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Overweight and associated factors in children from northeastern Brazil
Marcella A Moreira1, Poliana C Cabral, Haroldo S Ferreira
1Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil. cellinhamoreira@gmail.com
Insights
Overweight affects 28.5% of young children in Alagoas, linked to maternal central obesity and short breastfeeding duration. Breastfeeding may protect against childhood overweight.
Area of Science:
- Pediatrics
- Public Health
- Nutrition
Background:
- Childhood overweight is a growing global concern.
- Identifying associated factors is crucial for effective prevention strategies.
- The semiarid region of Alagoas presents unique socioeconomic and environmental challenges.
Purpose of the Study:
- To determine the prevalence of overweight in children under 5 years old.
- To investigate associations between childhood overweight and maternal/biological factors.
- To explore socioeconomic influences on overweight in a specific Brazilian region.
Main Methods:
- Cross-sectional study with a representative sample of 963 children.
- Defined overweight using weight-for-height z-scores (≥1) for children.
- Logistic regression analysis identified significant predictors of overweight.
Main Results:
- Prevalence of overweight in children was 28.5%.
- Maternal central obesity (OR=1.46) and non-exclusive breastfeeding <6 months (OR=1.82) were significant risk factors.
- No significant association found with maternal smoking or child's sex.
Conclusions:
- High childhood overweight prevalence in the study area.
- Maternal central obesity and insufficient breastfeeding duration are key associated factors.
- Promoting breastfeeding and addressing maternal obesity are vital for prevention.
Objective:
To investigate the prevalence of overweight and its association with socioeconomic, biological, and maternal factors in children under 5 years of age in the semiarid region of the state of Alagoas.
Methods:
This was a cross-sectional study with a representative sample. We evaluated child variables (excess weight, sex, birth weight, prematurity, duration of breastfeeding, and origin) and mother variables (excess weight, central obesity, income, education, and smoking during pregnancy). Excess weight in children was defined based on the weight-for-height ≥ 1 z score; in mothers, overweight and central obesity were identified by mass body index ≥ 30 kg/m2 and waist circumference ≥ 80 cm, respectively. We conducted logistic regression, adopting overweight as an outcome, considering as significant p < 0.05.
Results:
The sample comprised 963 children, with a mean age of 27.7 months (SD ±17.3). The prevalence of overweight children was 28.5%, directly associated with central obesity in the mother (odds ratio = 1.46; 95%CI 1.07-1.98) and duration of non-exclusive breastfeeding for a period of less than 6 months (odds ratio = 1.82, 95%CI 1.31-2.51).
Conclusions:
This study showed a high prevalence of overweight children under 5 years of age associated with central obesity in the mother and non-exclusive breastfeeding for a period less than 6 months. These findings suggest that breastfeeding may protect children against overweight and point to the need for primary and secondary prevention of maternal central obesity.
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