Crescimento e estado nutricional de crianças e adolescentes de Presidente Prudente, São Paulo, Brasil

Prevalence of overweight and obesity among Brazilian adolescents over time: a systematic review and meta-analysis

OBJECTIVE

To estimate the burden of excess weight in Brazilian adolescents.

DESIGN

Systematic review with meta-analysis.

SETTING

We searched the literature in four databases (MEDLINE/PubMed, EMBASE, SciELO and LILACS). Studies were included if they had cross-sectional or cohort design and enrolled Brazilian adolescents. Studies based on self-reported measures were excluded. Random effect models were used to calculate prevalence estimates and their 95 % CI.

PARTICIPANTS

Brazilian adolescents (10 to 19 years old).

RESULTS

One hundred and fifty-one studies were included. Trend analyses showed a significant increase in the prevalence of excess weight in the last decades: 8·2 % (95 % CI 7·7, 8·7) until year 2000, 18·9 (95 % CI 14·7, 23·2) from 2000 to 2009, and 25·1 % (95 % CI 23·4, 26·8) in 2010 and after. A similar temporal pattern was observed in the prevalence of overweight and obesity separately. In sensitivity analyses, lower prevalence of excess weight was found in older adolescents and those defined using International Obesity Task Force cut-off points. The Southeast and South regions had the highest prevalence of excess weight, overweight and obesity. No significant difference in prevalence by sex was found, except for studies before the year 2000.

CONCLUSIONS

The prevalence of overweight and obesity in Brazilian adolescents is high and continues to rise. Public policies on an individual level and targeting modifications in the obesogenic environment are necessary.

Associated factors of overweight in adolescents from public schools in Northern Minas Gerais State, Brazil

OBJECTIVE:

In order to support plans and actions that combat the local increasing overweight and obesity prevalence in adolescents, the factors associated to weight excess in public school students from Montes Claros, MG, Southeast Brazil, were studied.

METHODS:

Cross-sectional study with a sample of adolescents from the public schools of the city. The nutritional status was evaluated and an inquiry was carried out in the schools to determine food consumption and practice of physical activities. Factors associated to weight excess were assessed by bivariate analysis followed by logistic regression.

RESULTS:

Weight excess prevalence was detected in 18.5% of the 535 adolescents evaluated. The factors associated to weight excess were: per capita income above half minimum wage (OR 1.99; 95%CI 1.01-3.93), candy consumption above two daily portions (OR 1.94; 95%CI 1.13-3.32) and absence of sport activity during leisure time (OR 2.54; 95%CI 1.15-5.59).

CONCLUSIONS:

The proportion of weight excess in adolescents from public schools is relevant and associated with socioeconomic condition of the family, bad eating habits and sedentary life.