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Accueil du site → Master → Brésil → 2010 → Associao entre fatores socioeconomicos, maternos e biologicos com o excesso de peso em menores de cinco anos de uma regiao semiarida do nordeste brasileiro

UNIVERSIDADE FEDERAL DE PERNAMBUCO - UFPE (2010)

Associao entre fatores socioeconomicos, maternos e biologicos com o excesso de peso em menores de cinco anos de uma regiao semiarida do nordeste brasileiro

Arruda Moreira Marcella de

Titre : Associao entre fatores socioeconomicos, maternos e biologicos com o excesso de peso em menores de cinco anos de uma regiao semiarida do nordeste brasileiro

Auteur : Arruda Moreira Marcella de

Université de soutenance : UNIVERSIDADE FEDERAL DE PERNAMBUCO - UFPE

Grade : Master of Science (MS) 2010

Résumé
The state of Alagoas presents the worst economic and social indexes when compared to the remaining Brazilian states. Its semi-arid region is certainly the most vulnerable area where problems inherent to the state are aggravated. Despite adverse conditions, the prevalence of child maltnutrition diminished and the number of overweight cases increased in the region. Increased prevalence of child overweight is a concern due to the high risk of children to become overweight adults in addition to the morbidities associated to overweight and their consequences on health and quality of life in the short and long terms. This study is presented in the form of original articles with the sought to identify the factors associated to overweight among economic, social, environmental and biological variables with a view to delineate the environment in which children live. This study evaluated the association between overweight and socioeconomic, maternal and biological factors in younger than five years of age in a semi-arid region in the northeast of Brazil. This is an analytical cross-sectional study. The sample was composed of 963 children of both sexes with average age of 27.7 months (SD Â 17.3). Childrenâs overweight was based on weight/height index ≥ 1 z-score and mothersâ overweight was based on body mass index (BMI) Â 25 kg/m2 and waist circumference (WC) Â 80cm. The prevalence of overweight in the children was 28.5% (275) and was directly associated to the motherâs WC (RP=1.31 ; CI95% 1.06-1.61) and inversely associated to the motherâs overweight (RP= 0.75 ; CI95% 0.61-0.93). Significant association between overweight and schooling, family income, origin, smoking during pregnancy, prematurity or weight at birth was not found. Breastfeeding during ≥ 6 months was evidenced as a protective factor against overweight among children (RP = 1.53 ; CI95% 1.22-1.91), while duration of exclusive breastfeeding did not present statistically significant differences (p= 0.97). The conclusion is that in younger than five years of age from the semiarid region of Alagoas are exposed to the phenomenon of nutritional transition and the promotion of healthy eating should be a primary strategy to prevent the overweight in children

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