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Published on: July 29, 2020
Prevalence and determinants of overweight in preschool children
Risia Cristina Egito Menezes1, Pedro Israel Cabral Lira, Juliana Souza Oliveira
1Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil. risiamenezes@yahoo.com.br
Insights
Overweight affects 8.1% of Brazilian preschoolers, being more common in urban areas and among children from higher socioeconomic backgrounds. Maternal education and household goods ownership are key factors.
Area of Science:
- Pediatrics
- Public Health
- Nutritional Epidemiology
Background:
- Childhood overweight is a growing global concern.
- Understanding its determinants in diverse populations is crucial for effective interventions.
Purpose of the Study:
- To determine the prevalence of overweight among preschoolers in Pernambuco, Brazil.
- To investigate associations between overweight and socioeconomic, environmental, and maternal factors.
Main Methods:
- Cross-sectional study involving 954 preschoolers in Pernambuco, Brazil (2006).
- Hierarchical multiple logistic regression analysis was used to identify determinants of overweight.
- Odds ratios were calculated for various independent variables.
Main Results:
- The prevalence of overweight was 8.1% overall and 9.7% in urban areas.
- Higher prevalence was observed in children from families with better socioeconomic conditions, including higher income, education, and access to goods.
- Maternal educational achievement, household goods ownership, and maternal body mass index were significant predictors of child overweight.
Conclusions:
- Overweight is more prevalent than malnutrition in Brazilian preschoolers.
- Socioeconomic privilege is associated with a higher prevalence of overweight in this population.
- Maternal education and socioeconomic status are key factors influencing childhood overweight.
Objective:
To examine the prevalence of overweight and its association with socioeconomic and environmental factors, ownership of household goods, maternal nutritional status, and healthcare in preschoolers.
Methods:
Cross-sectional study with 954 preschoolers from the state of Pernambuco, Brazil, 2006. Multiple logistic regression with hierarchical modeling was conducted. Odds ratios for overweight (crude and adjusted for confounders) were calculated for each independent variable.
Results:
The prevalence of overweight was 8.1% for the state as a whole and 9% for the Recife Metropolitan Region. In urban and rural areas, the prevalence was 9.7 and 6.8%, respectively. A high prevalence of overweight was found among children whose families lived in better socioeconomic conditions (per capita family income, high educational achievement and access to household goods, better housing and sanitation, and healthcare). The logistic regression final model indicated that maternal educational achievement, ownership of household goods, and maternal body mass index were the determinants that best explained child overweight.
Conclusions:
Overweight was more prevalent than malnutrition among preschoolers. The prevalence was highest among children living in more privileged socioeconomic conditions.
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