Body Mass Index in Rural First Grade Schoolchildren: Progressive Increase in Boys

Smith, Derek T.; Vendela, Mandolyn Jade; Bartee, R. Todd; Carr, Lucas J.

doi:10.1111/j.1748-0361.2008.00135.x

Cited by 4 publications

(3 citation statements)

References 36 publications

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“…The frequency of obesity was higher among boys than girls in accordance with other studies [ 17 , 44 , 45 ] around the world. Comparative studies report higher rates of obesity and overweight in boys and significantly lower levels in girls, mainly in urban areas [ 17 , 46 , 47 ].…”

Section: Discussionsupporting

confidence: 91%

Childhood overweight and obesity in a region of Italian immigration in Southern Brazil: a cross-sectional study

et al. 2015

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BackgroundThe main modifiable risk factors for obesity are related to lifestyle and significantly influenced by the family, environment and culture. We aimed to estimate the prevalence of overweight/obesity and associated lifestyle factors in children from Bento Gonçalves, a southern Brazil city with strong Italian immigration influence. Italian traditional foods were locally adapted since the immigrants’ arrival in the XIX century, to include more fat and fewer vegetables, and physical activity levels have decreased.MethodsCross-sectional study of a population-based cluster sample with students aged 9–18 years. We assessed time spent in sedentary behaviors, hours of physical activity, food frequency and family history. All children underwent physical examination with anthropometric and blood pressure measurements. Overweight and obesity were classified according to WHO percentile curves.ResultsA total of 590 students were evaluated. Mean age was 12.45 ± 1.49 years. The prevalence of overweight and obesity was 16.3% and 8.3%, respectively. Boys were more frequently overweight and obese than girls (16.3% and 12.2% versus 16.2% and 5.5%, respectively). Vegetables and fruits were consumed less than 4 times per week in 49% and 36.8%, while soft drinks, fast food and sweets were consumed more than 4 times a week by 71%, 70.3% and 42.7%, respectively. The habit of omitting breakfast was associated with overweight (p = 0.007). The average screen time was 5.38 ± 2.88 hours/day. Overweight/obesity was present in 12.2% (n = 5), 24.8% (n = 122) and 36.8% (n = 14) children with low birth weight, normal birth weight and high birth weight respectively (p = 0.04). The prevalence of high blood pressure was higher in obese (30.6%) and overweight (21.2%) children, comparing to eutrophic children (6.8%; p < 0.001). Excess weight was more frequent among fathers (62.8%) than in mothers (46.3%), but excess weight in mothers was positively associated with excess weight in children (p 0.048).ConclusionThe city showed high prevalence of overweight and obesity. These findings reinforce the importance of implementing prevention strategies aimed at children and their families, considering that health habits are shared and transmitted along generations.

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Section: Discussionsupporting

confidence: 91%

Childhood overweight and obesity in a region of Italian immigration in Southern Brazil: a cross-sectional study

et al. 2015

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“…Factors inversely related to high BMI include higher SES, having more than one caregiver in the home, and participation in gymnastics. Consistent with many national, state, and regional epidemiological studies, obesity is highly prevalent in our sample of rural elementary school children 6,10,31 . The 20.9% of participants classified as overweight (BMI ≥95 th percentile) exceeds national estimates by more than 4%.…”

Section: Discussionsupporting

confidence: 86%

Prevalence and correlates of high body mass index in rural Appalachian children aged 6-11 years

Montgomery-Reagan

Bianco²,

Heh³

et al. 2009

RRH

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In rural regions of the United States of America, estimates of pediatric obesity often exceed national averages. This problem may be particularly pronounced in Appalachian regions, where significant health and economic disparities abound. This study presents the findings of a body mass index (BMI) screening program for 6-11 year old children living in a rural Appalachian community. County-wide estimates of high BMI (≥85 th percentile) were obtained to understand the health status and needs of our pediatric community and to compare obesity prevalence rates with national averages. An additional aim was to identify subpopulations of children who may warrant clinical intervention due to demographic and behavioral risks factors of high BMI. Methods: A school-based BMI screening was conducted of 6-11 year old children in southeastern Ohio. Investigators collected 3 sets of height and weight measurements from approximately 2000 elementary school students between 2006 and 2007.Caregivers for a subset of this population also completed a health behaviors questionnaire.Results: Thirty-eight percent of children had high BMI, with 17% at risk for overweight and 20.9% overweight. Boys were 23% more likely than girls to be overweight (χ 2(1) = 95% CI = 1.08, 1.40) and 11% more likely to become overweight with each year of age (OR = 1.11, 95% CI = 1.07, 1.15). Overweight children were more likely to view television, eat meals at school, and live with a caregiver who smokes.Conclusions: Consistent with expectations, prevalence of high BMI in this sample of rural Appalachian children exceeds national averages. Prevalence of overweight varied by age and sex; boys are particularly vulnerable to developing obesity, especially as © K Montgomery-Reagan, JA Bianco, V Heh, J Rettos, RS Huston, 2009. A licence to publish this material has been given to ARHEN http://www.rrh.org.au 2 they age. Preliminary survey data suggest that eating breakfast at home and at school and increased hours of television viewing may be associated with higher BMI, especially in younger boys.

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“…Um estudo, realizado com crianças que vivem em zonas rurais no sudeste de Ohio, concluiu que a prevalência de excesso de peso nesta amostra rural foi significativamente maior do que as médias nacionais (Montgomery-Reagan et al, 2009) e os fatores que foram inversamente relacionados ao IMC alto incluíram menor estatuto socioeconómico e visualização de TV (Montgomery-Reagan et al, 2009). Estes achados vão ao encontro de outros estudos onde a obesidade é mais prevalente em zonas rurais, quando comparadas às zonas urbanas (Demerath et al, 2003;Liu, Bennett, Harun, & Probst, 2008;Smith, Vendela, Todd Bartee, & Carr, 2008). O Projeto EPHE demonstrou que as crianças das famílias cujas mães apresentam um menor nível educacional consomem menores quantidades de hortofrutícolas e passam um maior número de horas a ver televisão, comparativamente às crianças das famílias cujas mães possuem um nível educacional mais elevado (EPHE, 2015).…”

Section: A R T I G O S C I E N T í F I C O Sunclassified

Análise do impacto da exposição televisiva e das características sociodemográficas no índice de massa corporal, nas crianças dos 6 aos 11 anos

Teixeira¹,

Fernandes²,

Pereira³

2021

RevSALUS

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ResumoIntrodução: A prevalência da obesidade na infância tem implicações futuras na saúde e a televisão tem sido citada como um fator contribuinte, seja por incentivar o consumo de alimentos calóricos ou por conduzir ao sedentarismo. O estatuto socioeconómico dos encarregados de educação tem sido apontado como um determinante do comportamento alimentar, influenciando a prevalência do excesso de peso infantil. Objetivo: Analisar o impacto da exposição televisiva e das características sociodemográficas no Índice de Massa Corporal (IMC) infantil. Material e métodos: Estudo quantitativo, transversal e analítico, realizado numa amostra de 208 crianças, com uma média de idades de 7,99 ± 1,33. Foi aplicado um questionário adaptado de Vicente-Rodriguez et al. (2011), e foi realizada uma avaliação antropométrica a todas as crianças. Resultados: Constatou-se que 57,3% das crianças visualizam televisão todos os dias e que 65,9% não possuem aparelho televisivo nos quartos. Observou-se uma correlação estatisticamente significativa entre o rendimento familiar e as horas de exposição televisiva à semana, no género masculino (p=0,018); entre o nível de instrução do encarregado de educação e o IMC, em ambos os géneros (p=0,043 no género masculino; e p=0,009 no género feminino); e entre o IMC e o número de elementos do agregado familiar, no género masculino (p=0,001). Conclusão: Nesta amostra de crianças, não houve correlações significativas entre o IMC e os dias ou horas de visualização televisiva, contudo, é necessário o estímulo de atividades que promovam um estilo de vida ativo, tendo em conta que a prevalência da obesidade infantil é elevada, na maioria dos países desenvolvidos. Observou-se uma relação estatisticamente significativa entre as características sociodemográficas e o IMC, comprovando que são determinantes na saúde infantil.

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Body Mass Index in Rural First Grade Schoolchildren: Progressive Increase in Boys

Cited by 4 publications

References 36 publications

Childhood overweight and obesity in a region of Italian immigration in Southern Brazil: a cross-sectional study

Childhood overweight and obesity in a region of Italian immigration in Southern Brazil: a cross-sectional study

Prevalence and correlates of high body mass index in rural Appalachian children aged 6-11 years

Análise do impacto da exposição televisiva e das características sociodemográficas no índice de massa corporal, nas crianças dos 6 aos 11 anos

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