Childhood and adolescent overweight and obesity in Latin America: a systematic review

Rivera‐Dommarco, Juan; Cossío, Teresita González de; Pedraza, Lilia S; Aburto, Tania C; Sánchez, Tania Georgina; Martorell, Reynaldo

doi:10.1016/s2213-8587(13)70173-6

Cited by 424 publications

(403 citation statements)

References 53 publications

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“…(Cole & Green, 1992; Matsudo & Matsudo, 1994; Sandercock et al, 2012; Secchi et al, 2014; Tomkinson & Olds, 2007) (Supporting Information File S4). Given that the prevalence of physical inactivity and overweight/obesity are generally lower in Colombia than in the mentioned countries (González et al 2014; Rivera et al, 2014), such findings seemed counter‐intuitive. However, after performing the altitude adjustment, only youth from Canada had higher V˙O 2peak values than youth in Colombia.…”

Section: Discussionmentioning

confidence: 97%

Normative reference values for the 20 m shuttle‐run test in a population‐based sample of school‐aged youth in Bogota, Colombia: the FUPRECOL study

Ramírez‐Vélez

Palacios-López

Prieto-Benavides

et al. 2016

American J Hum Biol

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ObjectivesOur aim was to determine the normative reference values of cardiorespiratory fitness (CRF) and to establish the proportion of subjects with low CRF suggestive of future cardio‐metabolic risk.MethodsA total of 7244 children and adolescents attending public schools in Bogota, Colombia (55.7% girls; age range of 9–17.9 years) participated in this study. We expressed CRF performance as the nearest stage (minute) completed and the estimated peak oxygen consumption (V˙O2peak). Smoothed percentile curves were calculated. In addition, we present the prevalence of low CRF after applying a correction factor to account for the impact of Bogota's altitude (2625 m over sea level) on CRF assessment, and we calculated the number of participants who fell below health‐related FITNESSGRAM cut‐points for low CRF.ResultsShuttles and V˙O2peak were higher in boys than in girls in all age groups. In boys, there were higher levels of performance with increasing age, with most gains between the ages of 13 and 17. The proportion of subjects with a low CRF, suggestive of future cardio‐metabolic risk (health risk FITNESSGRAM category) was 31.5% (28.2% for boys and 34.1% for girls; X2 P = .001). After applying a 1.11 altitude correction factor, the overall prevalence of low CRF was 11.5% (9.6% for boys and 13.1% for girls; X2 P = .001).ConclusionsOur results provide sex‐ and age‐specific normative reference standards for the 20 m shuttle‐run test and estimated V˙O2peak values in a large, population‐based sample of schoolchildren from a large Latin‐American city at high altitude.

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Section: Discussionmentioning

confidence: 97%

Normative reference values for the 20 m shuttle‐run test in a population‐based sample of school‐aged youth in Bogota, Colombia: the FUPRECOL study

Ramírez‐Vélez

Palacios-López

Prieto-Benavides

et al. 2016

American J Hum Biol

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“…The grade of "4" assigned to the obesity indicator was based on 3 criteria: relatively low national prevalence of obesity in children 5-12 years and in youth 13-17 years, 5.2% and 3.4%, respectively, 15 which are among the lowest in Latin America; 30 suggestive evidence that males were more likely to be obese than females, 4.7% vs. 3.4% (P < .001); and the presence of a substantial number of policies aimed at preventing and reducing overweight and obesity in Colombia, such as the Obesity Law. 31 …”

Section: Obesitymentioning

confidence: 99%

Results from Colombia’s 2014 Report Card on Physical Activity for Children and Youth

González

Sarmiento²,

Cohen³

et al. 2014

Journal of Physical Activity and Health

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Background: Physical activity (PA) is central to the global agenda for the prevention on noncommunicable diseases (NCDs). Although 80% of NCDs occur in low-to-middle-income countries, the evidence on PA comes mainly from high-income countries. In this context, the report card for Colombia is an advocacy tool to help in the translation of evidence into concrete actions. The aims of this paper were two-fold: to present the methodology used to develop the first Report Card on Physical Activity in Colombian Children and Youth and to summarize the results. Methods: Twelve indicators of PA were graded using numerical grades (5, highest, to 1, lowest) based on data from national surveys and policy documents. Results: National policy and obesity indicators were graded "4," while departmental policy and overweight indicators were graded "3." Overall PA levels, sports participation, sedentary behaviors and nongovernment initiatives were graded "2," and school influence was graded "1." Active transportation, active play, low cardiorespiratory fitness, and family and community influence received an incomplete. Conclusion: PA levels are low and sedentary behaviors are high in Colombian children and youth. Although the prevalence of obesity in Colombia is lower compared with other Latin American countries, it is increasing. A rich legal framework and availability of institutional arrangements provide unique opportunities to bridge the gap between knowledge and practice that need to be evaluated.

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“…1 Many low-and middle-income countries (LMIC) have shown similar or even more rapid increments of childhood obesity compared with highincome countries (HIC). 2,3 Although the increment of obesity in some HIC seems to be leveling off, the prevalence remains very high. 1 Unfortunately, the data for time trends in physical activity (PA) and sedentary behaviors among children and adolescents from LMIC are extremely sparse.…”

Section: Introductionmentioning

confidence: 99%

Relationships between active school transport and adiposity indicators in school-age children from low-, middle- and high-income countries

et al. 2015

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OBJECTIVES:Within the global context of the nutrition and physical activity transition it is important to determine the relationship between adiposity and active school transport (AST) across different environmental and socio-cultural settings. The present study assessed the association between adiposity (that is, body mass index z-score (BMIz), obesity, percentage body fat (PBF), waist circumference) and AST in 12 country sites, in the International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE). METHODS: The analytical sample included 6797 children aged 9-11 years. Adiposity indicators included, BMIz calculated using reference data from the World Health Organization, obesity (BMIz ⩾ +2 s.d.), PBF measured using bioelectrical impedance and waist circumference. School travel mode was assessed by questionnaire and categorized as active travel versus motorized travel. Multilevel linear and non-linear models were used to estimate the magnitude of the associations between adiposity indicators and AST by country site and sex. RESULTS: After adjusting for age, sex, parental education and motorized vehicle availability, children who reported AST were less likely to be obese (odds ratio = 0.72, 95% confidence interval (0.60-0.87), P o0.001) and had a lower BMIz (−0.09, s.e.m. = 0.04, P = 0.013), PBF (least square means (LSM) 20.57 versus 21.23% difference − 0.66, s.e.m. = 0.22, P = 0.002) and waist circumference (LSM 63.73 cm versus 64.63 cm difference − 0.90, s.e.m. = 0.26, P = 0.001) compared with those who reported motorized travel. Overall, associations between obesity and AST did not differ by country (P = 0.279) or by sex (P = 0.571). CONCLUSIONS: AST was associated with lower measures of adiposity in this multinational sample of children. Such findings could inform global efforts to prevent obesity among school-age children.

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Childhood and adolescent overweight and obesity in Latin America: a systematic review

Cited by 424 publications

References 53 publications

Normative reference values for the 20 m shuttle‐run test in a population‐based sample of school‐aged youth in Bogota, Colombia: the FUPRECOL study

Normative reference values for the 20 m shuttle‐run test in a population‐based sample of school‐aged youth in Bogota, Colombia: the FUPRECOL study

Results from Colombia’s 2014 Report Card on Physical Activity for Children and Youth

Relationships between active school transport and adiposity indicators in school-age children from low-, middle- and high-income countries

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