This study aimed to analyze the effect of type of breastfeeding on the nutritional status of children between 12-24 months of age. This cohort study included 435 children born in 2012 in a public ...hospital in Joinville, Santa Catarina State, Brazil. Two years after delivery the mothers and their children were contacted in their homes for a new investigation of demographic, economic, nutritional, and anthropometric data. In the unadjusted analysis, children who were not exclusively breastfed were more likely to be overweight (including obesity) at 2 years of age (OR = 1.6; p = 0.049) than exclusively breastfed children. After adjusting for several covariates, children who were not exclusively breastfed had a 12% higher risk of overweight including obesity compared to unadjusted analysis (OR = 2.6 vs. OR = 1.8; p = 0.043). In addition, birthweight was also an independent determinant of overweight including obesity (OR = 2.5; p = 0.002). The practice of exclusive breastfeeding can reduce the risk of overweight in children from developing countries such as Brazil.
Resumo: Este estudo teve como objetivo avaliar a importância do tipo de aleitamento no risco de excesso de peso de crianças entre 12-24 meses de idade. Trata-se de um estudo de coorte que incluiu 435 ...crianças nascidas em 2012 em uma maternidade pública de Joinville, Santa Catarina, Brasil. Dois anos após o parto, as mães e seus filhos foram contatados nas residências para uma nova coleta de dados. Na análise não ajustada, crianças que não receberam aleitamento materno exclusivo apresentaram maior risco de desenvolver excesso de peso aos dois anos de idade (OR = 1,6; p = 0,049), quando comparadas às crianças amamentadas exclusivamente. Mesmo após o ajuste para diversas covariáveis, o risco das crianças não amamentadas exclusivamente apresentarem excesso de peso aumentou 12% em relação à análise não ajustada (OR = 2,6 vs. OR = 1,8; p = 0,043). Adicionalmente, o peso ao nascer também mostrou ser um determinante independente do risco de excesso de peso (OR = 2,5; p = 0,002). A prática do aleitamento materno exclusivo pode reduzir o risco de excesso de peso em crianças de países em desenvolvimento como o Brasil.
Resumen: Este estudio tuvo como objetivo evaluar la importancia del tipo de lactancia en el riesgo de exceso de peso de niños entre 12-24 meses de edad. Se trata de un estudio de cohorte que incluyó a 435 niños nacidos en 2012, en una maternidad pública de Joinville, Santa Catarina, Brasil. Tras dos años después del parto, se contactó con las madres y sus hijos en sus residencias para una nueva recogida de datos. En el análisis no ajustado, los niños que no recibieron exclusivamente el pecho materno presentaron mayor riesgo de desarrollar exceso de peso a los dos años de edad (OR = 1,6; p = 0,049), cuando se comparan con los niños amamantados exclusivamente. Incluso tras el ajuste para diversas covariables, el riesgo de que los niños no amamantados exclusivamente presentaran exceso de peso aumentó un 12%, en relación con el análisis no ajustado (OR = 2,6 vs. OR = 1,8; p = 0,043). Asimismo, el peso al nacer también mostró ser un determinante independiente del riesgo de exceso de peso (OR = 2,5; p = 0,002). La práctica de dar exclusivamente el pecho puede reducir el riesgo de exceso de peso en niños de países en desarrollo como Brasil.
Abstract: This study aimed to analyze the effect of type of breastfeeding on the nutritional status of children between 12-24 months of age. This cohort study included 435 children born in 2012 in a public hospital in Joinville, Santa Catarina State, Brazil. Two years after delivery the mothers and their children were contacted in their homes for a new investigation of demographic, economic, nutritional, and anthropometric data. In the unadjusted analysis, children who were not exclusively breastfed were more likely to be overweight (including obesity) at 2 years of age (OR = 1.6; p = 0.049) than exclusively breastfed children. After adjusting for several covariates, children who were not exclusively breastfed had a 12% higher risk of overweight including obesity compared to unadjusted analysis (OR = 2.6 vs. OR = 1.8; p = 0.043). In addition, birthweight was also an independent determinant of overweight including obesity (OR = 2.5; p = 0.002). The practice of exclusive breastfeeding can reduce the risk of overweight in children from developing countries such as Brazil.
The best cutoff value for identifying overweight/obese children using the body mass index (BMI) was determined by the receiver operating characteristic curve (ROC curve), according to gender and the ...age groups: 13-15 months, 16-19 months and 20-24 months. Characteristic NC Boys Girls rho p value rho p value Age 0.024 0.778 0.124 0.151 Body mass 0.520 <0.001 0.660 <0.001 Length 0.117 0.172 0.358 <0.001 BMI 0.635 <0.001 0.606 <0.001 Table Omitted - see PDF Table 3 Spearman correlation coefficients (rho) of the relation between BMI and neck circumference (NC) by age and sex, Joinville, SC, Brazil, 2013-2014 Age (months) n BMI-NC rho p value Boys 13?15 65 0.604 <0.001 16?19 44 0.663 <0.001 20?24 30 0.719 <0.001 Girls 13?15 73 0.642 <0.001 16?19 30 0.419 0.021 20?24 33 0.604 <0.001 Table Omitted - see PDF Table 4 Area under the curve (AUC), frequency (n), optimal cutoff points, sensitivities and specificities for neck circumference (NC) associated with excess body mass in three age groups of boys and girls, Joinville, SC, Brazil, 2013-2014. Age (months) n AUC (95 % CI) Cutoff Sensitivity (%) Specificity (%) Boys 13?15 65 0.796 (0.683?0.909) 23.6 85.0 48.9 16?19 44 0.876 (0.771?0.981) 23.9 81.8 63.6 20?24 30 0.902 (0.000?1.000) 24.0 75.0 92.9 Girls 13?15 73 0.814 (0.709?0.919) 23.4 73.1 61.7 16?19 30 0.697 (0.509?0.885) 23.5 76.9 52.9 20?24 33 0.796 (0.644?0.947) 23.6 76.5 68.7 CI confidence interval Conclusion Our results suggest that NC can also be used to screen risk of excess body mass and upper fat distribution in children aged 13-24 months.
The adequate nutrition is fundamental for the better performance of physical activities, but today the chronic non-communicable diseases has been taking body front the obesity epidemic. In order to ...assess the nutritional status of participants in a youth olympiad of an evangelical community from Joinville-SC, 98 individuals of both genders with age range between 18 to 53 years were studied. This is a cross-sectional study, exploratory and descriptive. Anthropometric analysis were performed gauging of weight, height and circumference of your neck (CP). For the dietary study were use a questionnaire related to dietary and living habits. At the end of the data collection was given a newsletter about healthy eating to the participants. It was found that 90% of women and 61.7% of men are eutrophic, and that men are in the classification of overweight in greater quantity (30.8%) than women (6.6%). Only 1 individual framed in grade 1 thinness situation. The majority of individuals who have submitted high CP were overweight men (7.35%). Before the results, we can see the importance of nutritional guidance for healthy eating and weight loss, this will reflect positively in the prevention of obesity and will provide a better quality of life by avoiding a condition for the development of metabolic syndrome.
The adequate nutrition is fundamental for the better performance of physical activities, but today the chronic non-communicable diseases has been taking body front the obesity epidemic. In order to ...assess the nutritional status of participants in a youth olympiad of an evangelical community from Joinville-SC, 98 individuals of both genders with age range between 18 to 53 years were studied. This is a cross-sectional study, exploratory and descriptive. Anthropometric analysis were performed gauging of weight, height and circumference of your neck (CP). For the dietary study were use a questionnaire related to dietary and living habits. At the end of the data collection was given a newsletter about healthy eating to the participants. It was found that 90% of women and 61.7% of men are eutrophic, and that men are in the classification of overweight in greater quantity (30.8%) than women (6.6%). Only 1 individual framed in grade 1 thinness situation. The majority of individuals who have submitted high CP were overweight men (7.35%). Before the results, we can see the importance of nutritional guidance for healthy eating and weight loss, this will reflect positively in the prevention of obesity and will provide a better quality of life by avoiding a condition for the development of metabolic syndrome.
The adequate nutrition is fundamental for the better performance of physical activities, but today the chronic non-communicable diseases has been taking body front the obesity epidemic. In order to ...assess the nutritional status of participants in a youth olympiad of an evangelical community from Joinville-SC, 98 individuals of both genders with age range between 18 to 53 years were studied. This is a cross-sectional study, exploratory and descriptive. Anthropometric analysis were performed gauging of weight, height and circumference of your neck (CP). For the dietary study were use a questionnaire related to dietary and living habits. At the end of the data collection was given a newsletter about healthy eating to the participants. It was found that 90% of women and 61.7% of men are eutrophic, and that men are in the classification of overweight in greater quantity (30.8%) than women (6.6%). Only 1 individual framed in grade 1 thinness situation. The majority of individuals who have submitted high CP were overweight men (7.35%). Before the results, we can see the importance of nutritional guidance for healthy eating and weight loss, this will reflect positively in the prevention of obesity and will provide a better quality of life by avoiding a condition for the development of metabolic syndrome. Key words: nutritional evaluation, physical activity, neck circumference, BMI, Metabolic Syndrome. A nutricao adequada e fundamental para o melhor desempenho das atividades fisicas, porem hoje as doencas cronicas nao transmissiveis vem tomando corpo frente a epidemia da obesidade. Com o objetivo de avaliar o estado nutricional dos participantes de uma olimpiada da juventude de uma comunidade evangelica de Joinville-SC, foram estudados 98 individuos de ambos os generos com faixa etaria entre 18 a 53 anos de idade. Trata-se de um estudo transversal, exploratorio e descritivo. Para a analise antropometrica foram realizadas afericao de peso, altura e circunferencia do pescoco (CP). Para o estudo dietetico foi utilizado um questionario relacionado a habitos de vida e alimentares. Ao final da coleta de dados foi entregue um informativo sobre alimentacao saudavel aos participantes. Verificou-se que 90% das mulheres e 61,7% dos homens encontram-se eutroficos, e que os homens encontram-se na classificacao de sobrepeso em maior quantidade (30,8%) do que as mulheres (6,6%). Apenas 1 individuo enquadrou-se na situacao magreza grau I. A maioria dos individuos que apresentaram CP elevada foram homens com sobrepeso (7,35%). Diante dos resultados, verifica-se a importancia da orientacao nutricional para uma alimentacao saudavel e para a perda de peso, isto ira repercutir positivamente na prevencao da obesidade e proporcionara uma melhor qualidade de vida evitando uma condicao para o desenvolvimento da sindrome metabolica. Palavras-chave: Avaliacao nutricional, atividade fisica, circunferencia do pescoco, IMC, Sindrome Metabolica.
There are many potential benefits that the practice of healthy eating has to provide individuals, that linked to the practice of physical activity, contribute to the reduction of risks of chronic ...noncommunicable diseases (DCNTs) and better quality of life from childhood, adolescence to adulthood. The present study, aimed at the nutritional evaluation of participants in a youth olympiad of an evangelical community in Joinville, SC, analyzed 112 individuals, aged 10 to 34 years, through anthropometric measurements (weight, height and neck circumference (CP)) and application of a questionnaire with questions addressing eating habits of participants. Through the obtained data, it is verified the necessity of health and nutritional promotion actions, measurement of anthropometric measurements, evaluation, intervention and monitoring for modification of the population feeding habits, in order to seek better quality of life, overweight and obesity prevention, and consequently, the reduction of cardiovascular risk and others chronic noncommunicable diseases.
IInúmeros são os potenciais benéficos que a alimentação saudável tem a proporcionar aos indivíduos, juntamente com a prática de atividade física, contribui para a redução dos riscos de doenças crônicas não transmissíveis (DCNTs) e melhora da qualidade de vida desde a infância, adolescência até a vida adulta. O presente estudo objetivando a avaliação nutricional dos participantes de uma olimpíada da juventude de uma comunidade evangélica de Joinville-SC, analisou 112 indivíduos, entre 10 a 34 anos, através da mensuração de medidas antropométricas (peso, estatura e circunferência de pescoço (CP)) e aplicação de um questionário, relacionado aos aspectos de hábitos alimentares dos participantes. Do total, 36,8% dos participantes apresentavam excesso de peso. Através dos dados obtidos, verifica-se a necessidade de ações de promoção à saúde e nutricional, mensuração de medidas antropométricas, avaliação, intervenção e acompanhamento para a modificação de hábitos alimentares da população, em busca de melhor qualidade de vida, prevenção do sobrepeso e obesidade, e consequentemente redução de risco de doença cardiovascular e outras doenças crônicas não transmissíveis.
Inúmeros são os potenciais benéficos que a alimentação saudável tem a proporcionar aos indivíduos, juntamente com a prática de atividade física, contribui para a redução dos riscos de doenças ...crônicas não transmissíveis (DCNTs) e melhora da qualidade de vida desde a infância, adolescência até a vida adulta. O presente estudo objetivando a avaliação nutricional dos participantes de uma olimpíada da juventude de uma comunidade evangélica de Joinville-SC, analisou 112 indivíduos, entre 10 a 34 anos, através da mensuração de medidas antropométricas (peso, estatura e circunferência de pescoço (CP)) e aplicação de um questionário, relacionado aos aspectos de hábitos alimentares dos participantes. Do total, 36,8% dos participantes apresentavam excesso de peso. Através dos dados obtidos, verifica-se a necessidade de ações de promoção à saúde e nutricional, mensuração de medidas antropométricas, avaliação, intervenção e acompanhamento para a modificação de hábitos alimentares da população, em busca de melhor qualidade de vida, prevenção do sobrepeso e obesidade, e consequentemente redução de risco de doença cardiovascular e outras doenças crônicas não transmissíveis. Palavras-chave: Estado Nutricional. Sobrepeso. Índice de Massa Corporal. Weight and dietetic status of participants of a youth olympics in an evangelical community There are many potential benefits that the practice of healthy eating has to provide individuals, that linked to the practice of physical activity, contribute to the reduction of risks of chronic noncommunicable diseases (DCNTs) and better quality of life from childhood, adolescence to adulthood. The present study, aimed at the nutritional evaluation of participants in a youth olympiad of an evangelical community in Joinville, SC, analyzed 112 individuals, aged 10 to 34 years, through anthropometric measurements (weight, height and neck circumference (CP)) and application of a questionnaire with questions addressing eating habits of participants. Through the obtained data, it is verified the necessity of health and nutritional promotion actions, measurement of anthropometric measurements, evaluation, intervention and monitoring for modification of the population feeding habits, in order to seek better quality of life, overweight and obesity prevention, and consequently, the reduction of cardiovascular risk and others chronic noncommunicable diseases. Key words: Weight status. Overweight. Body Mass Index.