PARENTAL AWARENESS OF OVERWEIGHT AND OBESITY: AN EXPLORATORY STUDY ADDRESSING LOW-INCOME ADOLESCENTS IN BRAZIL

Autores

  • Fernanda Paixão Silveira Bello Department of Medicine, Federal University of São Carlos (UFSCar) - São Carlos(SP).
  • Nathália Bordeira Chagas Department of Medicine, Federal University of São Carlos (UFSCar) - São Carlos(SP).
  • Vera Lúcia Martins Pinto Municipal Secretariat of Health, São Carlos (SP), Brazil.
  • Liamaura Levy de Andrade Leite Camargo Municipal Secretariat of Health, São Carlos (SP), Brazil.
  • Marcelo Marcos Piva Demarzo Departament of Preventive Medicine, Federal University of São Paulo (UNIFESP) - São Paulo (SP), Brazil.
  • Carla Maria Ramos Germano Department of Medicine, Federal University of São Carlos (UFSCar) - São Carlos(SP).

DOI:

https://doi.org/10.7322/jhgd.106000

Palavras-chave:

Obesity, adolescent, primary health care.

Resumo

Objective: To evaluate parental awareness and management of overweight and obesity in a sample of low income adolescents registered in a primary health care center (PHCC) in Brazil. Method: Among adolescents registered in the PHCC, 142 agreed to participate in this study and their body mass index was calculated. Unaware of the anthropometric data, parents were visited at home and asked to select a descriptor for their offspring’s body weight (underweight, about right, overweight, and obese). Results: Seventeen adolescents were classified as overweight (12.0%) and 14 as obese (10.0%). Among 17 overweight adolescents, 13 (76.5%) were accurately identified by their parents in that condition, and among 13 obese adolescents, 12 (92.3%) were. Three parents of overweight (23.1%) and five parents (41.6%) of obese adolescents tried to manage their offspring’s weight problem with a healthcare provider support. Conclusions: Despite the fact that parental recognition was relatively high in this population, our data revealed a low demand for interventionsto reverse the adolescent’s overweight and obesity.

Referências

Monasta L, Batty GD, Cattaneo A, Lutje V, Ronfani L,Van Lenthe FJ, et al. Early-life determinants of overweightand obesity: a review of systematic reviews. Obes Rev 2010;11(10): 695-708. DOI: http://dx.doi.org/10.1111/j.1467-789X.2010.00735.x

Conde WL, Borges C. O risco de incidência e persistência da obesidade entre adultos brasileiros segundo seu estado nutricional ao final da adolescência. Rev Bras Epidemiol. 2011;14(Supl 1):71-9. DOI: http://dx.doi.org/10.1590/S1415-790X2011000500008.

Zeller M, Daniels S. The obesity epidemic: family matters. J Pediatr. 2004;145(1): 3-4. DOI: http://dx.doi.org/10.1016/j.jpeds.2004.04.038

Francescatto C, Santos NS, Coutinho VF, Costa RF. Mothers’ perceptions about the nutritional status of their overweight children: a systematic review. J Pediatr (Rio J). 2014;90(4): 332-43. DOI: http://dx.doi.org/10.1016/j.jped.2014.01.009.

Garbutt JM, Leege E, Sterkel R, Gentry S, Wallendorf M, Strunk RC. What are parents worried about? Health problems and health concerns for children. Clin Pediatr. 2012;51(9):840-7. DOI: http://dx.doi.org/10.1177/00099

Medeiros CCM, Cardoso MAA, Pereira RAR, Alves GTA, França ISX, Coura AS, et al. Estado nutricional e hábitos de vida em escolares. Rev Bras Crescimento Desenvolv Hum. 2011; 21(3): 789-97.

Akerman A, Williams ME, Meunier J. Perception versus reality: an exploration of children’s measured body mass in relation to caregivers’ estimates. J Health Psychol. 2007;12(6): 871-882. DOI: http://dx.doi.org/10.1177/1359105307082449.

Katzmarzyk PT, Barlow S, Bouchard C, Catalano PM, Hsia DS, Inge TH, et al. An evolving scientific basis for the prevention and treatment of pediatric obesity. Int J Obes (Lond). 2014;38(7):887-905. DOI: http://dx.doi.org/10.1038/ijo.2014.49.

Wald ER, Ewing L, Cluss P, Goldstrohm S, Cipriani L, Colborn K. Establishing a familybased intervention for overweight children in pediatric practice. Ann Fam Med. 2005;3(Suppl2):S45-7. DOI: http://dx.doi.org/10.1370/afm.366.

Santiprabhob J, Leewanun C, Limprayoon K, Kiattisakthavee P, Wongarn R, Aanpreung P, et al. Outcomes of group-based treatment program with parental involvement for the management of childhood and adolescent obesity. Patient Educ Couns. 2014;97(1):67-74. DOI: http://dx.doi.org/10.1016/j.pec.2014.07.002.

Centers for Disease Control and Prevention (CDC). BMI for children and teens. [cited 2015Sep23] Available from:http://www.cdc.gov/nccdphp/dnpa/bmi/bmi-for-age.htm.

Oliveira AMA, Cerqueira EMM, Oliveira AC. Prevalência de sobrepeso e obesidade infantil na cidade de Feira de Santana-BA: detecção na família x diagnóstico clínico. J Pediatr. 2003;79(4):325-8. DOI: http://dx.doi.org/10.1590/S0021-75572003000400010.

Tyler S, Mayhew-Stokes C, Jackson E. Engaging with pre-teens and their parents in primary care. J Fam Plann Reprod Health Care. 2009;35(1):38-40. DOI: http://dx.doi.org/10.1783/147118909787072388.

Gupta N, Goel K, Shah P, Misra A. Childhood Obesity in Developing Countries: Epidemiology, Determinants, and Prevention. Endocr Rev. 2012;33(1):48-70. DOI: http://dx.doi.org/10.1210/er.2010-0028.

Niehues JR, Gonzales AI, Lemos RR, Bezerra PP, Haas P. Prevalence of overweight and obesity in children and adolescents from the age range of 2 to 19 years old in Brazil. Int J Pediatr. 2014;(2014): 7. DOI: http://dx.doi.org/10.1155/2014/583207.

Jeffery AN, Voss LD, Metcalf BS. Parents’ awareness of overweight in themselves and their children: cross sectional study within a cohort(EarlyBird 21).BMJ. 2004;330(7481):23-4. DOI: http://dx.doi.org/10.1136/bmj.38315.451539.F7.

Huang TT, Borowski LA, Liu B, Galuska DA, Ballard-Barbash R, Yanovski SZ, et al. Pediatricians’ and family physicians’ weightrelated care of children in the U.S. Am J Prev Med. 2011;41(1):24-32. DOI: http://dx.doi.org/10.1016/j.amepre.2011.03.016.

Banks J, Shield JP, Sharp D. Barriers engaging families and GPs in childhood weight management strategies. Br J Gen Pract. 2011;61(589):e492-7. DOI: http://dx.doi.org/10.3399/bjgp11X588466.

van Gerwen M, Franc C, Rosman S, Le Vaillant M, Pelletier-Fleury N. Primary care physicians’ knowledge, attitudes, beliefs and practices regarding childhood obesity: a systematic review. Obes Rev. 2009;10(2):227-36. DOI:http://dx.doi.org/10.1111/j.1467-789X.2008.00532.x.

Benson L, Baer HJ, Kaelber DC. Trends in the diagnosis of overweight and obesity in children and adolescents: 1999-2007. Pediatrics. 2009;123(1):e153-8. DOI: http://dx.doi.org/10.1542/peds.2008-1408.

Patel AI, Madsen KA, Maselli JH, Cabana MD, Stafford RS, Hersh AL. Underdiagnosis of pediatric obesity during outpatient preventive care visits. Acad Pediatr. 2010;10(6):405-9. DOI: http://dx.doi.org/10.1016/j.acap.2010.09.004.

Michie S. Talking to primary care patients about weight: a study of GPs and practice nurses in the UK. Psychol Health Med. 2007;12(5):521-5. DOI: http://dx.doi.org/10.1080/13548500701203441.

Wofford LG. Systematic review of childhood obesity prevention. J Pediatr Nurs. 2008; 23(1): 5-19. DOI: http://dx.doi.org/10.1016/j.pedn.2007.07.006

King LA, Loss JHM, Wilkenfeld RL, et al. Australian GPs’ perceptions about child and adolescent overweight and obesity: the Weight of Opinion study. Br J Gen Pract. 2007; 57(535): 124-9.

Yi-Frazier JP, Larison C, Neff JM, Grow HM, Liu LL. Obesity in pediatric specialty clinics: an underestimated comorbidity. Clin Pediatr. 2012; 51(11): 1056-62. DOI: http://dx.doi.org/10.1177/0009922812458353.

Franzini L, Elliott MN, Cuccaro P, Schuster M, GillilandMJ, Grunbaum JA, et al. Influences of physical and social neighborhood environments on children’s physical activity and obesity. Am J Public Health. 2009;99(2):271-8. DOI: http://dx.doi.org/10.2105/AJPH.2007.128702.

Smith KL, Straker LM, McManus A, Fenner AA. Barriers and enablers for participation in healthy lifestyle programs by adolescents who are overweight: a qualitative study of the opinions of adolescents, their parents and community stakeholders. BMC Pediatr. 2014;14:53. DOI: http://dx.doi.org/10.1186/1471-2431-14-53.

Booth ML, Wilkenfeld RL, Pagnini DL, Booth SL, King LA. Perceptions of adolescents on overweight and obesity: the weight of opinion study. J Paediatr Child Health. 2008;44(5):248-52. DOI: http://dx.doi.org/10.1111/j.1440-1754.2007.01267.x

Publicado

2015-10-25

Edição

Seção

Pesquisa Original