Association between the obesogenic environment and the occurrence of overweight/obesity in school adolescents
DOI:
https://doi.org/10.33448/rsd-v9i9.6984Keywords:
Obesity; Adolescent; Environment.Abstract
To evaluate the association between the obesogenic environment and the occurrence of overweight / obesity among adolescents. Case-control study conducted between July and October 2018, with adolescents (10 to 16 years) enrolled in public schools. “Cases” were defined as those who were overweight or obese, as “controls” the eutrophic, paired by sex, age and class. Demographic characteristics and those related to the obesogenic environment (using a form), in addition to the nutritional status of caregivers and adolescents (through anthropometry) were evaluated. Pearson's chi-square test was applied, with Fisher adjustments, when necessary. SPSS 22.0 and a 95% confidence interval were used. Study approved by the Research Ethics Committee (CAAE 84019518.3.0000.5187). The nutritional status of caregivers was associated with that of adolescents (p <0.01). Regarding the characteristics of the surroundings of the home, it was observed that, with the exception of the presence of heavy traffic, most reported adequate conditions for the practice of exercises, however, there was no statistically significant association with the nutritional status of the adolescents, as well as with sedentary behaviors and eating habits considered inappropriate. There was a high percentage of adolescents who do not practice physical activity outside school (66%), who spend at least two hours a day in front of screens (86%) and who spend less than two hours in activities that make them run (80% ). All reported eating out at home five times a week. For the studied population, characteristics of the obesogenic environment were not associated with nutritional status.
References
ABESO - Associação Brasileira para o Estudo da Obesidade e da Síndrome Metabólica. (2016). Diretrizes brasileiras de obesidade 2016. 4° ed. São Paulo, SP.
Antunes, N.J. Obesidade infantil: vivências familiares relativas ao processo de aconselhamento nutricional. [Dissertação]. São Paulo: USP, 2018.
Bento, D. F. M. C. R. (2017). A Importância do Ambiente Obesogênico na População de Alta Vulnerabilidade Social em Campinas/SP. 158 f. Tese (Doutorado) - Curso de Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas.
Bezerra, I.C., Cavalcante, J.B., Moreira, T.M.V., Mota, C.C., Sicheiri, R. (2016). Alimentação fora de casa e excesso de peso: uma análise dos mecanismos explicativos. Revista Brasileira em promoção da Saúde. 29. 455-461. 10.5020/18061230. p455.
BRASIL. (2018). Ministério da Saúde (MS). VIGITEL Brasil 2018: Vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico. Brasília: MS.
Di Cesare, M., Soric, M., Bovet, P., Miranda, J.J., Bhutta, Z., Stevens, G.A., Laxmaaih, A., Kengne, A.P., Bentham J. (2019). A carga epidemiológica da obesidade na infância: uma epidemia mundial que requer ação urgente. BMC Med. 25 de novembro; 17 (1): 212. doi: 10.1186 / s12916-019-1449-8. PMID: 31760948; PMCID: PMC6876113.
Fisberg, M., Maximino, P., Kain, J., Kovalkys, I. (2016). Ambiente obesogênico - oportunidades de intervenção. J. Pediatr. (Rio J.) , Porto Alegre, v. 92, n. 3, supl. 1, p. 30-39. Disponível em <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S002175572016000400030&lng=en&nrm=iso>. acesso em 22 de abril de 2020. https://doi.org/10.1016/j.jped.2016.02.007 .
IBGE-INSTITUTO BRASILEIRO DE GEOGRAFIA E ESTATÍSTICA. (2016). Pesquisa Nacional de Saúde do Escolar: 2015. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística.
Libório, M.F.R.A. (2010). Ambientes Obesogênicos: Casa, Área de Residência e Escola. Universidade de Trás-os-Montes e Alto Douro, Vila Real, Dissertação de Mestrado.
Lucena, J.M.S. (2015). Prevalência de tempo excessivo de tela e fatores associados em adolescentes. Rev. paul. pediatr., São Paulo , v. 33, n. 4, p. 407-414. Available from <http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822015000400007&lng=en&nrm=iso>. access on 23 Apr. 2020. https://doi.org/10.1016/j.rpped.2015.04.001.
Malta, D.C.; Santos, M.A.S.; Andrade, S.S.C.D.A.; Oliveira, T.P.; Stopa, S.R.; Oliveira, M.M.D. (2016). Tendência temporal dos indicadores de excesso de peso em adultos nas capitais brasileiras, 2006-2013. Ciência & Saúde Coletiva. 21:1061-9.
Nogueira, L.R. (2018). Excesso de peso, consumo de frutas e hortaliças por adolescentes e ambiente alimentar local em São Paulo. [Dissertação]. São Paulo: USP.
Oliveira, M.M., Andrade, S.S.C.A., Campos, M.O., Malta, D.C. (2015). Fatores associados à procura de serviços de saúde entre escolares brasileiros: uma análise da Pesquisa Nacional de Saúde do Escolar (PeNSE), 2012. Cad Saude Publica;31(8):1603-14.
Pereira, M., Nogueira, H., Padez, C. (2018). Association between childhood obesity and environmental characteristics: Testing a multidimensional environment index using census data. Appl Geogr. 92:104-111.
Pitt, E., Gallegos, D., Comans, T., Cameron, C., Thorton, L. (2017). Exploring the influence of local food environments on food behaviours: a systematic review of qualitative literature. Public Health Nutrition. v.20, p.2393-2405. Disponível em: https://pubmed.ncbi.nlm.nih.gov/28587691/ Acesso em: 28 de maio de 2020.
Rodrigues, H.C.A. (2016). Influência da prática educativa parental na alimentação e do ambiente obesogênico no excesso de peso na infância. [Dissertação]. Recife: UFPE.
Scherer, D. A., More, C. L., Coradini, O. A. (2017) Obesidade, família e transgeracionalidade: uma revisão integrativa da literatura. Nova perspect. sist., São Paulo, v. 26, n. 58, p. 17-37. Disponível em <http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S0104-78412017000200003&lng=pt&nrm=iso>. acessos em 11 mar. 2020.
WHO. World Health Organization. (2007). The WHO Child Growth Standards 2006, 2007. Disponível em: <http://www.who.int/childgrowth/en/. Acesso em 01 de novembro de 2018.
WHO. World Health Organization. (2016). Draft implementation plan for the recommendations of the commission on ending childhood obesity. Disponível em: . Acesso em: 15 fev. 2020.
WHO. World Health Organization. (2018). Physical activity 2015 [Internet]. [Fact sheet nº 385]. Available from: http://www.who.int/mediacentre/ factsheets/fs385/en/
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Copyright (c) 2020 Pollyanna Jorge Canuto, Carla Campos Muniz Medeiros, Rodrigo Pinheiro de Toledo Vianna, Ricardo Alves Olinda, Poliana de Araújo Palmeira, Danielle Franklin de Carvalho
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