[Body image of adolescents in rural cities]

Relationship of sociodemographic conditions with the formation of body image in Brazilian adolescents

ABSTRACT Objective To investigate the associations between sociodemographic population conditions and adolescents’ body image Methods This is a cross-sectional study using data from the Pesquisa Nacional de Saúde do Escolar (PeNSE, National School Health Survey), conducted in 2015. The objective was to analyze the relationship between students’ sociodemographic conditions and body image attending public and private schools in Brazil capitals and the Federal District. For the statistical analysis, we conducted the Poisson regression models, generating adjusted prevalence ratios and their respective 95% CI. In the multiple models, sociodemographic variables were included, which were significantly associated with body image variables (p<0.05) or which altered the prevalence ratios by at least 10%. Results The research involved 10,926 adolescentes The analyses showed that the older the adolescents, the greater their dissatisfaction with their body. As for the school administrative status, students from private schools were more unhappy with their image (Girls: 33% and Boys: 17.6%) and, they tend to have more attitudes to lose weight (Girls: 42.8% and Boys: 28%). The mother’s level of education causes daughters to be more dissatisfied with their bodies (33.3%) and sons showing more attitudes of wanting to lose weight (26.6%). Conclusion Sociodemographic conditions are directly and indirectly associated with the adolescents’ body image. Negative deviations in body image can result in binge eating and social disorders hindering the development of these pubescent children. The consequences of these actions become a risk to health and psychological well-being, strongly supporting the initiative of programs aimed at issues related to body image in the school setting.

Imagem corporal de adolescentes do sexo feminino e sua associação à composição corporal e ao comportamento sedentário

Resumo O objetivo deste artigo é avaliar a imagem corporal e sua associação à composição corporal, indicadores antropométricos e comportamento sedentário de adolescentes do sexo feminino. Estudo transversal com adolescentes do sexo feminino de Viçosa, MG. A imagem corporal foi avaliada por meio do Body Shape Questionnaire (BSQ) e pela Escala de Silhuetas. O percentual de gordura (%GC) e outros parâmetros antropométricos foram aferidos. O comportamento sedentário (CS) foi avaliado a partir da soma do tempo de tela (TT) e do tempo de celular (TC). A amostra foi composta por 274 adolescentes, a maioria com IMC adequado (81,6%), porém, 53,9% apresentaram o % GC elevado. Mais da metade das adolescentes apresentaram o CS elevado, 68,2% com o TT e 54,7% com o TC acima de 2h. A insatisfação corporal manifestou-se em 45,7%, e 50,2% desejaram uma silhueta diferente da atual. O perímetro da cintura (PC) (OR = 11,94, IC = 2,744 – 51,728) e a relação cintura-estatura (RCE) (OR = 10,535, IC = 3,109 – 35,698) foram as medidas mais associadas à insatisfação corporal. Todas as medidas de composição corporal apresentaram associação significativa com a insatisfação corporal, sendo o PC e o RCE os fatores mais condicionantes. O CS mostrou-se elevado, no entanto, não se associou com a avaliação negativa da imagem corporal.

Analysis of obese patients' medical conditions in the pre and postoperative periods of bariatric surgery

Objective

to compare the clinical conditions of obese patients in the pre and postoperative period of bariatric surgery.

Methods

we carried out a descriptive, retrospective, quantitative study by consulting the charts of 134 patients who underwent bariatric surgery in the period from 2009 to 2014. We collected the data between September and November 2015. We performed a descriptive statistical analysis and comparative analysis of anthropometric, metabolic, biochemical and clinical variables, considering six months before and after surgery.

Results

the majority of the patients were female (91.8%), with a higher prevalence (35%) in the age group 18-29 years old, complete high-school education (65.6%) and grade III obesity (60.4%). Six months after surgery, weight and lipid profile reduction were significant in both genders, but the impact on biochemical, anthropometric, metabolic and clinical parameters was significant only in female subjects, with a reduction in morbidities associated with obesity, such as arterial hypertension, diabetes mellitus, dyslipidemia and metabolic syndrome and in the use of drugs to control them.

Conclusion

bariatric surgery was effective in weight loss, with improvements in anthropometric, metabolic and biochemical parameters and in the reduction of morbidities associated with obesity.