obese adolescents and those with individual attributes (fat, thin, tall, short, good-looking, ugly, from a different ethnic background, rich, poor, with a disability and/or other) had a greater chance of being bullied. In the analysis model adjusted by household income and stratified by sex, boys were discriminated for being fat, good-looking, ugly, or for having a disability, while girls were discriminated for being fat, tall, short, ugly, rich, poor, among other individual attributes.
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Affiliation(s)
| | | | | | - Janaina das Neves
- Departamento de Nutrição, Universidade Federal de Santa Catarina, Florianópolis, Brasil
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Rossi CE, Correa EN, Neves JD, Gabriel CG, Benedet J, Rech CR, de Vasconcelos FDAG. Body mass index and association with use of and distance from places for physical activity and active leisure among schoolchildren in Brazil. Cross-sectional study. SAO PAULO MED J 2018; 136:228-236. [PMID: 29924287 PMCID: PMC9907737 DOI: 10.1590/1516-3180.2017.0347020118] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/25/2017] [Accepted: 01/02/2018] [Indexed: 02/02/2023] Open
Abstract
BACKGROUND We evaluated associations between use of public places for physical activity and active leisure (PAAL) and their distances from subjects' homes and indicators of overweight and obesity, among schoolchildren from different socioeconomic levels, in the city of Florianópolis, Brazil. DESIGN AND SETTING Cross-sectional study conducted on a sample of 2,152 schoolchildren aged 7 to 14 years, enrolled at 30 public and private schools. METHODS The exposure variables were the use of public places for PAAL in the neighborhood and their distance from schoolchildren's homes. The outcomes were body mass index (BMI) and waist circumference (WC). Univariate and multivariate linear regression analyses were conducted according to income strata. RESULTS Among the schoolchildren from low-income families, living closer to parks/playgrounds was associated with lower BMI (β = -2.15; 95% confidence interval, CI = -2.53; -1.77) and lower WC (β = -0.11 95% CI = -0.17; -0.05), while living at these distances from football pitches was associated with higher BMI (β = 1.73; 95% CI = 0.31; 3.15) and larger WC measurements (β = 0.03; 95% CI = 0.005; 0.14). Among the schoolchildren in low-income groups, living at an intermediate distance from beaches was associated with lower BMI (β = -1.10; 95% CI = -1.61; -0.59). CONCLUSION Living closer to parks/playgrounds was associated with lower BMI and WC among schoolchildren from low-income families. Living closer to football pitches was associated with higher BMI and WC among these schoolchildren. Living at intermediate distances from beaches was associated with lower BMI among these schoolchildren.
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Affiliation(s)
- Camila Elizandra Rossi
- MSc. Doctoral Student, Universidade Federal de Santa Catarina (UFSC), Florianópolis (SC), Brazil.
| | - Elizabeth Nappi Correa
- MD, PhD. Researcher, Department of Nutrition, Universidade Federal de Santa Catarina (UFSC), Florianópolis (SC), Brazil.
| | - Janaina das Neves
- MD, PhD. Researcher, Postgraduate Program on Nutrition, Department of Nutrition, Universidade Federal de Santa Catarina (UFSC), Florianópolis (SC), Brazil.
| | - Cristine Garcia Gabriel
- MD, PhD. Researcher, Postgraduate Program on Nutrition, Department of Nutrition, Universidade Federal de Santa Catarina (UFSC), Florianópolis (SC), Brazil.
| | - Jucemar Benedet
- MD, PhD. Researcher, Postgraduate Program on Physical Education, Department of Sports, Universidade Federal de Santa Catarina (UFSC), Florianopolis (SC), Brazil.
| | - Cassiano Ricardo Rech
- MD, PhD. Researcher, Postgraduate Program on Physical Education, Department of Sports, Universidade Federal de Santa Catarina (UFSC), Florianópolis (SC), Brazil.
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11
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Corvalán C, Garmendia ML, Jones-Smith J, Lutter CK, Miranda JJ, Pedraza LS, Popkin BM, Ramirez-Zea M, Salvo D, Stein AD. Nutrition status of children in Latin America. Obes Rev 2017; 18 Suppl 2:7-18. [PMID: 28741907 PMCID: PMC5601284 DOI: 10.1111/obr.12571] [Citation(s) in RCA: 125] [Impact Index Per Article: 17.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/10/2017] [Accepted: 05/03/2017] [Indexed: 12/30/2022]
Abstract
The prevalence of overweight and obesity is rapidly increasing among Latin American children, posing challenges for current healthcare systems and increasing the risk for a wide range of diseases. To understand the factors contributing to childhood obesity in Latin America, this paper reviews the current nutrition status and physical activity situation, the disparities between and within countries and the potential challenges for ensuring adequate nutrition and physical activity. Across the region, children face a dual burden of undernutrition and excess weight. While efforts to address undernutrition have made marked improvements, childhood obesity is on the rise as a result of diets that favour energy-dense, nutrient-poor foods and the adoption of a sedentary lifestyle. Over the last decade, changes in socioeconomic conditions, urbanization, retail foods and public transportation have all contributed to childhood obesity in the region. Additional research and research capacity are needed to address this growing epidemic, particularly with respect to designing, implementing and evaluating the impact of evidence-based obesity prevention interventions.
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Affiliation(s)
- C Corvalán
- Institute of Nutrition and Food Technology, University of Chile, Santiago, Chile
| | - M L Garmendia
- Institute of Nutrition and Food Technology, University of Chile, Santiago, Chile
| | - J Jones-Smith
- Department of Health Services, School of Public Health, University of Washington, Seattle, WA, USA
| | | | - J J Miranda
- CRONICAS Center of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima, Peru
| | - L S Pedraza
- Center for Nutrition and Health Research, National Institute of Public Health, Cuernavaca, Mexico
| | - B M Popkin
- Carolina Population Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - M Ramirez-Zea
- INCAP Research Center for the Prevention of Chronic Diseases (CIIPEC), Institute of Nutrition of Central America and Panama, Guatemala
| | - D Salvo
- Center for Nutrition and Health Research, National Institute of Public Health, Cuernavaca, Mexico.,Michael and Susan Dell Center for Healthy Living, The University of Texas Health Science Center at Houston, School of Public Health, Austin Campus, Austin, TX, USA
| | - A D Stein
- Hubert Department of Global Health of the Rollins School of Public Health, Emory University, Atlanta, GA, USA
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PINHO MGMD, ADAMI F, BENEDET J, VASCONCELOS FDAGD. Association between screen time and dietary patterns and overweight/obesity among adolescents. REV NUTR 2017. [DOI: 10.1590/1678-98652017000300010] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
ABSTRACT Objective The association between screen time and dietary patterns and overweight/obesity among adolescents was analysed in this study. Methods In this cross-sectional study, 963 Brazilian adolescents, aged between 11 and 14 years were evaluated. Body mass index was used to assess overweight/obesity. Dietary patterns and screen time were assessed using qualitative questionnaires. Principal component analysis was used to obtain dietary patterns. Confounder variables were: type of school (public or private), sexual maturation, mother’s weight and mother’s education. The Chi-square test was used for the crude analysis; for the adjusted analysis was used Poisson regression with sample weighting. Results Overweight/obesity prevalence was 29.8% and statistically higher among boys (34.7%). Higher screen time prevalence was 39.1%. The dietary patterns obtained were: obesogenic; coffee and dairy products; traditional Brazilian meal; fruit and vegetables; bread and chocolate milk. The dietary pattern that more closely represented student food consumption was the obesogenic pattern. Screen time was not significantly associated with overweight/obesity. The obesogenic pattern (in both sexes), the coffee and dairy products pattern, and the bread and chocolate milk pattern (only in girls), were inversely associated with overweight/obesity. In this study, dietary patterns influenced overweight/obesity, although in some cases, in an inverse way from what expected. Conclusion A high prevalence of overweight/obesity and a high proportion of screen time activities among the adolescents were observed. Our results indicate a high consumption of unhealthy dietary pattern among adolescents.
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Corrêa EN, Rossi CE, das Neves J, Silva DAS, de Vasconcelos FDAG. Utilization and environmental availability of food outlets and overweight/obesity among schoolchildren in a city in the south of Brazil. J Public Health (Oxf) 2017; 40:106-113. [DOI: 10.1093/pubmed/fdx017] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2016] [Accepted: 01/31/2017] [Indexed: 11/13/2022] Open
Affiliation(s)
- Elizabeth Nappi Corrêa
- Departamento de Nutrição – Programa de Pós-Graduação em Nutrição (PPGN), Universidade Federal de Santa Catarina, Rua Engenheiro Agronômico Andrei Cristian Ferreira, s/n – Centro de Ciências da Saúde, Bloco A, 208, Trindade, Florianópolis – SC, Brazil
| | - Camila Elizandra Rossi
- Departamento de Nutrição – Programa de Pós-Graduação em Nutrição (PPGN), Universidade Federal de Santa Catarina, Rua Engenheiro Agronômico Andrei Cristian Ferreira, s/n – Centro de Ciências da Saúde, Bloco A, 208, Trindade, Florianópolis – SC, Brazil
| | - Janaina das Neves
- Departamento de Nutrição – Programa de Pós-Graduação em Nutrição (PPGN), Universidade Federal de Santa Catarina, Rua Engenheiro Agronômico Andrei Cristian Ferreira, s/n – Centro de Ciências da Saúde, Bloco A, 208, Trindade, Florianópolis – SC, Brazil
| | - Diego Augusto Santos Silva
- Departamento de Educação Física – Programa de Pós-Graduação em Educação Física (PPGEF), Universidade Federal de Santa Catarina, Rua Engenheiro Agronômico Andrei Cristian Ferreira, s/n – Centro de Desportos, Trindade, Florianópolis – SC, Brazil
| | - Francisco de Assis Guedes de Vasconcelos
- Departamento de Nutrição – Programa de Pós-Graduação em Nutrição (PPGN), Universidade Federal de Santa Catarina, Rua Engenheiro Agronômico Andrei Cristian Ferreira, s/n – Centro de Ciências da Saúde, Bloco A, 208, Trindade, Florianópolis – SC, Brazil
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Correa EN, Padez CMP, Abreu ÂHD, Vasconcelos FDAGD. Geographic and socioeconomic distribution of food vendors: a case study of a municipality in the Southern Brazil. CAD SAUDE PUBLICA 2017; 33:e00145015. [DOI: 10.1590/0102-311x00145015] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2015] [Accepted: 05/02/2016] [Indexed: 11/21/2022] Open
Abstract
Abstract: The objective of this study was to identify the food vendor distribution profile of the city of Florianópolis, Santa Catarina State, Brazil, and investigate its association with the socioeconomic and demographic characteristics of different municipal regions. This descriptive, cross-sectional study obtained the location of food vendors from secondary data from different institutional sources. The density of different types of food vendors per 1,000 inhabitants in each municipal weighted area was calculated. The Kruskal-Wallis test compared the mean density of food vendors and the weighted income areas. The lowest-income regions had the lowest density of butchers, snack bars, supermarkets, bakeries/pastry shops, natural product stores, juice bars, and convenience stores. The identification of these areas may encourage the creation of public policies that facilitate healthy food startups and/or maintenance of healthy food vendors, especially in the lowest-income regions.
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D'Avila GL, Silva DAS, de Vasconcelos FDAG. [Association between dietary intake, physical activity, socioeconomic factors and body fat percentage among schoolchildren]. CIENCIA & SAUDE COLETIVA 2016; 21:1071-81. [PMID: 27076006 DOI: 10.1590/1413-81232015214.13722015] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2015] [Accepted: 09/13/2015] [Indexed: 11/21/2022] Open
Abstract
The scope of this article was to assess the association between dietary intake, physical activity and socioeconomic factors associated with body fat percentage in 7 to 14-year-old schoolchildren. It is a cross-sectional study with a probability sample of 2,481 students from public and private schools in Florianópolis, Santa Catarina, Brazil. Body fat percentage was investigated by measuring triceps and subscapular skin folds. Poisson regression was performed to test the association between excess body fat and independent variables, estimating prevalence ratios and 95% confidence intervals. The prevalence of excess body fat was 23.9%, though there was no significant difference between sex (p = 0.359) and age (p = 0.202). Excess body fat was associated with different factors in 11 to 14-year-old schoolchildren, namely eating less than three meals a day (OR = 1.62, CI: 1.38 to 1.91) and consumption of high-risk food more than 3 times a day (OR = 0.61 CI: 0.47 to 0.79). No significant difference was observed with physical activity. The high prevalence of excess body fat detected reveals the need for fostering the adoption of healthier behavioral practices (in relation to nutrition and physical activity) by schoolchildren.
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Affiliation(s)
- Gisele Liliam D'Avila
- Centro de Ciências da Saúde, Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil,
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D’Avila GL, Müller RL, Gonsalez PS, Vasconcelos FDAGD. Associação entre estado nutricional da mãe e a frequência, local e companhia durante as refeições com o sobrepeso/obesidade de adolescentes da cidade de Florianópolis, Brasil. REVISTA BRASILEIRA DE SAÚDE MATERNO INFANTIL 2015. [DOI: 10.1590/s1519-38292015000300004] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/03/2023]
Abstract
Objetivos:Objetivos: estimar a prevalência de sobrepeso/obesidade e analisar a associação entre estado nutricional da mãe, fatores sociodemográ-ficos, frequência, local e companhia nas refeições e sobrepeso/obesidade em escolares de 11 a 14 anos de Florianópolis, Santa Catarina.Métodos:estudo transversal com 962 adolescentes de escolas públicas e privadas. O sobrepeso/obesidade foi definido de acordo com a Organização Mundial da Saúde. As variáveis independentes foram: rede de ensino, sexo do escolar, escolaridade e estado nutricional da mãe, renda familiar mensal, frequência, local e companhia nas refeições. Foram realizadas análises brutas e ajustadas por meio da regressão de Poisson estimando-se razões de prevalência e intervalos de confiança de 95%.Resultados:a prevalência de sobrepeso/obesi-dade foi de 29,8% (IC95%: 25,7-33,9), sendo 11,6% de obesidade e 18,3% de sobrepeso. Entre alunos da rede pública, o sobrepeso/obesidade esteve associado ao sobrepeso/obesidade da mãe, maior número de realização de café da manhã, almoçar na escola ou em outro local e café da manhã na companhia de outras pessoas, enquanto que entre estudantes da rede privada, o evento esteve associado ao sobrepeso/obesidade da mãe.Conclusões:a elevada prevalência de sobrepeso/obesidade, tanto na rede pública quanto na privada, evidencia a necessidade de mais atenção para os fatores associados, tais como sobrepeso/obesidade da mãe, frequência, local e companhia nas refeições.
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