Abstract
As with most emerging nations, Brazil lacks up-to-date data on the prevalence of obesity and overweight among its children. Of particular concern is the lack of data on children in early adolescence, considered by many to be the crucial stage for weight-related healthcare. To assess regional, socioeconomic, and gender differences in the prevalence of obesity and overweight among Brazilian early adolescents. A cross-sectional study was conducted on a racially diverse sample of students aged 10-13 years, from schools in three geographic regions (north, northeast, south) (N = 1,738). Data on gender, age, race, socioeconomic status (SES), weight, and height were obtained. Weight class was calculated from age- and gender-adjusted body mass index, based on children's weight and height. Bivariate and multivariable analyses, with post hoc tests, were conducted to estimate differences between groups and were corrected for multiple comparisons. Procedures were approved by institutional review boards at study sites. Analyses revealed a higher prevalence of obesity and/or overweight among: (1) children of higher SES; (2) children in southern Brazil; (3) males; and (4) Black females. The most salient predictor of weight risk among Brazilian early adolescents is higher SES. This finding is consistent with previous findings of an inverse social gradient, in weight risk, among emerging-nation population groups.
Highlights
As in most countries around the globe, the prevalence of obesity among adolescents has increased dramatically in Brazil over the past four decades
According to the Instituto Brasileiro de Geografia e Estatística (IBGE) [1], the agency responsible for the official census in Brazil, obesity among Brazilian adolescents has increased by fourteen times for males and almost six Obesity in Brazilian Adolescents times for females over this period
Indigenous youth resided in the northern region, while the other racial groups resided in all three
Summary
As in most countries around the globe, the prevalence of obesity among adolescents has increased dramatically in Brazil over the past four decades. According to the Instituto Brasileiro de Geografia e Estatística (IBGE) [1], the agency responsible for the official census in Brazil, obesity among Brazilian adolescents has increased by fourteen times for males and almost six Obesity in Brazilian Adolescents times for females over this period. This increase in weight risk poses considerable physical and psychosocial threats to these adolescents, and overloads the system with the increased cost of weight-related illness. The Brazilian snapshot on adolescent weight risk is partially composed, but incomplete
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