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Environmental, Socioeconomic, Maternal, and Breastfeeding Factors Associated with Childhood Overweight and Obesity in Ceará, Brazil: A Population-Based Study.
Rocha, Sabrina G M O; Rocha, Hermano A L; Leite, Álvaro J M; Machado, Márcia M T; Lindsay, Ana C; Campos, Jocileide S; Cunha, Antônio J L A; Silva, Anamaria C E; Correia, Luciano L.
Afiliação
  • Rocha SGMO; Department of Community Health, Federal University of Ceará, Fortaleza 60430-23, Brazil.
  • Rocha HAL; Integração, Serviço, Ensino e Comunidade, University Center Unichristus, Fortaleza 60190-180, Brazil.
  • Leite ÁJM; Department of Community Health, Federal University of Ceará, Fortaleza 60430-23, Brazil.
  • Machado MMT; Department of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA 02115, USA.
  • Lindsay AC; Department of Maternal and Child Health, Federal University of Ceará, Fortaleza, 60430140, Brazil.
  • Campos JS; Department of Community Health, Federal University of Ceará, Fortaleza 60430-23, Brazil.
  • Cunha AJLA; Department of Exercise and Health Sciences, College of Nursing and Health Sciences, University of Massachusetts, Boston, MA 02125, USA.
  • Silva ACE; Integração, Serviço, Ensino e Comunidade, University Center Unichristus, Fortaleza 60190-180, Brazil.
  • Correia LL; Department of Pediatrics, Federal University of Rio de Janeiro, Rio de Janeiro 21941-912, Brazil.
Int J Environ Res Public Health ; 17(5)2020 02 28.
Article em En | MEDLINE | ID: mdl-32121311
Childhood obesity is now an epidemic in many countries worldwide and is known to be a multifactorial condition. We aimed to examine the relationship of environmental, socioeconomic, and nutritional factors with childhood overweight and obesity. We conducted a population-based cross-sectional study of children from 2 to 6 years of age in Ceará, Brazil. Children's nutritional status was assessed by body mass index (BMI) Z scores categorized as overweight and obesity. Ordinal logistic regression models were used to assess the relationship between the factors with overweight and obesity. A total of 2059 children participated, of which 50.4% were male. The mean age was 46 ± 17 months, with a prevalence of overweight and obesity of 12.0% (95% CI 10.7-13.6) and 8.0% (6.7-9.5), respectively. In multivariate analysis, the probability of childhood obesity increased as family income increased (adjusted hazard ratio (aHR) 0.6 (95% CI 0.37-0.95), p-value = 0.03). Moreover, families with fewer children had more than 30% fewer overweight children (aHR 0.68; 95% CI 0.48-0.96). Environmental, socioeconomic, and child nutritional factors were associated with overweight and obesity. The results provided could be used to design integrated interventions spanning from conception, or earlier, through the first years of life and may improve child nutritional outcomes.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aleitamento Materno / Fenômenos Fisiológicos da Nutrição Infantil / Características de Residência / Vigilância da População / Sobrepeso / Obesidade Infantil Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged / Newborn País/Região como assunto: America do sul / Brasil Idioma: En Revista: Int J Environ Res Public Health Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aleitamento Materno / Fenômenos Fisiológicos da Nutrição Infantil / Características de Residência / Vigilância da População / Sobrepeso / Obesidade Infantil Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude Limite: Adolescent / Adult / Child / Child, preschool / Female / Humans / Infant / Male / Middle aged / Newborn País/Região como assunto: America do sul / Brasil Idioma: En Revista: Int J Environ Res Public Health Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça