Overweight and obesity of children in a brazilian elementary school: a comparison of three references

Autores

  • Marcella Evangelista Melo Acadêmica de Nutrição, Centro de Ciências da Saúde e dos Desportos, Universidade Federal do Acre
  • Giovanna Lima Miguéis Mestranda em Saúde Coletiva, Centro de Ciências da Saúde e dos Desportos, Universidade Federal do Acre
  • Mikaela Silva Almeida
  • Tatiane Dalamaria Doutor em Saúde Pública, Centro de Ciências da Saúde e dos Desportos, Universidade Federal do Acre
  • Wagner de Jesus Pinto
  • Margarida de Aquino Cunha
  • Edson dos Santos Farias
  • Ítalla Maria Pinheiro Bezerra
  • Orivaldo Florencio de Souza

DOI:

https://doi.org/10.7322/jhgd.122817

Palavras-chave:

prevalence, body mass index, anthropometry, overweight, obesity, students.

Resumo

Introduction: In the diagnosis of overweight and obesity based on body mass index in children and adolescents, several national and international anthropometric references are recommended. However, there is a divergence in the estimated prevalence of overweight and obesity among the references. Objective: To identify the prevalence of overweight and obesity and to analyse the magnitude of agreement among the three references. Methods: A cross-sectional study with 975 students from the early grades of elementary school. The prevalence of overweight and obesity were estimated according to the criteria of the World Health Organization (WHO), the International Obesity Task Force (IOTF) and Conde and Monteiro. The Kappa weighted index was calculated to assess the agreement magnitude among the three references. Results: The highest prevalence of overweight and obesity was estimated by the Conde and Monteiro and WHO references, respectively. Overall, the IOTF revealed lower a magnitude of prevalence than the two other references. The agreement among the references identified by the Kappa index had a range of 0.66 to 0.94. Conclusion: Despite the satisfactory agreement among the three references, this research highlighted the differing magnitudes of the prevalence of overweight and obesity. This fact limits the ability to make comparisons among populations and impairs the development of overweight and obesity prevention actions.

Referências

Monteiro CA, Benicio MHA, Konno SC, Silva ACF, Lima ALL, Conde WL. Causes for the decline in child under-nutrition in Brazil, 1996-2007. Rev Saude Publica. 2009:43(1):35-43. DOI: http://dx.doi.org/10.1590/S0034-89102009000100005

Barry MP. Contemporary nutrition transition: determinants of diet and its impact on body composition. Proc Nutr Soc. 2011;70(1):82-91. DOI: http://dx.doi.org/10.1017/S0029665110003903

Abreu LC. Obesidade e condições relacionadas à obesidade secundária na interface do crescimento e desenvolvimento. Rev Bras Crescimento Desenv Hum. 2011;21(1):7-10.

Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J. Development of a WHO growth for schoolaged children and adolescents. Bull World Health Organ. 2007;85(9):660-7. DOI: http://dx.doi.org/10.2471/BLT.07.043497

Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establising a standart defi nition for child overweight and obesity worldwide: International survey. BMJ. 2000;320:1240. DOI: http://dx.doi.org/10.1136/bmj.320.7244.1240

Conde WL, Monteiro CA. Body mass index cutoff points for evaluation of nutritional status in brazilian children and adolescents. J Pediatr (Rio J). 2006:82(4):266-272. DOI: http://dx.doi.org/10.2223/JPED.1502

Dumith SC, Farias Júnior JC. Sobrepeso e obesidade em crianças e adolescentes: comparação de três critérios de classifi cação baseados no índice de massa corporal. Rev Panam Salud Publica. 2010;28(1):30-5. DOI: http://dx.doi.org/10.1590/S1020-49892010000700005

Leite N, Milano GE, Lopes WA, Tanaka J, Dressler V, Radominski RB. Comparação entre critérios para índice de massa corporal na avaliação nutricional em escolares. Rev Educ Fis. 2008;19(4):557-63. DOI: http://dx.doi.org/10.4025/reveducfi s.v19i4.4709

Kovalskys I, Rausch Herscovici C, De Gregorio MJ. Nutritional status of school-aged children of Buenos Aires, Argentina: data using three references. J Public Health (Oxf). 2011;33(3):403-11. DOI: http://dx.doi.org/10.1093/pubmed/fdq079

Mushtaq MU, Gull S, Mushtaq K, Abdullah HM, Khurshid U, Shahid U, et al. Height, weight and BMI percentiles and nutritional status relative to the international growth references among Pakistani school-aged children. BMC Pediatr. 2012;12:31. DOI: http://dx.doi.org/10.1186/1471-2431-12-31

Twells LK, Newhook LA. Obesity prevalence estimates in a Canadian regional population of preschool children using variant growth references. BMC Pediatr. 2011;11:21. DOI: http://dx.doi.org/10.1186/1471-2431-11-21

Petroski EL. Antropometria: técnicas e padronizações. Jundiaí: Fontoura; 2011.

Souza OF, Farias ES. Magreza e sobrepeso em escolares de Rio Branco, AC, Brasil. Rev Bras Crescimento Desenvolv Hum. 2011;21(3):878-82. DOI: http://dx.doi.org/10.7322/jhgd.20040

Monasta L, Lobstein T, Cole TJ, Vignerová J, Cattaneo A. Defi ning overweight and obesity in pre-school children: IOTF reference or WHO standard? Obes Rev. 2011;12(4):295-300. DOI: http://dx.doi.org/10.1111/j.1467-789X.2010.00748.x

Pelegrini A, Silva DA, Gaya AC, Petroski EL. Comparison of three criteria for overweight and obesity classification in brazilian adolescents. Nutr J. 2013;12:5. DOI: http://dx.doi.org/10.1186/1475-2891-12-5

Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159-74.

Leone C. Human Growth: parameters and refl ections about growth references. J Hum Growth Dev.

;24(1):7-10.

Publicado

2016-11-28

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