NUTRITIONAL STATUS AND GROWTH OF ADOLESCENT SCHOOLCHILDREN IN SOUTHERN BRAZIL: Nutritional Status and Growth of Adolescent Schoolchildren

JANE CARDOSO; Claudio  Leone

doi:10.63845/ccqghf31

Autores

JANE CARDOSO Secretaria Estadual de Saúde de SC
Claudio Leone Diretor de Pesquisa da Sociedade Brasileira de Pediatria. São Paulo, Brasil

DOI:

https://doi.org/10.63845/ccqghf31

Palavras-chave:

adolescente, crescimento, estado nutricional, obesidade

Resumo

Introduction: The objective of the study was to analyze the growth achieved and its relation with nutritional status among school adolescents attending public schools in capital of the South of Brazil. Method: cross-sectional, analytical study with a convenience sample of 7,225 schoolchildren aged 10 to 16 years of age from public schools, selected from the anthropometric evaluation (weight, height, and Body Mass Index - BMI) of the Health Program of School. Classification according to groups of height for age: Group of Heights (GA) with z Height (zE) for Age greater than 1, Medium Group (GM) zE 1 and less 1 and, Group of Low (GB) and zE below of less than 1, for both sexes. BMI z score values (z IMC) of GA and GB were compared and z IMC correlation and sex were found. The Kruskal-Wallis test and Mann-Whitney test and Spearman's correlation coefficient were used. The study was approved by the Ethics Committee on Research in Human Beings. Results: There was statistically significant difference between BMI of Male Altos (BMI) versus BMI of Male Low (MB) (p <0.0001) and between BMI Female High (BMI) versus BMI Female Low, (p <0.0001) statistically significant BMI MA versus BMI FA (p = 0.0005). There is a correlation between z IMC and zE of male GA (p = 0.0023) and z IMC with male GB zE (p <0.001). Conclusion: fast growth is associated with body weight gain and the tendency of overweight and obesity, stressing the importance of monitoring both height and body mass in adolescence.

Biografia do Autor

Claudio Leone, Diretor de Pesquisa da Sociedade Brasileira de Pediatria. São Paulo, Brasil

Professor, Doutor aposentado da Universidade de Saúde Pública de São Paulo, que orientou e corrigiu esse estudo.

Referências

Zeferino AMB, Barros Filho AA, Bettiol H, Barbieri MA. Growth monitoring. J Pediatr (Rio J) 2003;79(Suppl.1): S23-S32. DOI: https://doi.org/10.2223/JPED.995

Whitlock EP, O’Connor EA, Williams SB, Beil TL, Lutz KW. Effectiveness of Primary Care Interventions for Weight Management in Children and Adolescents: An Updated, Targeted Systematic Review for the USPSTF. Evidence Synthesis No. 76. AHRQ Publication No. 10-05144-EF-1. Rockville, Maryland: Agency for Healthcare

Research and Quality, January 2010.

Ogden CL, Carroll MD, Flegal KM. High body mass index for age among US children and adolescents, 2003-2006. Journal of the American Medical Association, 299, 2401-2405. doi:10.1001/jama.299.20.240. DOI: https://doi.org/10.1001/jama.299.20.2401

Martinez J, Araujo C, Horta BL, Gigante DP. Growth patterns in early childhood and the onset of menarche before age twelve. Rev Saúde Pública 2010;44(2):249-60. DOI: https://doi.org/10.1590/S0034-89102010000200004

Monteiro POA, Victora CG. Rapid growth in infancy and childhood and obesity in later life – a systematic review. Obesity reviews (2005) 6, 143–154. DOI: https://doi.org/10.1111/j.1467-789X.2005.00183.x

Farias Junior JC, Silva KS. Overweight/Obesity in Adolescent Students From the City of João Pessoa, PB, Brazil: Prevalence and Association with Demographic and Socioeconomic Factors. Rev Bras Med Esporte – Vol. 14, n 2.Mar/Abr, 2008. DOI: https://doi.org/10.1590/S1517-86922008000200004

Stovitz SD, et al.The Interaction of Childhood Height and Childhood BMI in the Prediction of Young Adult BMI. Obesity (2008) 16, 2336–2341. doi:10.1038/oby.2008.359. DOI: https://doi.org/10.1038/oby.2008.359

, Dommelen PV, Kroon MLA, Cameron NI, Schoneveck Y, Buuren SV. The Impact of Height during Childhood on the National Prevalence Rates of Overweight. Plos One. 2014; 9;1; e85769.

Navti et al. Height-obesity relationship in school children in Sub-Saharan Africa: results of a cross-sectional study in Cameroon. BMC Research Notes (2015) 8:98. DOI 10.1186/s13104-015-1073-4. DOI: https://doi.org/10.1186/s13104-015-1073-4

Riedel C et al. Overweight in Adolescence Can Be Predicted at Age 6 Years: A CART Analysis in German Cohorts. PLOS ONE. 2014; Volume 9; Issue 3; e93581. DOI: https://doi.org/10.1371/journal.pone.0093581

Brazil. Ministry of Health. Health in School Program. Available at: http://dab.saude.gov.br/portaldab/pse.php. Access: June 2018.

Brazil. Ministry of Health Guidelines for the Collection and Analysis of Anthropometric Data in Health Services: Technical Standard of the Food and Nutrition Surveillance System / Ministry of Health, Department of Health Care, Department of Basic Attention; 2011.DOI: 10.1017.

Navti LK, Samani-Radia D, McCarthy HD. Children’s body fatness and prevalence of obesity in relation to height for age. Ann Hum Biol, 2014; 41(1): 84–90. DOI:10.3109/03014460.2013.856474. DOI: https://doi.org/10.3109/03014460.2013.856474

Stovitz SD, et al. Child Height and the Risk of Young-Adult Obesity. Am J Prev Med 2010;38(1):74 –77). DOI: https://doi.org/10.1016/j.amepre.2009.09.033

Metcalf BS, et al. BMI was right all along: taller children really are fatter (implications of making childhood BMI independente of height). International Journal of Obesity (2011) 35, 541–547. DOI: https://doi.org/10.1038/ijo.2010.258

Dommelen PV, et al.The Impact of Height during Childhood on the National Prevalence Rates of Overweight. Plos One. January 2014, Volume 9, Issue 1, e85769. DOI: https://doi.org/10.1371/journal.pone.0085769

Freedman DS, et al. Height and Adiposity among Children. Obes Res. 2004;12: DOI: https://doi.org/10.1038/oby.2004.102

–853.

Telford RD, Cunningham RB. Reformulation of BMI and Percent Body Fat to Remove the Height Bias in 8-year-olds. Obesity (2008) 16, 2175–2181. doi:10.1038/oby.2008.332. DOI: https://doi.org/10.1038/oby.2008.332

Ralt D. Low muscle mass – Tall and obese children. Medical Hypoteses. (2007), vol 68, issue 4, pg 750-755. Available in: https://doi.org/10.1016/j.mehy.2006.05.071. DOI: https://doi.org/10.1016/j.mehy.2006.05.071

McCarthy HD. Body fat measurements in children as predictors for the metabolic

syndrome: focus on waist circumference. Nutrition Society (2006), 65, 385–392. DOI:10.1079/PNS2006514. DOI: https://doi.org/10.1017/S0029665106005143

Johnson W, et al. Patterns of linear growth and skeletal maturation from birth to 18

years of age in overweight young adults. Int J Obes (Lond). 2012 April ; 36(4): 535–541. doi:10.1038/ijo.2011.238. DOI: https://doi.org/10.1038/ijo.2011.238

NUTRITIONAL STATUS AND GROWTH OF ADOLESCENT SCHOOLCHILDREN IN SOUTHERN BRAZIL