Overweight and obesity among mothers of malnourished children--Brazil--PNSN--1989

The allometric scaling of body mass and height in children and adolescents in five countries

OBJECTIVE

The purpose a methodology that excludes values outside of the expected spectrum for age (VOESA) of height and body mass in the definition of power (p) to construct an international allometric body mass index (AI) for children and adolescents.

METHODS

Datasets of national surveys including individuals (aged 0-19 years) from five countries (Brazil, South Korea, Mexico, England, and the USA) were selected. The p was defined for each country, age range, and sex after exclusion of VOESA for height and weight by log-log linear regression, where β represented p. The p was also defined for a pool of five countries, international p (ip) after exclusion of VOESA using a spline modeling technique (5 knots). The AI was calculated and Pearson's correlation coefficient (r) was calculated to investigate the correlation between AI and height.

RESULTS

Exclusion of VOESA decreased the difference of p among countries. Exponent p showed values close to 2 in the first years of life, increased to 3-3.5 between 7 and 11 years for girls and 8 to 12 years for boys, and decreased to close to 2 near the end of growth (16 years for girls and 19 years for boys). The use of ip for all countries decreased r values to near zero while BMI had values near 0.4.

CONCLUSIONS

Exclusion of VOESA contributes to a decreased effect of epidemiological context among countries when calculating the AI. AI calculated using ip is independent of height in all countries and reflects physiological growth changes for children and adolescents.

Prevalence of overweight preschool children in public day care centers: a cross-sectional study

CONTEXT AND OBJECTIVE

Brazil is undergoing a period of epidemiological transition associated with demographic and nutritional changes. The prevalence of obesity is also increasing in children and is causing numerous health problems that are becoming public health issues. The aim here was to evaluate the prevalence of overweight among children of two and three years of age.

DESIGN AND SETTING

Cross-sectional study in municipal day care centers in Taubaté, state of São Paulo, Brazil.

METHODS

Weight and height measurements were made on 447 preschool children forming a probabilistic randomized sample. Their body mass index (BMI) was calculated. Their nutritional status was classified using the World Health Organization reference cutoff points (2006). Their mean weight, height and BMI were compared according to their age and sex.

RESULTS

The mean values for the final sample (n = 447) were as follows: mean age: 38.6 months (± 3.5) and Z scores for: weight/height (W/H): 0.50 (± 1.22); height/age: -0.03 (± 1.07); weight/age (W/A): 0.51 (± 1.23); and BMI: 0.51(± 1.23). The prevalence of overweight children (BMI > 1 z) was 28.86%, while the prevalence of underweight children (BMI < -2 z) was 0.89%. There were no differences in mean BMI among the two and three-year age groups (P = 0.66).

CONCLUSION

A high prevalence of overweight was observed in the sample of two and three-year-old children, with practically no malnutrition, thus showing that a significant nutritional transition may already be occurring, even in medium-sized cities of developing countries.