Socioeconomic status and its influence on the prevalence of overweight and obesity among adolescent school children in the city of Fortaleza, Brazil
Keywords:
adolescent, nutritional status, socioeconomic factors, obesityAbstract
Objective
The aim of this study was to analyze the relationship between socioeconomic status and prevalence of overweight and obesity among adolescents in public and private schools in the city of Fortaleza, Brazil.
Methods
This is a cross-sectional study with 1,158 adolescents, 587 from private schools and 571 from public schools.
The body mass index and the socioeconomic status of the family using the Economic Classification Criteria of
Brazil were determined.
Results
Overweight and obesity were found to be more prevalent among wealthier families (24.8%) than among poorer families (17.4%). Males of wealthier families were more likely to be overweight and obese than those of poorer families; the same was not observed among females. Among the adolescents aging 10 to 14 years, excess weight was more common in the wealthier families, but the same was not observed among adolescents aging from 15 to 19 years.
Conclusion
The prevalence of overweight and obesity of adolescents in the City of Fortaleza is higher in wealthier families; male adolescents presented a direct proportional relationship between socioeconomic status and excess weight, which was not evidenced among females.
References
World Health Organization. Physical status: the use and interpretation of anthopometry. Report of a WHO Expert Committee. Geneve; 1995. p.368-9.
World Health Organization. Obesity: preventing and managing the global epidemic. Geneve; 1998. Report of a WHO Consultation on Obesity.
Berenson GS, Srivasan SR, Wattigncy WA, Harsha DW. Obesity and cardiovascular risk in children. Ann NY Acad Sci. 1993; 699:93-103.
Dâmaso A, Guerra RL, Botero JP, Prado WL. Etiologia da obesidade. In: Damaso A. Obesidade. São Paulo: Medsi; 2003. p.3-6.
Kopelman PG. Obesity as a medical problem. Nature. 2000; 404(6778):635-43.
Janssen I, Boyce WF, Simpson K, Pickett W. Influence of individual- and area-level measures of socioeconomic status on obesity, unhealthy eating, and physical inactivity in Canadian adolescents. Am J Clin Nutr. 2006; 83(1):39-45.
Sundquist J, Johansson SE. The influence of socioeconomic status, ethnicity and lifestyle on body mass index in a longitudinal study. Int J Epidemiol. 1998; 27(1):57-63.
Sobal J, Stunkard AJ. Socioeconomic status and obesity: a review of the literature. Psychol Bull. 1989; 105(2):260-75.
Monteiro CA, Conde WL. Tendência secular da desnutrição e da obesidade na infância na cidade de São Paulo (1974-1996). Rev Saúde Pública. 2000; 34(6):52-61.
Wang Y, Monteiro CA, Popkin BM. Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia. Am J Clin Nutr. 2002; 75(6):971-7.
Instituto Brasileiro de Geografia e Estatística. Estudo nacional de despesas familiares: 1974-1975. Rio de Janeiro; 1977.
Instituto Brasileiro de Geografia e Estatística. Pesquisa sobre padrões de vida: 1996-1997. Microdados [CD-ROM]. Rio de Janeiro; 1988.
Brasil. Instituto Nacional de Estudos e Pesquisas Educacionais [Internet]. Censo escolar [acesso em 15 fev 2003]. Disponível em: http://www.inep.gov.br/básica/censo/Escolar/Sinopse/sinopse2002
Pereira RMM. Prevalência de obesidade em crianças e adolescentes em escolas públicas de Fortaleza [dissertação]. Fortaleza: Mestrado Profissionalizante em Saúde da Criança e do Adolescente da Universidade Estadual do Ceará; 2002.
Instituto Brasileiro de Opinião Pública e Estatística [Internet]. Levantamento sócio econômico-2000-IBOPE. Rio de Janeiro. [acesso em 2 fev. 2003]. Disponível em: http://www.anep.org.br
Must A, Dallal GE, Dietz WH. Reference data for obesity: 85th and 95th percentiles of body mass index (wt/ht2) and triceps skinfold thickness. Am J Clin Nutr. 1991; 53(4):839-46.
Organización Mundial de la Salud. La Salud de los jóvenes: un reto y una esperanza. Geneva; 1995.
Ukkola O, Bouchard C. Fatores genéticos e obesidade infantil. Anais Nestlé. 2002; 62:12-21
Magalhães VC, Azevedo G, Mendonça S. Prevalência e fatores associados a sobrepeso e obesidade em adolescentes de 15 a 19 anos das regiões Nordeste e Sudeste do Brasil, 1996 -1997. Cad Saúde Pública. 2003; 19(1):129-39.
Schofeld-Warden N, Warden CH. Obesidade pediátrica-uma visão global da etiologia e do tratamento. Clin Pediatr Am North.1997; 44(2):343-66.
McMurray RG, Harrell JS, Deng S, Bradley CB, Cox LM, Bangdiwala SI. The Influence of physical activity, socioeconomic status, and ethnicity on the weight status of adolescents. Obes Res. 2000; 8(2):130-9.
Wang Y. Cross-national comparison of childhood obesity: the epidemic and the relationship between obesity and socioeconomic status. Int J Epidemiol. 2001; 30(5):1129-36.
Monteiro CA, Conde WL, Castro IR. A tendência cambiante da relação entre escolaridade e risco de obesidade no Brasil (1975-1997). Cad Saúde Pública. 2003; 19(1):65.
Brasil. Instituto Nacional de Alimentação e Nutrição. Pesquisa Nacional sobre Saúde e Nutrição. Resultados preliminares. 2.ed. Brasília; 1990.
Feldman W, Feldman E, Goodman JT. Culture versus biology: children’s attitudes toward thinness and fatness. Pediatrics. 1988; 81(2):190-4.
Guyot GW, Fairchild L, Hil M. Physical fitness, sport participation, body build and self-concept of elementary school children. Int J Sport Psychol. 1981; 12(2):105-16.
Monteiro CA, D’A Benicio MH, Conde WL, Popkin BM. Shifting obesity trends in Brazil. Eur J Clin Nutr. 2000; 54(4):342-6.
Monteiro CA, Conde WL. A Tendência secular da obesidade segundo estratos sociais: Nordeste e Sudeste do Brasil, 1975-1989-1997. Arq Bras Endocrinol Metab. 1999; 43(3):186-94.
Wright CM, Parker L, Lamond D, Craft AW. Implications of childhood obesity for adult health: Findings from thousand-cohort study. BMJ. 2001; 323(7324):1280-4.
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