Factors associated with body mass index in Brazilian children: structural equation model

Tatiane Géa-Horta, Rita de Cássia Ribeiro Silva, Rosemeire Leovigildo Fiaccone, Maurício Lima Barreto, Gustavo Velásquez-Meléndez

Resumen


Introduction: Overweight and obesity in children is an important global problem. Its prevalence is increasing in developed and developing countries.

Objective: The aim of this study was to evaluate the association between socioeconomic conditions, maternal body mass index (BMI), food security, and intake of obesogenic foods on excess body weight in children.

Methods: A cross-sectional study was conducted, using the data of 3,676 children from the latest National Demographic and Health Survey in Brazil. The children’s BMI was the study outcome. Socioeconomic condition, maternal BMI, food security, and intake of obesogenic foods were use as predictors. structural equation models were used for analysis.

Results: Socioeconomic conditions directly influenced the children’s BMI (β = 0.102; p = 0.02), mediated by intake of obesogenic foods (β = 0.018; p = 0.04). A direct association was observed between maternal and child BMIs (β = 0.169; p < 0.001) and intake of obesogenic foods and child BMI (β = 0.114; p < 0.001).

Conclusions: Favorable socioeconomic conditions, increased maternal BMI, and intake of obesogenic foods contributed to increased child BMI.


Palabras clave


Risk factors. Nutritional status. Child. Structural equation modeling. Brazil.

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Referencias


Popkin BM, Adair LS, Ng SW. Global nutrition transition and the pandemic of obesity in developing countries. Nutr Rev. 2012; 70(1): 3-21.

Wang Y, Lim H. The global childhood obesity epidemic and the association between socio-economic status and childhood obesity. Int Rev Psychiatry. 2012; 24(3): 176-188.

Datar A, Chung PJ. Changes in Socioeconomic, Racial/Ethnic, and Sex Disparities in Childhood Obesity at School Entry in the United States. JAMA Pediatr. 2015; 169(7): 696-697.

Bingham DD, Varela-Silva MI, Ferrao MM, Augusta G, Mourao MI, Nogueira H, et al. Socio-demographic and behavioral risk factors associated with the high prevalence of overweight and obesity in Portuguese children. Am J Hum Biol. 2013; 25(6): 733-742.

Hernandez-Herrera RJ, Mathiew-Quiros A, Diaz-Sanchez O, Reyes-Trevino NO, Alvarez-Alvarez C, Villanueva-Montemayor D, et al. Prevalence of overweight and obesity in children from Monterrey, Nuevo Leon. Rev Med Inst Mex Seguro Soc. 2014. 52 Suppl 1: S42-S47.

Instituto Brasileiro de Geografia e Estatística (IBGE). Pesquisa de orçamentos familiares 2008-2009. Antropometria e estado nutricional de crianças, adolescentes e adultos no Brasil. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística; 2010.

Sahoo K, Sahoo B, Choudhury AK, Sofi NY, Kumar R, Bhadoria AS. Childhood obesity: causes and consequences. J Family Med Prim Care. 2015; 4(2): 187-192.

Perez LM, Garcia K, Herrera R. Psychological, behavioral and familial factors in obese Cuban children and adolescents. MEDICC Rev. 2013; 15(4): 24-28.

Sabin MA, Kiess W. Childhood obesity: current and novel approaches. Best Pract Res Clin Endocrinol Metab. 2015; 29(3): 327-338.

Franks PW, Ling C. Epigenetics and obesity: the devil is in the details. BMC Med. 2010; 8: 88.

Portela DS, Vieira TO, Matos SM, Oliveira NF, Vieira GO. Maternal obesity, environmental factors, cesarean delivery and breastfeeding as determinants of overweight and obesity in children: results from a cohort. BMC Pregnancy Childbirth. 2015; 15: 94.

Parikka S, Maki P, Levalahti E, Lehtinen-Jacks S, Martelin T, Laatikainen T. Associations between parental BMI, socioeconomic factors, family structure and overweight in Finnish children: a path model approach. BMC Public Health. 2015; 15: 271.

Bittencourt LS, Santos SMC, Pinto EJ, Aliaga MA, Ribeiro-Silva RC: Factors associated with food insecurity in households of public school students of Salvador City, Bahia, Brazil. J Health Popul Nutr. 2013; 31(4): 471-479.

Eisenmann JC, Gundersen C, Lohman BJ, Garasky S, Stewart SD. Is food insecurity related to overweight and obesity in children and adolescents? A summary of studies, 1995–2009. Obes Rev. 2011; 12(5): e73-e83.

Rose D, Bodor JN. Household food insecurity and overweight status in young school children: results from the Early Childhood Longitudinal Study. Pediatrics. 2006; 117(2): 464-473.

Jones SJ, Jahns L, Laraia BA, Haughton B. Lower risk of overweight in school-aged food insecure girls who participate in food assistance: results from the panel study of income dynamics child development supplement. Arch Pediatr Adolesc Med. 2003; 157(8): 780-784.

Kac G, Schlussel MM, Perez-Escamilla R, Velasquez-Melendez G, Silva AA. Household food insecurity is not associated with BMI for age or weight for height among Brazilian children aged 0-60 months. PLoS One. 2012; 7(9): e45747.

Gundersen C, Garasky S, Lohman BJ. Food insecurity is not associated with childhood obesity as assessed using multiple measures of obesity. J Nutr. 2009; 139(6): 1173-1178.

Cebeci AN, Guven A. Does maternal obesity have an influence on feeding behavior of obese children? Minerva Pediatr. 2014; 67(6): 481-487.

Novaes JF, Franceschini Sdo C, Priore SE. Mother’s overweight, parents’ constant limitation on the foods and frequent snack as risk factors for obesity among children in Brazil. Arch Latinoam Nutr. 2008; 58(3): 256-264.

Kheirollahpour M, Shohaimi S. Dimensional model for estimating factors influencing childhood obesity: path analysis based modeling. Scientific World Journal. 2014; 2014: 512148.

Brasil. Ministério da Saúde. Pesquisa Nacional de Demografia e Saúde da Criança e da Mulher - PNDS 2006: dimensões do processo reprodutivo e da saúde da criança. Brasília: Ministério da Saúde, 2009.

World Health Organization. Physical status: the use and interpretation of anthropometry. Geneva: World Health Organization, 1995.

Bartfeld J, Dunifon R. State-level predictors of food insecurity and hunger among households with children. United States Department of Agriculture, 2005.

Donders AR, Van der Heijden GJ, Stijnen T, Moons KG. Review: a gentle introduction to imputation of missing values. J Clin Epidemiol. 2006; 59(10): 1087-91.

WHO Multicentre Growth Reference Study Group. WHO child growth standards based on length/height, weight and age. Acta Paediatrica. 2006; 450: 76-85.

Fornés NS, Martins IS, Velásquez-Meléndez G, Latorre MRDO. Escores de consumo alimentar e níveis lipêmicos em população de São Paulo, Brasil. Rev Saúde Pública. 2002; 36: 12-18.

Associação Brasileira de Empresas de Pesquisas. Critério de Classificação Econômica do Brasil 2012. Dados com base no Levantamento Sócio Econômico 2010. Available: http://www.abep.org/criterio-brasil.

Perez-Escamilla R, Segall-Correa AM, Kurdian Maranha L, Sampaio Md Mde F, Marin-Leon L, Panigassi G. An adapted version of the U.S. Department of Agriculture Food Insecurity module is a valid tool for assessing household food insecurity in Campinas, Brazil. J Nutr. 2004; 134(8): 1923-1928.

Stapleton LM. An assessment of practical solutions for structural equation modeling with complex sample data. Struct Equ Modeling. 2006; 13: 28-58.

Gerbing DW, Anderson JC. Monte Carlo evaluations of goodness-of-fit indices for structural equation models. In K.A. Bollen, & J.S. Long (eds.): Testing structural equation models. Newbury Park, CA: Sage, 1993.

Silva RR, Marlúcia AOA, Szarfarc SC, Pinto EJ, Carneiro da Costa LC, Rodrigues LC. Iniquidades socioeconômicas na conformação dos padrões alimentares de crianças e adolescentes. Rev Nutr. 2012; 25: 451-461.

Gwozdz W, Sousa-Pozab A, Reischa LA, Ahrensc W, Eibend G, Fernandéz-Alvirae JM, et al. Maternal employment and childhood obesity: a European perspective. J Health Econ. 2013; 32(4): 728-742.

D'Innocenzo S, Marchioni DML, Prado MS, Matos SMA, Pereira SRS, Barros AP, et al. Condições socioeconômicas e padrões alimentares de crianças de 4 a 11 anos: estudo SCAALA - Salvador/ Bahia. Rev Bras Mater Health Infant. 2011; 11: 41-49.

Hulshof KF, Brussaard JH, Kruizinga AG, Telman J, Lowik MR. Socio-economic status, dietary intake and 10 y trends: the Dutch National Food Consumption Survey. Eur J Clin Nutr. 2003; 57: 128-137.

Santos NH, Fiaccone RL, Barreto ML, Silva LA, Silva Rde C: Association between eating patterns and body mass index in a sample of children and adolescents in Northeastern Brazil. Cad Saude Pública. 2014; 30: 2235-2245.

Aranceta J, Perez-Rodrigo C, Ribas L, Serra-Majem L. Sociodemographic and lifestyle determinants of food patterns in Spanish children and adolescents: the enKid study. Eur J Clin Nutr. 2003; 57 Suppl 1: S40-S44.

De Bock F, Breitenstein L, Fischer JE. Positive impact of a pre-school-based nutritional intervention on children's fruit and vegetable intake: results of a cluster-randomized trial. Public Health Nutr. 2011; 15(3): 466-475.

Hackett M, Melgar-Quinonez H, Alvarez MC. Household food insecurity associated with stunting and underweight among preschool children in Antioquia, Colombia. Rev Panam Salud Publica. 2009; 25(6): 506-510.

Dubois L, Francis D, Burnier D, Tatone-Tokuda F, Girard M, Gordon-Strachan G, et al. Household food insecurity and childhood overweight in Jamaica and Quebec: a gender-based analysis. BMC Public Health. 2011; 11: 199.




DOI: http://dx.doi.org/10.20960/nh.327

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