Diagnosis of overweight and obesity in schoolchildren: utilization of the body mass index international standard

Giugliano, Rodolfo; Melo, Ana L. P.

doi:10.2223/jped.1152

Cited by 16 publications

(12 citation statements)

References 23 publications

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“…The present results showing hypertriglyceridemia in about 4% and hypertension + borderline BP in about 12% of the schoolchildren irrespective of gender, agree with most of the data from the Brazilian and international literature (21)(22)(23)(24)(25)(26)(27)(28). However, our data showing that about 1/5 of the students have increased LDL-C represent higher val- Values are correlation coefficients (r ).…”

Section: Discussionsupporting

confidence: 91%

“…Since such population studies are relatively scarce in Brazil, the present results can provide important information for the region's public health policy. The overall occurrence of overweight or obesity was about 13.9% for the schoolchildren, a level that, although slightly lower than those reported for the United States (21), Europe (22) and some other regions of Brazil (6,23), suggests that obesity among children is elevated, and might become a public health problem in the Vitória city area. In a study by Guimarães and Guimarães (8) conducted in Salvador, BA, the prevalence of overweight/obesity among 6-12-year-old schoolchildren was similar to that reported here.…”

Section: Discussionmentioning

confidence: 56%

“…ues than those reported in other studies (21)(22)(23)(24)(25)(26)(27)(28), possibly reflecting local nutritional aspects, which also deserve further investigation. An interesting result was the correlation observed between maximal oxygen consumption and some serum lipids (Table 3), for which we have no explanation.…”

Section: Discussionmentioning

confidence: 58%

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Cardiovascular risk factors in a population of Brazilian schoolchildren

Rodrigues¹,

Moysés²,

Bissoli³

et al. 2006

Braz J Med Biol Res

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Epidemiological and clinical evidence suggests that a judicious diet, regular physical activity and blood pressure (BP) monitoring must start in early childhood to minimize the impact of modifiable cardiovascular risk factors. This study was designed to evaluate BP and metabolic parameters of schoolchildren from Vitória, Espírito Santo State, Brazil, and correlate them with cardiovascular risk factors. The study was conducted on 380 students aged 10-14 years (177 boys, 203 girls) enrolled in public schools. Baseline measurements included body mass index, BP and heart rate. The students were submitted to exercise spirometry on a treadmill. VO 2max was obtained from exercise testing to voluntary exhaustion. Fasting serum total cholesterol (TC), LDL-C, HDL-C, triglycerides (TG), and glucose were measured. Nine point nine percent of the boys and 11.7% of the girls were hypertensive or had pre-hypertensive levels. There was no significant correlation between VO 2max and TC, LDL-C, or TG in prepubertal children, but a slight negative correlation was detected in post-pubertal boys for HDL-C and TG. In addition, children with hypertension (3.4%) or prehypertensive levels (6.6%) also had comorbidity for overweight and blood lipid abnormalities (14% for triglycerides, 44.7% for TC, 25.9% for LDL-C, 52% for low HDL-C). The present study shows for the first time high correlations between prehypertensive blood pressure levels and the cardiovascular risk factors high TC, high LDL-C, low HDL-C in schoolchildren. These are important for the formulation of public health policies and strategies.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 56%

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Cardiovascular risk factors in a population of Brazilian schoolchildren

Rodrigues¹,

Moysés²,

Bissoli³

et al. 2006

Braz J Med Biol Res

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“…When the results of this study were compared with those of other national and international studies, higher (1,16) and lower (17)(18) percentages are also found. This divergence is not of interest since being overweight might be currently affecting a larger number of individuals earlier in life or is simply related to sampling variations and diagnosis methods.…”

Section: Discussionsupporting

confidence: 55%

Risk Factors for Type 2 Diabetes Mellitus in Children

Macêdo

Araújo

Marinho

et al. 2010

Rev. Latino-Am. Enfermagem

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This study investigates risk factors for type 2 diabetes mellitus in a population of children in public schools, Fortaleza, CE, Brazil. A total of 727 children aged 6 to 11 years old from 12 schools were evaluated between March and June 2008. A form addressing sociodemographic data, body mass index, blood pressure, capillary blood glucose and waist circumference was applied. A total of 54.1% of the children were female, 21.7% were overweight, 6.6% were obese, 27% had central obesity, 6.2% showed altered capillary glucose, and 17% high blood pressure. In relation to risk factors, 53.4% presented no risk factors; 24.3% had at least one factor and 18.8% two risk factors. Nurses can intervene in schools through educational health programs encouraging the adoption of healthy habits and identifying children at risk of type 2 diabetes mellitus. Factores de riesgo para diabetes mellitus tipo 2 en niñosEl estudio tuvo como objetivo identificar factores de riesgo para diabetes mellitus tipo 2 en una población de niños de escuelas públicas de Fortaleza, Brasil. Fueron evaluadas 727 niños de 6 a 11 años, de 12 escuelas, en los meses de marzo a junio de 2008. Fue aplicado un formulario abordando aspectos sociodemográficos, índice de masa corporal, presión arterial, glucemia capilar y, circunferencia de la cintura. Fue identificado que 54,1% de los sujetos eran del sexo femenino, 21,7% tenían exceso de peso, 27% obesidad central, 6,2% alteraciones en la glucemia y 17,9% presión arterial elevada. En relación a los factores de riesgo, 53,4% no lo presentaban, 24,3% tenían por lo menos un factor y 18,8% dos factores. La enfermería puede actuar en las escuelas por medio de acciones de educación en salud, incentivando la adopción de hábitos de vida saludables y identificando niños con riesgo para diabetes mellitus tipo 2.

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“…Sua aferição reflete indiretamente a gordura corporal apendicular (28), e também foi relacionada às mudanças ósseas verificadas em ambos os grupos.…”

Section: Discussionunclassified

Associação entre a perda de peso, a massa óssea, a composição corporal e o consumo alimentar de adolescentes obesos pós-púberes

Santos

Cintra

Fisberg

et al. 2008

Arq Bras Endocrinol Metab

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RESUMOObjetivo: verificar os efeitos da perda de peso na densidade mineral óssea (dMO) de adolescentes obesos submetidos a intervenção com base em dieta hipocalórica e orientações durante nove meses. Métodos: realizaram-se avaliações da antropometria, da composição corporal, da dMO e do consumo alimentar. Resultados: Participaram do estudo 55 adolescentes, 78,2% meninas, com média de 16,6 (1,4) anos. destes, 44,4% não apresentaram redução do peso. O grupo que respondeu à intervenção apresentou média de perda de peso de 6,2% (4,6) do peso inicial. Houve aumento significativo da dMO e conteúdo mineral ósseo (cMO) entre os adolescentes não-respondedores e aumento do cMO e área óssea entre os respondedores, associados, principalmente, com as alterações da composição corporal com o ganho ou a perda de peso. Conclusão: O aumento da massa óssea mesmo com a perda de peso demonstrou que o emagrecimento não ter efeito negativo do emagrecimento e denota provável contribuição da melhora dos hábitos alimentares na aquisição óssea de adolescentes. Objective: to verify the effects of weight loss on bone mass of obese adolescents submitted to a nutritional intervention based on a hypocaloric diet and nutritional advice over a nine-month-period. Methods: Anthropometry, body composition, BMd and dietary intake were evaluated. Results: Fifty-five adolescents, 78.2% females, within an average age of 16.6 (1.4) years old participated in the study. Sixteen participants who completed the study did not lose weight. the group that adhered to the nutritional intervention had a mean weight loss of 6.2 (4.6)% baseline. there was a significant increase in total BMd and bone mineral content (BMc) in those adolescents who did not lose weight, while increased BMc and bone area were verified in participants who lost weight, mainly when associated with body composition alterations while changing weight. Conclusion: the increment in bone mineral density, even throughout weight loss, has showed no negative effect on bone mass and has also emphasized the importance of nutritional improvement in total bone mass during adolescence. (Arq Bras Endocrinol Metab 2008; 52/6:1001-1008)

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Diagnosis of overweight and obesity in schoolchildren: utilization of the body mass index international standard

Cited by 16 publications

References 23 publications

Cardiovascular risk factors in a population of Brazilian schoolchildren

Cardiovascular risk factors in a population of Brazilian schoolchildren

Risk Factors for Type 2 Diabetes Mellitus in Children

Associação entre a perda de peso, a massa óssea, a composição corporal e o consumo alimentar de adolescentes obesos pós-púberes

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