Excess weight in preschool children: The role of food intake
Palabras clave:
Child, preschool, Food consumption, Obesity, OverweightResumen
Objective
The study aimed to compare the food intake of overweight/obese and normal weight preschoolers and to verify whether excess weight is associated with low birth weight, catch-up growth, early weaning, and physical activity/inactivity.
Methods
This case-control study was conducted in family healthcare units of the city of Olinda, Pernambuco, from May to August 2014.
Results
A total of 253 children were studied, 84 with ‘excess weight’ and 164 with ‘normal weight’. In the ‘overweight/obese’ and ‘normal weight’ groups, 77% and 43% of the children, respectively, had high calorie intake. The ‘overweight/obese’ group had lower fruit intake, higher maternal education level, higher family income, higher maternal excess weight, and presence of catch-up growth and inactivity.
Conclusion
The results suggest that food intake has an important role, but that other variables contribute to excess weight in children. Recognition of the problem’s many causes should guide the public policies directed at this age group to prevent this nutritional disorder.
Citas
Schuch I, De Castro TG, De Vasconcelos FA, Dutra CL, Goldani MZ. Excess weight in preschoolers: Prevalence and associated factors. J Pediatr. 2013;89(2):179-88. https://doi.org/10.1016/j.jped.2013.03.003
Bertotto ML, Valmórbida J, Broilo MC, Campagnolo PDB, Vitolo, MR. Associação do ganho de peso no primeiro ano de vida com excesso de peso e adiposidade abdominal no idade pré-escolar. Rev Paul Pediatr. 2012;30(4):507-12. https://doi.org/10.1590/s0103-05822012000400008
Schuman S. Parent weight-related attitudes and behaviors: Influence on child and adolescent body dissatisfaction. J Psychol Sci. 2010;47(3):263-9.
Caetano MC, Ortiz TTO, Silva SGL, Souza FIS, Sarni ROS. Complementary feeding: Inappropriate practices in infants. J Pediatr. 2010;86(3):196-201. https://doi.org/10.1590/S0021-75572010000300006
Henriques P, Sally EO, Burlandy L, Beiler RM. Regulamentação da propaganda de alimentos infantis como estratégia para a promoção da saúde. Ciênc Saúde Coletiva. 2012;17(2):481-90. https://doi.org/10.1590/S1413-81232012000200021
Monteiro AC, Canon G. The Impacto of Transnacional “Big Food” Companies on the South: A view from Brazil. PLoS Med. 2012;9(7):1-5. https://doi.org/10.1371/journal.pmed.1001252
Lima AMC, Kumar S, Brown LP, Butts P, Finkler AS, Bakewell-Sachs S, et al. Does fetal grow restriction influence body composition at school age? J Pediatr. 2011;87(1):29-35. https://doi.org/10.1590/S0021-75572011000100006
Souza RLV, Madruga SW, Gigante DP, Santos IS, Barros AJD, Assunção MCF. Padrões alimentares e fatores associados entre crianças de um a seis anos de um município do Sul do Brasil. Cad Saúde Pública. 2013;29(12):2416-26. https://doi.org/10.1590/0102-311X00156412
World Health Organization. Multicentre Growth Reference Study Group. Child Growth Standards: Length/height-for-age, weight-for-age, weight-forlength, weight-for-height and bodymass index-forage: Methods and development. Geneva: WHO; 2006.
Burdette HL, Whitaker RC, Daniels SR. Parental report of outdoor playtime as a measure of physical activity in preschool-aged children. Arch Pediatr Adolesc Med. 2004;158(4):353-7. https://doi.org/10.1001/archpedi.158.4.353
Frisancho, AR. Anthropometric standards for the assessment of growth and nutritional status. Ann Arbor (MI): The University of Michigan Press; 1990.
Pinheiro AVB, Lacerda EMA, Haimbenzecry E, Gomes MCS, Costa VM. Tabela para avaliação de consumo alimentar em medidas caseiras. Rio de Janeiro: UFRJ; 1994.
Uenther PM, Kott OS, Carriquiry AL. Development of an approach for estimating usual nutrient intake distributions at the population level. J Nutr. 1997;127(6):1106-12.
Carriquiri A. Assessing the prevalence of nutrient inadequacy. Public Health Nutr. 1999;2(1):23-33.
Brasil. Ministério da Saúde. Alimentos regionais brasileiros. Brasília: Ministério da Saúde; 2002.
Universidade Estadual de Campinas. Tabela Brasileira de Composição de Alimentos – Taco. 4ª ed. Campinas: Unicamp; 2011.
Gluckman PD, Hanson MA, Beedle AS. Early life events and their consequences for later disease: A life history and evolutionary perspective. Am J Hum Biol. 2007;19(1):1-19. https://doi.org/10.1002/ajhb.20590
Rogers I, Euro-Blcs. Study Group. The influence of birth weight and intrauterineenvironment on adiposity and fat distribution in later life. Int J Obesity. 2003;27:755-77. https://doi.org/10.10 38/sj.ijo.0802316
Cameron N, Pettifor J, We TD, Norris S. The relation of rapid weight gain in infancy to obesity and skeletal maturity in childhood. Obesity. 2003;11(3):457-60. https://doi.org/10.1038/oby.2003.62
Ong KK, Emmett P, Northstone K, Golding J, Rogers I, Ness AR, et al. Infancy weightgain predicts childhood body fat and age at menarche ingirls. J Clin Endocrinol Metab. 2009;94(5):1527-32. https://doi.org/10.1210/jc.2008-2489
Brasil. Ministério da Saúde. Pesquisa Nacional de Demografia e Saúde da Criança e da Mulher - PNDS 2006: dimensões do processo reprodutivo e da saúde da criança. Brasília: Ministério da Saúde; 2009 [acesso 2014 mar 28]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/pnds_crianca_mulher.Pdf
Toloni MHA, Longo-Silva G, Goulart RMM, TaddeiJAA. Introdução de alimentos industrializados e dealimentos de uso tradicional na dieta de crianças de creches públicas no município de São Paulo. Rev Nutr. 2011;24(1):61-70. https://doi.org/10.1590/S1415-52732011000100006
Bortolini GA, Gubert MB, Santos LPM. Consumo alimentar entre crianças brasileiras com idade de 6 a 59 meses. Cad Saúde Pública. 2012;28:1759-71. https://doi.org/10.1590/S0102-311X2012000900014
Fidelis CMF, Osório MM. Consumo alimentar de macro e micronutrientes de crianças menores de cinco anos no Estado de Pernambuco, Brasil. Rev Bras Saúde Matern Infant. 2007;7(Supl.1):63-74. https://doi.org/10.1590/S1519-38292007000100008
Jingxiong J, Rosenqvist U, Huishan W, Koletzko B, Guangli L, Jing H, et al. Relationship of parental characteristics and feeding practices to overweight in infants and young children in Beijing, China. Public Health Nutr. 2009;12(7):973-8. https://doi.org/10.1017/S1368980008003509
Bernardo CO, Pudla KJ, Longo GZ, Vasconcelos FAG. Fatores associados ao estado nutricional de escolares de 7 a 10 anos: aspectos sociodemográficos, de consumo alimentar e estado nutricional dos pais. Rev Bras Epidemiol. 2012;15(3):651-61.
Fundação Getúlio Vargas. A nova classe média: o lado brilhante dos pobres. Rio de Janeiro: FGV; 2010 [acesso 2014 jun 29]. Disponível em: http://www.cps.fgv.br
Alves MN, Muniz LC, Vieira MFA. Consumo alimentar entre crianças brasileiras de dois a cinco anos de idade: Pesquisa Nacional de Demografia e Saúde – 2006. Ciên Saúde Coletiva. 2013;18(11):3369-77. https://doi.org/10.1590/S1413-81232013001100026
Moore LL, Gao D, Bradlee ML, Cupples LA, Sundarajan-Ramamurti A, Proctor MH, et al. Does early physical activity predict body fatchange throughout childhood? Prev Med. 2003;37(1):10-7. https://doi.org/10.1016/S0091-7435(03)00048-3
Janz KF, Kwon S, Letuchy EM, Gilmore JME, Burns TL, Torner JC, et al. Sustained effect of early physical activity onbody fat mass in older children. Am J Prev Med. 2009;37(1):35-40. https://doi.org/10.1016/j.amepre.2009.03.012
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Derechos de autor 2023 Dayse Rafaele Lima dos SANTOS, Pedro Israel Cabral de LIRA, Giselia Alves Pontes da SILVA
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
