Objetivou-se analisar a relação entre os determinantes sociais da saúde com a ocorrência do sobrepeso e da obesidade infantil em escolares no município de Santo Amaro, no Recôncavo Baiano. Trata-se de um estudo epidemiológico, de caráter descritivo, quantitativo do tipo transversal, envolvendo 82 escolares nascidos em 2012, matriculados em escolas públicas e privadas. Dados sociodemográficos e hábitos alimentares foram obtidos por meio de entrevistas com as mães dos escolares nos domicílios. O peso ao nascer e a idade gestacional foram obtidos por meio de consulta à caderneta de saúde da criança. Foram coletados dados antropométricos dos escolares nas escolas e calculados o IMC, posteriormente, classificados segundo curvas de escores-z preconizadas pela Organização Mundial da Saúde. Foi identificado prevalência elevada para sobrepeso/obesidade infantil (40,24%). O sexo masculino (24,39%) comparado ao sexo feminino (15,85%), obteve maior percentual (p< 0,0255). Com relação a área sociodemográfica, observou-se elevada prevalência no município (31,57%), sendo 32% moradores da zona rural e 68% da zona urbana. No tocante aos hábitos alimentares inadequados, 46,72% dos escolares que passaram a consumir desde cedo alimentos com elevada taxa de carboidrato apresentaram maior prevalência (p<0,02479). Foi verificada uma forte associação em famílias com renda salarial inferior a um salário mínimo (p<0,0001). A análise dos determinantes sociais da saúde demonstrou ser fundamental para avaliar a situação epidemiológica, sendo evidenciado alta taxa de sobrepeso/obesidade infantil.
Objective To review the relationship between overweight at 6 years of age and socioeconomic conditions at birth, breastfeeding, early feeding practices and birth weight. Methods A cross-sectional study was carried out involving 473 six-year-old schoolchildren from public and private schools living in a municipality in Southern Brazil. Sociodemographic and breastfeeding data and other initial feeding practices were obtained through interviews with the mothers at home. Birth weight and gestational age were obtained from the child’s health card. Anthropometric data of the schoolchildren were collected during school visits. Bivariate and multivariate analyzes were performed using the Poisson Regression between the independent variables and overweight. Results The prevalence of overweight was 33.2%; 83.2% of the children were breastfed and out of these, 48.4% were breastfed only in the first six months. Non-breastfed children exhibited a 20% higher overweight prevalence (PR=1.20; 95%CI 1.13; 1.28). Children with exclusive breastfeeding for six months exhibited a lower overweight prevalence (PR=0.94; 95%CI 0.89; 0.99). Conclusion In this study, breastfeeding showed to be a protective factor for overweight.
Introduction: The study aimed to estimate the burden of hepatitis C in Santa Catarina, Brazil. Methods: An ecologic study was carried out to estimate the disability-adjusted life years (DALY) by summing the number of years of life lost and the number of years lived with disability. Results: A rate of 1,075.9 DALY/100,000 population was estimated, and was similar by sex. The highest burden was between the ages of 45 to 59 years and in the Grande Oeste region. Conclusions: The burden of hepatitis C was high and concentrated in adult age groups with variations among regions.
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