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Risk of overweight and obesity in preschoolers attending private and philanthropic schools
Viviane Gabriela Nascimento1, Denise de Oliveira Schoeps, Sônia Buongermino de Souza
1Department of Mother and Child Healthcare, Faculty of Public Health, Universidade de São Paulo, São Paulo, SP. vivianesimon@hotmail.com
Insights
Childhood obesity risk is high in São Paulo preschools. Overweight and obesity are more prevalent in private preschools compared to philanthropic ones, indicating socioeconomic factors play a role.
Area of Science:
- Pediatrics
- Public Health
- Nutrition Science
Background:
- Childhood overweight and obesity are significant global health concerns.
- Preschool age is a critical period for establishing lifelong health habits.
- Socioeconomic status can influence dietary patterns and physical activity levels in children.
Purpose of the Study:
- To evaluate and compare the prevalence of overweight and obesity risk in children attending private and philanthropic preschools in São Paulo.
- To identify potential disparities in weight status between children in different preschool settings.
Main Methods:
- Cross-sectional study comparing two groups of preschoolers: private preschools (PPS) and philanthropic preschools (PHP).
- Body Mass Index (BMI) z-scores were calculated using World Health Organization (WHO) guidelines (2006, 2007).
- Prevalence of risk for overweight (≥1 BMIz <2) and overweight/obesity (≥2 BMIz) was determined.
Main Results:
- The prevalence of risk for overweight was similar between PPS (21.9%) and PHP (24.6%).
- However, the prevalence of overweight and obesity (BMIz ≥2) was significantly higher in children from PPS (14.3%) compared to PHP (9.0%).
- This disparity was observed in both boys and girls, with higher prevalence in males from PPS (16.4%) versus PHP (11.1%) and females from PPS (12.5%) versus PHP (6.6%).
Conclusions:
- While the risk of overweight was comparable, actual overweight and obesity were more common in children attending private preschools.
- This suggests that higher socioeconomic status, often associated with private preschools, remains a risk factor for childhood obesity.
- Further research is needed to understand the specific environmental or behavioral factors contributing to these differences.
Objective:
To assess the risk prevalence of overweight and obesity in children enrolled in private and philanthropic preschools in the State of São Paulo.
Methods:
Comparison of two cross sectional studies with children enrolled in private preschools (PPS) or philanthropic (PHP) of the São Paulo Metropolitan Region. Both surveys evaluated the children's environment. To determine the risk of overweight, excess weight and obesity, body mass index (BMI) values were transformed into z scores (according to the World Health Organization - 2006 and 2007).
Results:
The risk prevalence of overweight (≥ 1 BMIz < 2) in PPS was 21.9% and 24.6% in PHP, with PR = 1.12 (95% CI: 0.96-1.32), without statistical difference. Considering the children with overweight or obesity, (BMIz ≥ 2) the prevalence in PPS was 14.3% and in PHP was 9.0%, with PR = 1.54 (95% CI: 1.23-1.93), p = 0.0002. Overweight and obesity prevalence in males in PPS was 16.4% (n = 409) and in PHP, 11.1% (n = 829), PR = 1.48 (95% CI: 1.10-1.98) and in females it was 12.5% (n = 400) in the PPS and 6.6% (n = 698) in PHP, corresponding to PR = 1.90 (95% CI: 1.30-2.78), both significant differences.
Conclusion:
Both groups showed a similar and very high prevalence of weight excess. However, overweight and obesity showed a higher prevalence in children from private preschools. This indicates that even though a better socioeconomic level is still a risk factor for overweight and obesity in preschoolers, the same does not seem to occur when analyzing the risk of overweight.
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