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Bento GG, Ferreira EG, Silva FCD, Castro TLDS, Silva BAD, Silva RD. PREVALENCE AND FACTORS ASSOCIATED WITH PHYSICAL ACTIVITY IN SOCIALLY VULNERABLE CHILDREN. REV BRAS MED ESPORTE 2019. [DOI: 10.1590/1517-869220192504162575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Introduction: Although the benefits of physical activity are widely recognized, insufficient levels have been identified among young people, especially those experiencing social vulnerability. Therefore, there is an ongoing search for health incentive strategies, especially in the early stages of life, aimed at reversing this situation. Objective: Investigate the prevalence of physical activity, weight status and motivation to participate in sports among socially vulnerable children who are participating in social projects of the state of Santa Catarina focused on sports, and compare these results according to age and sex. Methods: This is a cross-sectional descriptive study, composed of 3066 children aged seven to 11 years. Results: The study was made up of “active” and “moderately active” children of “normal weight”, considering the domains of motivation to participate in physical activities and sports: pleasure, physical fitness, technical competence, general affiliation, specific affiliation and “very important” status and emotions and competition, “important”. Accordingly, girls tend to be more “moderately active,” “overweight” and “obese” and to regard technical competence as an “important” motivational domain for physical activity when compared to boys. Participants aged 10 to 11 years were more “very active”, were more “overweight” and “obese” and considered specific affiliation more “totally important” when compared to younger participants. Conclusion: The participants of social sports projects of this sample demonstrated a level of physical activity and weight status within recommended levels, and were motivated to participate in sports in most of the domains observed. Level of evidence III; Diagnostic studies - Investigating a diagnostic test.
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Affiliation(s)
| | | | | | - Thiago Luis da Silva Castro
- Universidade do Estado de Santa Catarina, Brazil; Universitário Estácio Santa Catarina, Brazil; Instituto Federal de Santa Catarina, Brazil
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Soria L, Teixeira DDS, Polesel DN, Fernandes MTB. Evaluation of predictive measurements of excess weight in brazilian children. ACTA ACUST UNITED AC 2019; 65:663-668. [PMID: 31166443 DOI: 10.1590/1806-9282.65.5.663] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2018] [Accepted: 08/05/2018] [Indexed: 11/22/2022]
Affiliation(s)
- Luryê Soria
- Public Health Faculty of USP, São Paulo, SP, Brasil
| | | | - Daniel N Polesel
- Federal University of São Paulo/Department of Psychobiology, São Paulo, SP, Brasil
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Jensen NSO, Camargo TFB, Bergamaschi DP. Comparison of methods to measure body fat in 7-to-10-year-old children: a systematic review. Public Health 2016; 133:3-13. [PMID: 26774698 DOI: 10.1016/j.puhe.2015.11.025] [Citation(s) in RCA: 49] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2015] [Revised: 11/23/2015] [Accepted: 11/28/2015] [Indexed: 11/22/2022]
Abstract
OBJECTIVE To investigate methodological aspects in body fat (BF) measurements in 7-to-10-year-old children. STUDY DESIGN Systematic review of the literature. METHODS The studies were chosen from the PubMed and Scielo databases according to a protocol that defined: inclusion criteria; a search and quality-assessment strategy; and information extraction. RESULTS 27 studies published from 2004 to 2014 were included. The literature describes skinfold measurements and dual energy X-ray absorptiometry (DEXA) as being the reference methods most widely used in the assessment of the ability of methods to identify BF. The most commonly-used statistical analyses were the Pearson correlation coefficient, and sensitivity and specificity performance analyses. The comparison between the tested methods and the references showed that body mass index (BMI) and waist circumference (WC) are strongly correlated to BF as calculated by bioelectrical impedance or skinfolds, and that there is a moderate positive correlation with percent body fat as calculated by DEXA, air-displacement plethysmography (ADP) or isotope dilution. There was a moderate positive correlation between waist-to-height ratio (WHtR) and BF, as estimated by ADP and skinfolds. Performance studies suggest that BMI and WC are very specific but less sensitive methods. CONCLUSIONS The results of this systematic review show favourable evidence for the use of anthropometric indicators - above all BMI and WC- in the measurement of BF, when more accurate techniques such as DEXA and ADP are not feasible. They also demonstrate features that make them advantageous for epidemiological studies in a child population, since they are easy and safe to obtain and well tolerated by the children.
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Affiliation(s)
- N S O Jensen
- Department of Epidemiology of the School of Public Health of the University of São Paulo, São Paulo, SP, Brazil
| | - T F B Camargo
- Department of Epidemiology of the School of Public Health of the University of São Paulo, São Paulo, SP, Brazil
| | - D P Bergamaschi
- Department of Epidemiology of the School of Public Health of the University of São Paulo, São Paulo, SP, Brazil.
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Kneipp C, Habitzreuter F, Mezadri T, Höfelmann DA. Excesso de peso e variáveis associadas em escolares de Itajaí, Santa Catarina, Brasil. CIENCIA & SAUDE COLETIVA 2015. [DOI: 10.1590/1413-81232015208.18752014] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/17/2023] Open
Abstract
ResumoObjetivou-se avaliar a associação das variáveis socioeconômicas, demográficas, dos comportamentos relacionados à saúde e características do ambiente familiar com a prevalência de excesso de peso em alunos do 1º ao 5º ano de escolas do município de Itajaí, Santa Catarina. As variáveis socioeconômicas, demográficas e referentes aos comportamentos e características do ambiente familiar foram identificadas por meio de questionário aplicado aos pais/responsáveis. Foi aferido e determinado o estado nutricional pelo Índice de Massa Corporal e circunferência da cintura. A associação entre o excesso de peso e as demais variáveis foi investigada por meio do teste do Qui-Quadrado de Pearson e de Tendência Linear. A população constituía-se de 417 escolares, 95,2% da amostra. Os dados indicaram que 44,0% apresentaram excesso de peso, que esteve associado à melhor qualidade da dieta (49,4%, p = 0,051), menor frequência de consumo de biscoitos e salgadinhos, hábito de realizar refeições em frente à televisão, ao excesso de peso dos pais (51%, p = 0,002), ao escore da atuação da família na alimentação (51,9%, p = 0,029) e atividade física das crianças. Sugere-se que as ações em saúde devem considerar o entorno familiar e o contexto social das crianças para fomentar estilos de vida mais saudáveis.
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Magalhães EIDS, Sant'Ana LFDR, Priore SE, Franceschini SDCC. [Waist circumference, waist/height ratio, and neck circumference as parameters of central obesity assessment in children]. REVISTA PAULISTA DE PEDIATRIA 2014; 32:273-81. [PMID: 25479861 PMCID: PMC4227352 DOI: 10.1590/0103-0582201432320] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/17/2013] [Accepted: 01/28/2014] [Indexed: 11/22/2022]
Abstract
Objective: To analyze studies that assessed the anthropometric parameters waist circumference
(WC), waist-to-height ratio (WHR) and neck circumference (NC) as indicators of
central obesity in children. Data sources: We searched PubMed and SciELO databases using the combined descriptors: "Waist
circumference", "Waist-to-height ratio", "Neck circumference", "Children" and
"Abdominal fat" in Portuguese, English and Spanish. Inclusion criteria were
original articles with information about the WC, WHR and NC in the assessment of
central obesity in children. We excluded review articles, short communications,
letters and editorials. Data synthesis: 1,525 abstracts were obtained in the search, and 68 articles were selected for
analysis. Of these, 49 articles were included in the review. The WC was the
parameter more used in studies, followed by the WHR. Regarding NC, there are few
studies in children. The predictive ability of WC and WHR to indicate central
adiposity in children was controversial. The cutoff points suggested for the
parameters varied among studies, and some differences may be related to ethnicity
and lack of standardization of anatomical site used for measurement. Conclusions: More studies are needed to evaluate these parameters for determination of central
obesity children. Scientific literature about NC is especially scarce, mainly in
the pediatric population. There is a need to standardize site measures and
establish comparable cutoff points between different populations.
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Waist circumference, waist/height ratio, and neck circumference as parameters of central obesity assessment in children* *Study conducted at Departamento de Nutrição e Saúde, Universidade Federal de Viçosa, Viçosa, MG, Brazil. ACTA ACUST UNITED AC 2014. [DOI: 10.1016/s2359-3482(15)30022-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Burgos MS, Burgos LT, Camargo MD, Franke SIR, Prá D, da Silva AMV, Borges TS, Todendi PF, Reckziegel MB, Reuter CP. Relationship between anthropometric measures and cardiovascular risk factors in children and adolescents. Arq Bras Cardiol 2013; 101:288-96. [PMID: 23979777 PMCID: PMC4062364 DOI: 10.5935/abc.20130169] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2012] [Revised: 07/31/2012] [Accepted: 04/23/2013] [Indexed: 11/20/2022] Open
Abstract
BACKGROUND Obesity has been identified as an important risk factor in the development of cardiovascular diseases; however, other factors, combined or not with obesity, can influence cardiovascular risk and should be considered in cardiovascular risk stratification in pediatrics. OBJECTIVE To analyze the association between anthropometry measures and cardiovascular risk factors, to investigate the determinants to changes in blood pressure (BP), and to propose a prediction equation to waist circumference (WC) in children and adolescents. METHODS We evaluated 1,950 children and adolescents, aged 7 to 18 years. Visceral fat was assessed by WC and waist-hip relationship, BP and body mass index (BMI). In a randomly selected subsample of these volunteers (n = 578), total cholesterol, glucose and triglycerides levels were evaluated. RESULTS WC was positively correlated with BMI (r = 0.85; p < 0.001) and BP (SBP r = 0.45 and DBP = 0.37; p < 0.001). Glycaemia and triglycerides showed a weak correlation with WC (r = 0.110; p = 0.008 e r = 0.201; p < 0.001, respectively). Total cholesterol did not correlate with any of the variables. Age, BMI and WC were significant predictors on the regression models for BP (p < 0.001). We propose a WC prediction equation for children and adolescents: boys: y = 17.243 + 0.316 (height in cm); girls: y = 25.197 + 0.256 (height in cm). CONCLUSION WC is associated with cardiovascular risk factors and presents itself as a risk factor predictor of hypertension in children and adolescents. The WC prediction equation proposed by us should be tested in future studies.
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Affiliation(s)
- Miria Suzana Burgos
- Universidade de Santa Cruz do Sul - UNISC, Santa Cruz do Sul, RS -
Brazil
- Programa de Pós-graduação - Mestrado em Promoção da Saúde - UNISC,
Santa Cruz do Sul, RS - Brazil
| | | | - Marcelo Dias Camargo
- Grupo de Pesquisa em Cardiologia do Exercício HCPA/UFRGS, Porto Alegre,
RS - Brazil
| | - Silvia Isabel Rech Franke
- Universidade de Santa Cruz do Sul - UNISC, Santa Cruz do Sul, RS -
Brazil
- Programa de Pós-graduação - Mestrado em Promoção da Saúde - UNISC,
Santa Cruz do Sul, RS - Brazil
| | - Daniel Prá
- Universidade de Santa Cruz do Sul - UNISC, Santa Cruz do Sul, RS -
Brazil
- Programa de Pós-graduação - Mestrado em Promoção da Saúde - UNISC,
Santa Cruz do Sul, RS - Brazil
| | | | - Tássia Silvana Borges
- Universidade de Santa Cruz do Sul - UNISC, Santa Cruz do Sul, RS -
Brazil
- Programa de Pós-graduação - Mestrado em Promoção da Saúde - UNISC,
Santa Cruz do Sul, RS - Brazil
| | - Pâmela Ferreira Todendi
- Universidade de Santa Cruz do Sul - UNISC, Santa Cruz do Sul, RS -
Brazil
- Programa de Pós-graduação - Mestrado em Promoção da Saúde - UNISC,
Santa Cruz do Sul, RS - Brazil
| | | | - Cézane Priscila Reuter
- Universidade de Santa Cruz do Sul - UNISC, Santa Cruz do Sul, RS -
Brazil
- Programa de Pós-graduação - Mestrado em Promoção da Saúde - UNISC,
Santa Cruz do Sul, RS - Brazil
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Abstract
Kidney transplantation is the treatment of choice for the majority of pediatric patients with end-stage kidney disease. Previous studies demonstrating racial or gender disparities in access to the deceased donor transplant list could not evaluate the impact of medical concerns or patient preference on waitlist status. We undertook a retrospective cohort study using the NAPRTCS registry to begin to determine barriers to wait list registration for kidney transplantation among pediatric dialysis patients. Clinical and demographic factors were compared in listed vs. non-listed patients. Reasons cited for not listing patients were examined by clinical and demographic factors. At dialysis initiation, 88.7% of pediatric dialysis patients were not on the renal transplant wait list. Twelve months after dialysis initiation, 67.1% of pediatric dialysis patients were not on the wait list. The groups least likely to be on the wait list were infants (adjusted OR 0.23, 95% CI 0.16, 0.32) and girls (adjusted OR 0.78, 95% CI 0.67, 0.90) after adjusting for multiple confounders. The reason most often cited for not listing was medical reason for young infants and that the transplant workup was pending for girls. Further study is needed to identify barriers to wait list registration.
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Centile values for anthropometric variables in Colombian adolescents. ACTA ACUST UNITED AC 2011; 58:16-23. [DOI: 10.1016/j.endonu.2010.09.004] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2010] [Revised: 09/21/2010] [Accepted: 09/22/2010] [Indexed: 11/22/2022]
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Damasceno MMC, Fragoso LVC, Lima AKG, Lima ACS, Viana PCS. Correlação entre índice de massa corporal e circunferência da cintura em crianças. ACTA PAUL ENFERM 2010. [DOI: 10.1590/s0103-21002010000500011] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
OBJETIVO: Estabelecer uma correlação entre a circunferência da cintura e o Índice de Massa Corporal (IMC) na determinação do excesso de peso e distribuição de gordura em crianças de escolas públicas de Fortaleza - CE. MÉTODOS: Trata-se de um estudo transversal, realizado em 12 escolas da rede da pública da cidade de Fortaleza- CE. Participaram 727 crianças de ambos os sexos, com idade variando entre 6 a 11 anos. A coleta de dados ocorreu de março a junho de 2008. RESULTADOS: Os resultados do inquérito mostraram que, de acordo com o IMC,11,4% das crianças encontravam-se em sobrepeso, 6,6% eram obesas e 30,9% apresentaram obesidade central. CONCLUSÃO: Nem toda criança obesa apresentava obesidade central, demonstrando que uma só medida antropométrica não é eficaz na determinação do padrão de gordura na infância.
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Pinto ICDS, Arruda IKGD, Diniz ADS, Cavalcanti AMTDS. Prevalência de excesso de peso e obesidade abdominal, segundo parâmetros antropométricos, e associação com maturação sexual em adolescentes escolares. CAD SAUDE PUBLICA 2010; 26:1727-37. [DOI: 10.1590/s0102-311x2010000900006] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2009] [Accepted: 07/14/2010] [Indexed: 11/21/2022] Open
Abstract
Este estudo objetivou estimar a prevalência de excesso de peso e obesidade abdominal em escolares segundo antropometria e maturação sexual. Foi um estudo transversal, incluindo 1.405 escolares de 10-14 anos, de ambos os sexos, residentes no Recife, Pernambuco, Brasil, em 2007. Foi avaliado o índice de massa corporal (IMC), a circunferência da cintura (CC) e razão da cintura-estatura (RCEst). A maturação sexual foi auto-avaliada, definindo-se como precoce quando o escolar apresentava idade cronológica inferior à mediana de idade para o referido estágio. A prevalência de excesso de peso foi de 20,4% (IC95%: 18,3-22,6) e a de obesidade abdominal foi de 14,9% (IC95%: 13,1-16,9) para CC e 12,6% (IC95%: 10,9-14,4) para RCE. O IMC, a CC e a RCEst apresentaram uma forte correlação positiva (rho ≅ 0,8; p < 0,001). A prevalência de excesso de peso e de obesidade abdominal foi maior (p < 0,05) nos estágios finais de maturação sexual em ambos os sexos. A alta prevalência de excesso de peso requer medidas urgentes de prevenção e controle desse distúrbio, sendo recomendada a inclusão da maturação sexual na avaliação do estado nutricional.
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Alvarado VJ, Mayorga E, Molina S, Solomons NW. Nutritional status of an economically-privileged convenience sample of urban children in Guatemala City. Int J Food Sci Nutr 2009; 60 Suppl 5:181-91. [PMID: 19384751 DOI: 10.1080/09637480902862164] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND The worldwide pandemic of overweight and obesity has now reached low-income tropical societies. OBJECTIVE To determine whether overweight or obesity is present among children from middle-class Guatemala City homes. METHODS A total of 363 children, 173 boys and 190 girls aged 72-131 months, were included for height, weight, and abdominal circumference at its narrowest point (natural waist). RESULTS Overall, 58.6% of subjects presented a body mass index within the normal Center for Disease Control and Prevention curve limits, whereas 3.9% fell below this range (low weight), 17.4% were in the risk of overweight range, and 20.1% were classified as overweight. The mean natural waist circumference was 62.6+/-0.9 cm. The waist-circumference-to-height ratio had a median of 0.47, with 36.9% of all children having a waist-circumference-to-height ratio exceeding the proposed 0.5 upper limit. CONCLUSIONS Nutrition transition has reached the juvenile population of this Central American republic, at least in its urban, privileged groups.
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Affiliation(s)
- Virginia J Alvarado
- Center for Studies of Sensory Impairment, Aging and Metabolism, 17a Avenida 16-89, Guatemala City, Guatemala.
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