OBJETIVO: verificar o comportamento alimentar dos adolescentes, identificando a ocorrência de compulsão e sua relação com o estado nutricional de escolares. MÉTODO: Estudo transversal realizado em escolas públicas de ensino médio, com 540 adolescentes entre 15 e 19 anos. Foram avaliadas variáveis sociodemográficas, antropométricas e variáveis relacionadas com o estilo de vida, como tabagismo, prática de atividade física, sedentarismo, consumo e comportamento alimentar, sendo o último através de uma versão adaptada do Questionário Holandês de Frequência Alimentar. RESULTADOS: 66,5% dos adolescentes eram do sexo feminino, com idade média de 16,8(±1,02) anos. A média de circunferência abdominal foi de 71,3(±8,7) cm e 21,4(±3,8) de Índice de Massa Corporal. Obteve-se o escore de compulsão alimentar com três classificações: sem compulsão alimentar (86,1%), com compulsão alimentar moderada (13,3%) e com compulsão alimentar grave (0,6%). Adolescentes com estado nutricional alterado foram os que obtiveram maiores escores de compulsão (20,2%). CONCLUSÃO: O estado nutricional mostrou-se relacionado ao escore de compulsão alimentar e à circunferência abdominal. Palavras chave: Estado Nutricional; Comportamento do Adolescente; Comportamento alimentar.
Objective To assess the association between breakfast omission, overweight/obesity, abdominal adiposity, and unhealthy lifestyle of low-income adolescents. Methods A cross-sectional population study involving 571 public school students aged between 15 and 19 years old. The habit of having breakfast was assessed using a form, checking the weekly frequency of a given meal and considered as breakfast omission when these adolescents did not have breakfast for at least 5 days in the past week. Sociodemographic and lifestyle variables (sedentarism, physical activity level, and sleep duration) were also assessed. Overweight/obesity was defined as a body mass index above a Z-score of +1, and the presence of abdominal adiposity was determined by a waist circumference/height ratio greater than 0.5. The association between breakfast omission and lifestyle variables was assessed using the chi-square test and a multivariate logistic regression of the anthropometric indicators. Results The omission of breakfast was found in 31% of the adolescents and was associated with physical inactivity (p<0.001). Regarding anthropometric indicators, breakfast omission was an independent factor for determining abdominal adiposity, with a 1.8 times greater chance of having this condition among those who omitted breakfast (p=0.037). Conclusions Omitting breakfast was frequent among the students assessed, and was associated with abdominal adiposity, a cardiometabolic risk factor. Investigation and early intervention are fundamental to change this behavior.
OBJETIVO: avaliar o estado nutricional dos estudantes do ensino fundamental da rede municipal de Campina Grande/PB. MÉTODOS: estudo epidemiológico de corte transversal, piloto, através do preenchimento por pesquisadores treinados de um questionário. RESULTADOS: Após a avaliação de 558 adolescentes, desses 51,6% (288) do sexo masculino, sendo a maioria dos adolescentes eutróficos 66,7% (372), 20,4% (114) em estado de sobrepeso, 9,7% (54) obesos e apenas 3,2% (18) com baixo peso. Ou seja 30,1% dos participantes apresentavam excesso de peso, desses, 15,8% (88) do sexo masculino. Os resultados são corroborados pela literatura que afirma que prevalência de excesso de peso em adolescentes oscila, nos dois sexos, de 16% a 19% nas Regiões Nordeste. CONCLUSÃO: O presente trabalho visa contribuir para conhecimento da prevalência de excesso de peso nos adolescentes da cidade de Campina Grande, comparar os dados obtido com a estimativa nacional e poder servir de subsídio para implantação de estratégias que efetivamente previnam a obesidade, outros fatores de risco, e suas consequências, em estágios precoces da vida. Palavras chave: Obesidade; Estado Nutricional; Comportamento do Adolescente.
Introduction:The increase in the prevalence of obesity and obesity in children is a pattern of the last decades. This public health issue results in metabolic disorders such as dyslipidemia with increased LDL-C. Previous findings shows that most of the Brazilian children does not follow the recommended consumption of fruits and vegetables. Aim of the study: To evaluate the association of dietary intake characteristics with elevated serum cholesterol from low density lipoprotein in obese children. Material and methods: Cross-sectional study involving 137 obese children (5-10 years). The mean age of the studied children was 8.27 years, 55.5% were male The weight measurements were performed on a digital anthropometric scale. The body mass index was calculated for each child and the Food Frequency Questionnaire was applied. The peripheral blood was collected for lipid profile analysis. Stata 12.0 statistical package was used to analyze the data, considering a significance level of p < 0.05. Results:The prevalence of hypercholesterolemia based on the serum cholesterol from low density lipoprotein fraction was 14.6%. It was observed that children in the group who consumed the lower difference of risky and protective foods on a daily basis were not less likely to have a high cholesterol from low density lipoprotein level as a criterion for hypercholesterolemia (p = 0.218). Conclusions: A large proportion of the individuals presented levels of lipid profile classified as undesirable for age, as well as food rich in components capable of increasing this profile, which should encourage the intensification in measures of prevention of cardiovascular diseases since childhood.
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