OBJECTIVE: To evaluate the existing literature on the association between parents’ depression and anxiety and their influence on their children’s weight during childhood, identifying possible mechanisms involved in this association. METHODS: A systematic search of the literature was conducted in the PubMed, PsycINFO and SciELO databases, using the following descriptors: (maternal OR mother* OR parent* OR paternal OR father) AND (“common mental disorder” OR “mental health” OR “mental disorder” OR “depressive disorder” OR depress* OR anxiety OR “anxiety disorder”) AND (child* OR pediatric OR offspring) AND (overweight OR obes* OR “body mass index” OR BMI). A total of 1,187 articles were found after peer selection. RESULTS: In total, 16 articles that met the inclusion criteria were selected for the review. Most of them investigated depressive symptoms and only three, symptoms of maternal anxiety. The evaluated studies suggested a positive association between symptoms of maternal depression and higher risk of childhood obesity. The results diverged according to the chronicity of depressive symptoms (episodic or recurrent depression) and income of the investigated country (high or middle income). Mechanisms were identified passing by quality of parenthood, affecting behaviors related to physical activity and child-feeding, as mediators of the association. CONCLUSIONS: We conclude there is evidence of a positive relationship between the occurrence of maternal symptoms of depression and anxiety and childhood obesity. It is emphasized the need for a better understanding on the effect of depressive symptoms and the contextual factors involved in this relationship so that effective intervention strategies can be implemented.
Resumo O objetivo deste artigo é caracterizar crianças e adolescentes que vivem em situação de casamento infantil utilizando dados da Pesquisa Nacional de Saúde de 2013. Estimou-se a prevalência de casamento infantil (de menores de 18 anos) de acordo com variáveis socioeconômicas, demográficas e de saúde, de acordo com três categorias de idade (10-13; 14-15; 16-17 anos). Razões de prevalências (RP) foram estimadas por meio de regressão de Poisson. A prevalência geral de casamento infantil foi de 3,9% (n = 1.168); 254 (1,8%) apresentavam menos de 14 anos, 285 (3,8%) tinham entre 14 ou 15 anos e 629 (8,1%) de 16 a 17 anos. A maior probabilidade do evento foi observada no sexo feminino, nas faixas etárias 14 a 15 e 16 a 17 anos. Assim como nas crianças e adolescentes que não possuíam vínculo escolar (observada em todas as faixas etárias). Já os indivíduos que moravam junto de quatro pessoas tiveram menor probabilidade de estar em um casamento infantil nas faixas etárias de 14 a 15 e 16 a 17 anos, em relação aos que moravam com uma a duas pessoas. Este estudo discute as implicações dos achados para a prevenção do casamento infantil, focando nas desigualdades de gênero e no acesso a educação e serviços de saúde.
Street market in the south of Brazil: Food and Nutrition Security under perspective C a m i l a I r i g o n h é R a m o s D e n i s e P e t r u c c i G i g a n t e E l i a n a G o m e s B e n d e r I n a ê D u t r a V a l é r i o Universidade Federal de Pelotas -Pelotas -Rio Grande Do Sul -BrasilResumo: Dado a importância de se conhecer a disponibilidade e o consumo de frutas, legumes e vegetais, o presente trabalho objetivou caracterizar as feiraslivres, os feirantes e os alimentos comercializados na cidade de Pelotas/RS. Tratase de um estudo transversal realizados com todos os feirantes que comercializavam frutas, vegetais e/ou verduras na cidade de Pelotas. A coleta ocorreu entre fevereiro a agosto de 2014 e incluiu produtores e revendedores advindos de feiras convencionais e ecológicas. Dos 37 locais de feiras, 34 eram convencionais (92%) e três (8%) eram ecológicas. Quanto ao local de permanência das feiras, 80% se dava na zona central da cidade (81%). Em relação aos 125 comercializantes participantes, a maioria era do sexo masculino (65%), com idade maior que 60 anos (26%), cor de pele branca (98%) e com baixo nível escolar (entre 5 a 8 anos) (44%). A maior parte dos legumes e verduras, como alface (34%) e abóbora (29%), eram produzida pelos feirantes, todavia alimentos consumidos no dia a dia, como batata rosa (34%) e cebola (34%), eram, na maior parte dos casos, revendidos. Constatou-se que a maior disponibilidade dos produtos advindos das feiras se dá na zona central da cidade, distanciando o acesso ao produto da população que vive em distritos mais afastados. É preciso que ações legislativas por parte do município sejam feitas para incentivar a manutenção, a permanência e a propagação das feiras livres ao redor da cidade. Palavras-chave:Segurança alimentar e Nutricional. Agricultura. Comércio. Abstract: Given the importance of knowing the availability and consumption of fruits, vegetables and vegetables, the present study aimed to characterize the street market, the market workers and the foods commercialized at city of Pelotas in the South of Brazil. A cross-sectional study of all the marketers selling fruits, vegetables or vegetables in the city of Pelotas were enrolled between February and August of 2014 and included producers and resellers from conventional and organic fairs. Of the total of 37 fairgrounds included, 34 were conventional (92%) and three (8%) were ecological. About de location, 80% was in the central part of the city (81%). Among the 125 participating marketers, the majority were male (65%), older than 60 years (26%), white skin color (98%) and low school level (between 5 and 8 years old) (44%). Most of the vegetables, such as lettuce (34%) and pumpkin (29%), were produced by farmers, but foods consumed daily, such as potatoes (34%) and onions (34%) were, in most cases, resold. It was verified that the greater availability of the products coming from the fairs occurs in the central zone of the city, distancing the access to the product of the population that lives in more distant dist...
Little is known about the repercussions of intimate partner violence (IPV) on nutritional outcomes in pregnancy, especially regarding diet. The aim was to investigate whether the occurrence of physical IPV at any time during pregnancy is associated with gestational dietary patterns. 161 adult pregnant women were enrolled in a prospective cohort study in Rio de Janeiro, Brazil. Overall and severe physical IPV were measured to evaluate IPV at any time during pregnancy. Three gestational dietary patterns (“Healthy”, “Common-Brazilian”, and “Processed”) were established by principal component analysis. The effect of physical IPV was tested in relation to the score of adherence to each of the dietary patterns. The occurrence of overall and severe physical IPV at any time during pregnancy was 20.4% and 6.8%, respectively. Women living in intimate relationships in which overall and severe physical IPV occurred had an average increase of 0.604 units (95%CI 0.149-1.058) and 1.347 units (95%CI 0.670-2.024), respectively, in the Processed dietary pattern adherence score. No association with “Healthy” and “Common-Brazilian” dietary patterns was observed. Physical IPV was associated with greater adherence to a dietary pattern of lower nutritional quality.
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