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Sbaraini M, Cureau FV, Ritter JDA, Schuh DS, Madalosso MM, Zanin G, Goulart MR, Pellanda LC, Schaan BD. Prevalence of overweight and obesity among Brazilian adolescents over time: a systematic review and meta-analysis. Public Health Nutr 2021; 24:6415-6426. [PMID: 33821783 PMCID: PMC11148597 DOI: 10.1017/s1368980021001464] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
OBJECTIVE To estimate the burden of excess weight in Brazilian adolescents. DESIGN Systematic review with meta-analysis. SETTING We searched the literature in four databases (MEDLINE/PubMed, EMBASE, SciELO and LILACS). Studies were included if they had cross-sectional or cohort design and enrolled Brazilian adolescents. Studies based on self-reported measures were excluded. Random effect models were used to calculate prevalence estimates and their 95 % CI. PARTICIPANTS Brazilian adolescents (10 to 19 years old). RESULTS One hundred and fifty-one studies were included. Trend analyses showed a significant increase in the prevalence of excess weight in the last decades: 8·2 % (95 % CI 7·7, 8·7) until year 2000, 18·9 (95 % CI 14·7, 23·2) from 2000 to 2009, and 25·1 % (95 % CI 23·4, 26·8) in 2010 and after. A similar temporal pattern was observed in the prevalence of overweight and obesity separately. In sensitivity analyses, lower prevalence of excess weight was found in older adolescents and those defined using International Obesity Task Force cut-off points. The Southeast and South regions had the highest prevalence of excess weight, overweight and obesity. No significant difference in prevalence by sex was found, except for studies before the year 2000. CONCLUSIONS The prevalence of overweight and obesity in Brazilian adolescents is high and continues to rise. Public policies on an individual level and targeting modifications in the obesogenic environment are necessary.
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Affiliation(s)
- Mariana Sbaraini
- Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós-Graduação em Ciências da Saúde: Cardiologia e Ciências Cardiovasculares, Porto Alegre, RS, Brazil
| | - Felipe Vogt Cureau
- Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós-Graduação em Ciências Médicas: Endocrinologia, Porto Alegre, RS, Brazil
| | - Julianna do Amaral Ritter
- Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós-Graduação em Ciências Médicas: Endocrinologia, Porto Alegre, RS, Brazil
| | - Daniela Schneid Schuh
- Instituto de Cardiologia/Fundação Universitária de Cardiologia do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Mariana Migliavacca Madalosso
- Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós-Graduação em Ciências Médicas: Endocrinologia, Porto Alegre, RS, Brazil
| | - Gabriella Zanin
- Universidade Luterana do Brasil (ULBRA), Porto Alegre, RS, Brazil
| | - Maíra Ribas Goulart
- Instituto de Cardiologia/Fundação Universitária de Cardiologia do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Lucia Campos Pellanda
- Instituto de Cardiologia/Fundação Universitária de Cardiologia do Rio Grande do Sul, Porto Alegre, RS, Brazil
- Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil
| | - Beatriz D Schaan
- Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós-Graduação em Ciências da Saúde: Cardiologia e Ciências Cardiovasculares, Porto Alegre, RS, Brazil
- Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós-Graduação em Ciências Médicas: Endocrinologia, Porto Alegre, RS, Brazil
- Hospital de Clínicas de Porto Alegre, Porto Alegre, RS, Brazil
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Parra KL, Alaofe HS, Ehiri JE, Nuño VL, Mazariegos M, Garcia B, Martinez E, Junkins A, Jolly P. Prevalence and Determinants of Underweight, Overweight, and Obesity: A Cross-Sectional Study of Sociodemographic, Dietary, and Lifestyle Factors Among Adolescent Girls in Jutiapa, Guatemala. Food Nutr Bull 2021; 42:502-519. [PMID: 34809474 DOI: 10.1177/03795721211019638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND As the incidence of overweight continues to increase among children and adolescents in Guatemala, underweight remains a prominent health problem. However, the prevalence of overweight or underweight and associated risk factors has not been investigated among adolescent girls. OBJECTIVE To determine the prevalence of underweight and overweight/obesity and associated sociodemographic, dietary, and lifestyle factors among adolescent girls in Jutiapa, Guatemala. METHODS A cross-sectional study of a subsample of 392 girls aged 12 to 17 years from an agriculture-nutrition trial was conducted. Anthropometric data were obtained using standard methods. Sociodemographic, dietary, and lifestyle data were collected using a structured questionnaire. Multivariable logistic regression was conducted using underweight (body mass index [BMI] for age < 5th percentile) and overweight/obesity (BMI for age ≥ 85th percentile) as outcome variables. RESULTS The prevalence of underweight and overweight/obesity was 9.9% and 15.6%, respectively. Age (15-17 years), high waist circumference, high blood pressure, father being a farmer, large family (> 5 persons), hours spent watching TV, and high red meat consumption were significantly associated with underweight. Whereas being in school, high waist circumference, high blood pressure, overweight/obese mother, unemployed father, watching TV for more than 2 hours, having soft drinks at home, and meeting fruit recommendations were significantly associated with overweight/obesity. CONCLUSIONS Our findings highlight the importance of concurrently addressing underweight and overweight/obesity among adolescent girls in rural Guatemala. Studies in various parts of the country are needed to confirm the results of the present study and for appropriate strategies to be implemented to reduce both underweight and overweight.
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Affiliation(s)
- Kimberly L Parra
- Department of Health Promotion Sciences, 48710University of Arizona, Mel and Enid Zuckerman College of Public Health, Tucson, AZ, USA
| | - Halimatou S Alaofe
- Department of Health Promotion Sciences, 48710University of Arizona, Mel and Enid Zuckerman College of Public Health, Tucson, AZ, USA
| | - John E Ehiri
- Department of Health Promotion Sciences, 48710University of Arizona, Mel and Enid Zuckerman College of Public Health, Tucson, AZ, USA
| | - Velia Leybas Nuño
- Department of Health Promotion Sciences, 48710University of Arizona, Mel and Enid Zuckerman College of Public Health, Tucson, AZ, USA
| | - Manolo Mazariegos
- 119961Institute of Nutrition of Central America and Panama, Guatemala
| | - Brenda Garcia
- 119961Institute of Nutrition of Central America and Panama, Guatemala
| | - Estefania Martinez
- 48653University of Alabama at Birmingham, School of Public Health Birmingham, AL, USA
| | - Anna Junkins
- 48653University of Alabama at Birmingham, School of Public Health Birmingham, AL, USA
| | - Pauline Jolly
- 48653University of Alabama at Birmingham, School of Public Health Birmingham, AL, USA
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Ribeiro E, Ferreira RC, Montanari FL, Botelho MTDSL, Correia MDL, Duran ECM. Conceptual and operational definition of the components of the nursing diagnosis hypothermia (00006) in the perioperative period. Rev Bras Enferm 2021; 74:e20190684. [PMID: 33886827 DOI: 10.1590/0034-7167-2019-0684] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2019] [Accepted: 10/25/2020] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE to construct the conceptual and operational definitions of the defining and conceptual characteristics of the related factors of the nursing diagnosis (ND) hypothermia (00006) of NANDA-I, 2015-2017, in adult patients in the perioperative period. METHOD an integrative literature review in the Medical Literature Analysis and Retrieval System Online, Cochrane Library, The Cumulative Index to Nursing and Allied Health Literature and in Latin & American Literature in Health Sciences databases. RESULTS 2,041 articles were found, 95 selected for reading in full and 24 used to construct such definitions. Gay literature was also explored to ensure robustness to the elucidation of topics not found in articles. CONCLUSION such definitions will assist nurses in surgical practice in information collection, in accurate determination of the referred ND, in teaching and in future research related to this theme, as well as in the next validation stages of such ND to the referred population.
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Affiliation(s)
- Elaine Ribeiro
- Universidade Estadual de Campinas. Campinas, São Paulo, Brazil
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Assessment of the perception of physical competence in Brazilian adolescents of different nutritional status. SPORT SCIENCES FOR HEALTH 2019. [DOI: 10.1007/s11332-018-0494-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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Isohookana R, Marttunen M, Hakko H, Riipinen P, Riala K. The impact of adverse childhood experiences on obesity and unhealthy weight control behaviors among adolescents. Compr Psychiatry 2016; 71:17-24. [PMID: 27580313 DOI: 10.1016/j.comppsych.2016.08.002] [Citation(s) in RCA: 58] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/23/2015] [Accepted: 08/04/2016] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Childhood abuse and other early-life stressors associate with being overweight or obese later in life. In addition to being overweight, unhealthy weight control behaviors (e.g., vomiting, using diet pills, fasting, and skipping meals) have been shown to be common among adolescents. To our knowledge, the association between these behaviors and adverse childhood experiences (ACEs) remains unexamined. METHODS We examined the association of ACEs to body mass index (BMI) and unhealthy weight control behaviors among 449 Finnish adolescents aged 12 to 17years admitted to an acute psychiatric hospital unit between April 2001 and March 2006. We used the Schedule for Affective Disorders and Schizophrenia for School-Age Children Present and Lifetime (K-SADS-PL) and the European Addiction Severity Index (EuropASI) to obtain information about ACEs, psychiatric diagnoses and weight control behaviors. BMI was calculated using the weight and height measured for each adolescent upon admission. RESULTS Girls who experienced sexual abuse were more likely to be obese (OR: 2.6; 95% CI: 1.1-6.4) and demonstrate extreme weight loss behaviors (EWLB) (OR: 2.2; 95% CI: 1.0-4.7). Among girls, parental unemployment is associated with an increased likelihood of obesity (OR: 3.5; 95% CI: 1.2-9.6) and of being underweight (OR: 3.6; 95% CI: 1.1-11.6). A proneness for excessively exercising was found among girls who had witnessed domestic violence (OR: 3.5; 95% CI: 1.4-9.2) and whose parent(s) had died (OR: 5.4; 95% CI: 1.1-27.7). CONCLUSION This study showed that female adolescents with a history of traumatic experiences or difficult family circumstances exhibited an elevated likelihood of being obese and engaging in unhealthy weight control behaviors.
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Affiliation(s)
- Reetta Isohookana
- Department of Adolescent Psychiatry, Helsinki University Central Hospital, PL 590, 00029, HUS, Finland.
| | - Mauri Marttunen
- Adolescent Psychiatry University of Helsinki, National Institute for Health and Welfare, Mannerheimintie 166, 00271 Helsinki, Finland.
| | - Helinä Hakko
- Department of Psychiatry, Oulu University Hospital, PL 26, 90029, OYS, Finland.
| | - Pirkko Riipinen
- Department of Psychiatry, Oulu University Hospital, PL 26, 90029, OYS, Finland.
| | - Kaisa Riala
- Department of Adolescent Psychiatry, Helsinki University Central Hospital, PL 590, 00029, HUS, Finland.
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Juwara A, Huang N, Chien LY, Chen HJ. Stunting and weight statuses of adolescents differ between public and private schools in urban Gambia. Int J Public Health 2016; 61:717-726. [PMID: 27220546 DOI: 10.1007/s00038-016-0836-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2015] [Revised: 03/18/2016] [Accepted: 05/11/2016] [Indexed: 11/28/2022] Open
Abstract
OBJECTIVES This study assessed the disparity in nutritional status of adolescents between public and private schools in urban Gambia. METHODS This is a school-based cross-sectional study in six private and six public upper basic schools in urban Gambia. This study recruited 491 students from public and 469 students from private schools (13-15 years of age). RESULTS The prevalence of stunting (WHO height-for-age Z < -2SD) was 13.4 % for public school students and 4.5 % for private schools. After adjustment for children's sex, age, and family socioeconomic status, the differences in prevalence of stunting and underweight were significant between public and private schools. Private school students are more likely to be overweight/obese (WHO BMI-for-age Z > +1SD) (OR = 2.85, 95 % CI 1.55-5.22), but less likely to be thin (BMI-for-age Z < -2SD) (OR = 0.61 [0.39-0.96]), compared to public school students. Children from lower income families had lower odds for overweight/obese than normal weight, compared to those from higher income families (OR = 0.34 [0.15-0.76]). CONCLUSIONS Public and private schools in urban regions of the Gambia may face different nutritional challenges due to differences in school environment and resources.
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Affiliation(s)
- Alimatou Juwara
- International Health Program, National Yang-Ming University, Taipei, Taiwan
| | - Nicole Huang
- International Health Program, National Yang-Ming University, Taipei, Taiwan.,Institute of Hospital and Health Care Administration, School of Medicine, National Yang-Ming University, Taipei, Taiwan
| | - Li-Ying Chien
- International Health Program, National Yang-Ming University, Taipei, Taiwan.,Institute of Clinical and Community Health Nursing, School of Nursing, National Yang-Ming University, Taipei, Taiwan
| | - Hsin-Jen Chen
- International Health Program, National Yang-Ming University, Taipei, Taiwan. .,Institute of Public Health, School of Medicine, National Yang-Ming University, No. 155, Sec. 2, Linong St., Medical Building II, R213, Beitou District, Taipei, 112, Taiwan, ROC.
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