Abstract
ABSTRACTObjective: To verify the association of anthropometric parameters at birth, socioeconomic and biological variables, physical activity, and parental nutritional status with overweight and abdominal obesity in adolescents.Methods: A cross-sectional study was carried out on 39 public and private schools in Recife (state of Pernambuco, Brazil). The sample consisted of 1,081 teenagers aged from 12 to 17 years. Data were collected from the Study of Cardiovascular Risks in Adolescents (ERICA). Body mass index according to age (BMI-for-age), waist circumference (WC), and waist-to-height ratio (WtHR) were considered as outcome variables, whereas the explanatory variables were birth weight, Röhrer’s Ponderal Index (RPI), biological and socioeconomic variables, physical activity, and parental nutritional status. The crude and adjusted prevalence ratios (PR) for the studied association were estimated by Poisson Regression.Results: The multivariate Poisson regression showed that the variable that remained significantly associated with overweight in adolescence was maternal overweight, PR=1.86 (95% confidence interval [95%CI] 1.09-3.17). High birth weight also remained significantly associated with abdominal obesity assessed by WC, PR=3.25 (95%CI 1.0-9.74).Conclusions: High birth weight may be a marker for abdominal obesity in adolescence; and high maternal BMI, for overweight.
Highlights
IntroductionOverweight has become a worldwide public health issue, with a significant increase in all age groups
Over the last decades, overweight has become a worldwide public health issue, with a significant increase in all age groups
This research evaluated the nutritional status of a representative sample of adolescents from public and private schools in the city of Recife, aiming at assessing the influence of anthropometric parameters at birth on overweight and abdominal obesity in adolescence
Summary
Overweight has become a worldwide public health issue, with a significant increase in all age groups. The search for understanding how multiple elements can make individuals susceptible to the development of chronic noncommunicable diseases (NCDs) has been the basis for clinical and epidemiological studies, from the investigation of gene expression to environmental factors that can act even in the intrauterine period.[3] Researchers associate birth weight with obesity and other NCDs in adulthood, in such a way that being born with low or high weight seems to influence future nutritional status.[4]
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