A carregar...
Publicação
Prevalência do excesso de peso em idade pré-escolar no concelho da Murtosa: um estudo transversal
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 678.82 KB | Adobe PDF |
Autores
Orientador(es)
Resumo(s)
RESUMO - A prevalência de obesidade infantil em Portugal é das mais elevadas da
Europa. No concelho da Murtosa (Aveiro), para estimar a prevalência de
excesso de peso e obesidade entre os 3 e os 6 anos e determinar os
factores que lhe estão associados, desenvolveu-se, durante o ano de 2008,
um estudo transversal que consistiu na avaliação estatoponderal das
crianças frequentadoras dos estabelecimentos de ensino pré-escolar do
concelho e aplicação de um questionário aos pais sobre antecedentes e
perinatais, hábitos alimentares, actividades da criança e características da
família. Através de um modelo de regressão logística multivariada
identificaram-se as variáveis associadas ao excesso de peso/obesidade.
Participaram no estudo 258 crianças, estimando-se uma prevalência de
excesso de peso de 15,5 % (IC 95 % : 11,6 % a 20,4 %) e de obesidade de
6,2 % (IC 95 % : 3,9 % a 9,8 % ). Observou-se uma maior prevalência de
excesso de peso nos meninos (19,5 %) e de obesidade nas meninas (10,4
%).
O excesso de peso materno e o hábito de comer a ver televisão
aumentaram o risco de excesso de peso/obesidade (OR: 10,548; OR:
13,815); o maior número de horas de sono diário, o maior número de
refeições diárias e o aumento ponderal materno durante a gravidez (OR:
0,490; OR: 0,366; OR: 0,804) associaram-se a um menor risco de excesso
de peso/obesidade.
Justifica-se o desenvolvimento de programas de prevenção primária e
secundária da obesidade infantil dirigidos aos factores de risco modificáveis
identificados, sugerindo-se a necessidade de uma abordagem familiar e da
avaliação sistemática deste tipo de intervenções.
ABSTRACT - Overweight and obesity prevalences of Portuguese children are among the highest in Europe. In order to estimate the prevalence of overweight and obesity among children with age between 3 and 6 years in Murtosa (Aveiro, Portugal) and highlight factors associated with the risk of developing overweight or obesity, a crosssectional study was set in 2008. Weight and height of children were evaluated and a questionnaire inquiring perinatal history, eating habits, activities of the child and family characteristics was applied to their parents. Variables associated with overweight/obesity were identified using a multivariate logistic regression model. 300 children were invited to participate in this study; 258 (86 %) of them were enrolled in the study. Overweight and obesity prevalences of 15.5 % (95% CI: 11.6% to 20.4%) and 6.2 % (95% CI: 3.9 % to 9.8 %) were respectively found. Overweight prevalence was higher in boys (19.5 %) and obesity prevalence was higher in girls (10.4%). Excessive maternal weight, eating while watching television increased the risk of overweight/obesity (OR: 10.548, OR: 13.815); sleep more hours a day, ingesting a superior number of daily meals and maternal weight gain during pregnancy seems to have had a protective effect (OR: 0.490, OR: 0.366, OR: 0.804 ). Primary and secondary prevention programmes of childhood obesity programs, directed to the modifiable risk factors identified and using a family approach, should be planned and this kinds of interventions should be systematically evaluated.
ABSTRACT - Overweight and obesity prevalences of Portuguese children are among the highest in Europe. In order to estimate the prevalence of overweight and obesity among children with age between 3 and 6 years in Murtosa (Aveiro, Portugal) and highlight factors associated with the risk of developing overweight or obesity, a crosssectional study was set in 2008. Weight and height of children were evaluated and a questionnaire inquiring perinatal history, eating habits, activities of the child and family characteristics was applied to their parents. Variables associated with overweight/obesity were identified using a multivariate logistic regression model. 300 children were invited to participate in this study; 258 (86 %) of them were enrolled in the study. Overweight and obesity prevalences of 15.5 % (95% CI: 11.6% to 20.4%) and 6.2 % (95% CI: 3.9 % to 9.8 %) were respectively found. Overweight prevalence was higher in boys (19.5 %) and obesity prevalence was higher in girls (10.4%). Excessive maternal weight, eating while watching television increased the risk of overweight/obesity (OR: 10.548, OR: 13.815); sleep more hours a day, ingesting a superior number of daily meals and maternal weight gain during pregnancy seems to have had a protective effect (OR: 0.490, OR: 0.366, OR: 0.804 ). Primary and secondary prevention programmes of childhood obesity programs, directed to the modifiable risk factors identified and using a family approach, should be planned and this kinds of interventions should be systematically evaluated.
Descrição
Palavras-chave
Obesidade infantil Prevalência de excesso de peso Determinantes do excesso de peso Saúde escolar Portugal Childhood obesity Prevalence of overweight Determinants of overweight Health school Portugal