[Prevalence of overweight in adolescents: a population-based study in a southern Brazilian city].

The prevalence of overweight and its association with demographic, socioeconomic, behavioral, and biological variables were evaluated. The sample included 810 adolescents (10-19 years of age) living in the urban area of Pelotas, a southern Brazilian city. Overweight was defined as a body mass index > or = the 85th percentile, according to sex and age, and compared to the First National Health and Nutrition Examination Survey, following the WHO recommendation for adolescents. A clustering sampling strategy was used, and both the crude and adjusted analyses (Poisson Regression) took this strategy into account. The prevalence of overweight was 19.3% (95%CI: 16.6-22.0) and there was no difference between the sexes. The following groups presented a greater probability of being overweight: those classified in the wealthiest socioeconomic groups, those who had dieted to lose weight within the previous 3 months, those who watch 4 or more hours of television per day, and those who have less than 3 regular meals per day. After stratification by gender, high socioeconomic level was associated with greatest risk of overweight among boys. Dieting to lose weight during the previous 3 months, 4 or more hours of television viewing per day, and less than 3 formal meals per day were risk factors for overweight among girls.

[1]  R. Silva,et al.  Sobrepeso, atividade física e tempo de televisão entre adolescentes de Niterói, Rio de Janeiro, Brasil Overweight, physical activity and TV viewing time among adolescents from in Niterói, Rio de Janeiro, Brazil , 2008 .

[2]  G. V. da Veiga,et al.  Trends in overweight among adolescents living in the poorest and richest regions of Brazil. , 2004, American journal of public health.

[3]  A. Barros,et al.  Bmc Medical Research Methodology Open Access Alternatives for Logistic Regression in Cross-sectional Studies: an Empirical Comparison of Models That Directly Estimate the Prevalence Ratio Cox Regressioncross-sectional Studieslogistic Regressionodds Ratiopoisson Regressionprevalence Ratiorobust Varia , 2003 .

[4]  C. Victora,et al.  Birth size, early childhood growth, and adolescent obesity in a Brazilian birth cohort , 2003, International Journal of Obesity.

[5]  A. Menezes,et al.  Prevalência e fatores de risco para tabagismo em adolescentes na América do Sul: uma revisão sistemática da literatura , 2003 .

[6]  S. Rössner,et al.  Obesity: the disease of the twenty-first century , 2002, International Journal of Obesity.

[7]  Katherine M Flegal,et al.  Prevalence and trends in overweight among US children and adolescents, 1999-2000. , 2002, JAMA.

[8]  B. Popkin,et al.  Trends of obesity and underweight in older children and adolescents in the United States, Brazil, China, and Russia. , 2002, The American journal of clinical nutrition.

[9]  R. Trabazo La obesidad, un problema emergente en pediatría , 2002 .

[10]  R. Strauss,et al.  Smoking and weight loss attempts in overweight and normal-weight adolescents , 2001, International Journal of Obesity.

[11]  M. Järvelin,et al.  Family social class, maternal body mass index, childhood body mass index, and age at menarche as predictors of adult obesity. , 2001, The American journal of clinical nutrition.

[12]  S. Arslanian,et al.  Lipolysis in African-American children: is it a metabolic risk factor predisposing to obesity? , 2001, The Journal of clinical endocrinology and metabolism.

[13]  A. R. Frisancho Prenatal compared with parental origins of adolescent fatness. , 2000, The American journal of clinical nutrition.

[14]  Paulo Miguel Alves Monteiro,et al.  Diagnóstico de sobrepeso em adolescentes: estudo do desempenho de diferentes critérios para o Índice de Massa Corporal , 2000 .

[15]  M. Neutzling,et al.  Overweight and obesity in Brazilian adolescents , 2000, International Journal of Obesity.

[16]  R. Hurrell,et al.  A national study of the prevalence of overweight and obesity in 6–12 y-old Swiss children: body mass index, body-weight perceptions and goals , 2000, European Journal of Clinical Nutrition.

[17]  J Gittelsohn,et al.  Overweight among children and adolescents in a Native Canadian community: prevalence and associated factors. , 2000, The American journal of clinical nutrition.

[18]  C. Summerbell,et al.  Childhood predictors of adult obesity: a systematic review. , 1999, International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity.

[19]  T N Robinson,et al.  Reducing children's television viewing to prevent obesity: a randomized controlled trial. , 1999, JAMA.

[20]  Rosely Sichieri,et al.  Fatores associados à obesidade em adolescentes , 1998 .

[21]  K. Flegal,et al.  Overweight children and adolescents: description, epidemiology, and demographics. , 1998, Pediatrics.

[22]  Maria Teresa Anselmo Olinto,et al.  Prevalência de obesidade em adultos e seus fatores de risco , 1997 .

[23]  S. Huttly,et al.  The role of conceptual frameworks in epidemiological analysis: a hierarchical approach. , 1997, International journal of epidemiology.

[24]  A. R. Frisancho Physical Status: The Use and Interpretation of Anthropometry , 1996, The American Journal of Clinical Nutrition.

[25]  Troiano Rp,et al.  Overweight prevalence and trends for children and adolescents , 1996 .

[26]  K. Flegal,et al.  Overweight prevalence and trends for children and adolescents. The National Health and Nutrition Examination Surveys, 1963 to 1991. , 1995, Archives of pediatrics & adolescent medicine.

[27]  B. Popkin,et al.  The nutrition transition in Brazil. , 1995, European journal of clinical nutrition.

[28]  W H Dietz,et al.  Social and economic consequences of overweight in adolescence and young adulthood. , 1993, The New England journal of medicine.

[29]  R. Kuczmarski,et al.  Prevalence of overweight and weight gain in the United States. , 1992, The American journal of clinical nutrition.

[30]  Douglas G. Altman,et al.  Practical statistics for medical research , 1990 .

[31]  Setting Brazil Establishing a standard definition for child overweight and obesity worldwide: international survey. , 2008 .

[32]  E. Colosimo,et al.  Prevalncia de sobrepeso e obesidade em crianas e adolescentes das regies Sudeste e Nordeste , 2002 .

[33]  B. Horta,et al.  Desnutrição e obesidade infantis em duas coortes de base populacional no Sul do Brasil: tendências e diferenciais , 1996 .

[34]  Rosely Sichieri,et al.  Condiçoes nutricionais da populaçao brasileira: adultos e idosos: pesquisa nacional sobre saúde e nutriçao , 1991 .

[35]  T. Lohman,et al.  Anthropometric Standardization Reference Manual , 1988 .