Body mass index from childhood to middle age: a 50-y follow-up

Casey, Virginia; Dwyer, Johanna; Coleman, K. A.; Valadian, Isabelle

doi:10.1093/ajcn/56.1.14

Cited by 131 publications

(75 citation statements)

References 32 publications

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“…Sabe-se da dificuldade de tratar os adultos obesos, que têm associação com patologias de importante morbi-mortalidade no mundo moderno, cabendo agir preventivamente em relação ao grupo etário infantil. Obesidade na infância pode ser considerada preditiva de obesidade na vida adulta 6,7 . Serdula e col. 28 (1993) concluíram que as crianças americanas consi-compartilham condições socioambientais semelhantes, com hábitos alimentares associados também aos aspectos culturais de cada grupo social, favorecendo uma relação direta em seu estado nutricional.…”

Section: Discussionunclassified

Relação entre o estado nutricional materno e sobrepeso nas crianças brasileiras

Engstrom¹,

Anjos

1996

Rev. Saúde Pública

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Investigou-se a relação entre o estado nutricional de mães (n = 6.289) e sobrepeso nas crianças brasileiras menores de 10 anos (n = 14.914), considerando-se a influência de condições sociais num inquérito nutricional da população brasileira realizado em 1989, a Pesquisa Nacional sobre Saúde e Nutrição. O estado nutricional materno, segundo o índice de massa corporal (IMC, kg/m²), foi classificado em: baixo peso (BP; IMC < 20); peso adequado (20 £ IMC < 25) e sobrepeso (SP; IMC ³ 25). Para sobrepeso nas crianças, utilizou-se o indicador peso para estatura (P/E) ³ + 2 desvios-padrão da curva de crescimento da população americana. A prevalência de SP nas crianças foi de 4,8% e nas mães houve 15,3% de BP e 35,9% de SP. Tomando-se as mães com baixo peso como referência, as crianças com sobrepeso tiveram maior chance de ter mães também com sobrepeso (odds ratio; OR = 3,19; 95% intervalo de confiança (IC = 2,24-4,53), sendo o OR = 2,46 (IC = 1,73-3,50) para as mães com estado nutricional adequado. Sobrepeso nas crianças foi influenciado diretamente pela escolaridade materna (OR = 2,89; IC = 1,74-4,80 para mães com ³ 12 séries cursadas em referência às mães analfabetas); pela renda domiciliar per capita (OR = 3,82; IC = 2,79-5,22 nas mães no quarto quartil em comparação ao primeiro quartil) e pelas condições de moradia (OR = 2,69; IC = 2,05-3,54 nas mães de domicílios de boas condições em relação àquelas de piores condições de moradia). Os resultados sugerem haver relação direta entre o estado nutricional materno e sobrepeso nas crianças brasileiras.

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Section: Discussionunclassified

Relação entre o estado nutricional materno e sobrepeso nas crianças brasileiras

Engstrom¹,

Anjos

1996

Rev. Saúde Pública

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“…[50][51][52][53][54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69] BMI measurements in childhood and adulthood correlated with each other as well as, or better than, other overweight measures, such as Ponderal Index or skinfold measurements, in childhood and adulthood correlated. Table 3 illustrates that BMI tracking from childhood to adulthood varies according to age.…”

Section: Key Question 2b: What Clinical Screening Tests For Overweighmentioning

confidence: 99%

Screening and Interventions for Childhood Overweight: A Summary of Evidence for the US Preventive Services Task Force

et al. 2005

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ABSTRACT. Background. Childhood and adolescent overweight and obesity are related to health risks, medical conditions, and increased risk of adult obesity, with its attendant effects on morbidity and mortality rates. The prevalence of childhood overweight and obesity has more than doubled in the past 25 years.Purpose. This evidence synthesis examines the evidence for the benefits and harms of screening and early treatment of overweight among children and adolescents in clinical settings.Methods. We developed an analytic framework and 7 key questions representing the logical evidence connecting screening and weight control interventions with changes in overweight and behavioral, physiologic, and health outcomes in childhood or adulthood. We searched Results. Although BMI is a measure of relative weight rather than adiposity, it is recommended widely for use among children and adolescents to determine overweight and is the currently preferred measure. The risk of adult overweight from childhood overweight provides the best available evidence to judge the clinical validity of BMI as an overweight criterion for children and adolescents. BMI measures in childhood track to adulthood moderately or very well, with stronger tracking seen for children with >1 obese parent and children who are more overweight or older. The probability of adult obesity (BMI of >30 kg/m 2 ) is >50% among children >13 years of age whose BMI percentiles meet or exceed the 95th percentile for age and gender. BMI-based overweight categorization for individuals, particularly for racial/ethnic minorities with differences in body composition, may have limited validity because BMI measures cannot differentiate between increased weight for height attributable to relatively greater fat-free mass (muscle, bone, and fluids) and that attributable to greater fat. No trials of screening programs to identify and to treat childhood overweight have been reported. Limited research is available on effective, generalizable interventions for overweight children and adolescents that can be conducted in primary care settings or through primary care referrals.Conclusions.

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“…First, in over 400 male and female students with a BMI below 85% average body weight, most individuals were healthy 27,28 (Hebebrand et al, unpublished data) and tracking of BMI in adulthood 29 implies that many lean young adults will remain so over time. These individuals can also expect a longer life span than those with higher body weight.…”

Section: Anorexia Nervosamentioning

confidence: 99%

Genetic epidemiology, endophenotypes, and eating disorder classification

Bulik

Keski‐Rahkonen

Klump

et al. 2007

Int. J. Eat. Disord.

121

111

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Objective: To explore how genetic epidemiology has informed the identification of endophenotypes and how endophenotypes may inform future classification of eating disorders.Method: Literature review and synthesis.Results: Although a number of endoand subphenotypes have been suggested for eating disorders, few reach the rigorous definitions developed for candidate endophenotypes. Conclusion:Further study of endophenotypes and subphenotypes for eating disorders may assist with developing a more homogenous classification system that more closely reflects underlying biological mechanisms, and provides a clearer focus for the development of coherent models and treatments. V V C 2007 by Wiley Periodicals, Inc.

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Body mass index from childhood to middle age: a 50-y follow-up

Cited by 131 publications

References 32 publications

Relação entre o estado nutricional materno e sobrepeso nas crianças brasileiras

Relação entre o estado nutricional materno e sobrepeso nas crianças brasileiras

Screening and Interventions for Childhood Overweight: A Summary of Evidence for the US Preventive Services Task Force

Genetic epidemiology, endophenotypes, and eating disorder classification

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