Influence of the family nucleus on obesity in children from northeastern Brazil: a cross-sectional study

Oliveira, Ana Mayra Andrade de; Oliveira, Antônio Carlos Paula de; Almeida, Marcele S. de; Oliveira, Nelson Fernandes de; Adan, Luís

doi:10.1186/1471-2458-7-235

Cited by 30 publications

(25 citation statements)

References 26 publications

(25 reference statements)

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“…Moreover, one of the most important predictive factors of childhood overweight/obesity is parental (primarily maternal) overweight. This has been found in both industrialized (21, 34) and non-industrialized (28, 29, 73) countries.…”

Section: Psychosocial Risk Factorsmentioning

confidence: 83%

Psychosocial Perspectives and the Issue of Prevention in Childhood Obesity

Stein

Weinberger-Litman

Latzer

2014

Front. Public Health

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A dramatic increase in childhood overweight/obesity has been recognized globally over the past 50 years. This observed increase may reflect genetic, as well as psychological, environmental, and socio-cultural influences. In the first part of this review, we present an updated summary of the psychosocial factors associated with this change and discuss possible ways in which they operate. Among these factors, lower socio economic status (in both industrialized and non-industrialized countries), being female, belonging to a minority group, and being exposed to adverse life events may all be associated with a greater risk of childhood overweight/obesity. These influences may be mediated via a variety of mechanisms, in particular above-average food intake of low nutritional quality and reduction in physical activity. Other important psychosocial mediators include the influence of the family and peer environment, and exposure to the media. In the second part of the review, we discuss the potential of psychosocial prevention programs to intervene in the processes involved in the rise of childhood overweight/obesity. Two points are emphasized. First, prevention programs should be multidisciplinary, combining the knowledge of experts from different professions, and taking into consideration the important role of the family environment and relevant influential social organizations, particularly school. Second, effective change is unlikely to occur without large-scale programs carried out on a public policy level.

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Section: Psychosocial Risk Factorsmentioning

confidence: 83%

Psychosocial Perspectives and the Issue of Prevention in Childhood Obesity

Stein

Weinberger-Litman

Latzer

2014

Front. Public Health

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“…Others studies conducted by our group clearly showed that childhood obesity has high prevalence in developing countries [22] and leads to several cardio metabolic disturbances, such as increase in blood pressure [23,24] presence of fatty liver disease [25], IR [26], metabolic syndrome and subclinical inflammation [17]. Therefore, excessive weight is related to a preatherosclerosis status that starts early in life and is associated with increased mortality due to CVD [27].…”

Section: Discussionmentioning

confidence: 99%

Is triglyceride to high-density lipoprotein cholesterol ratio a surrogates for insulin resistance in youth?

Oliveira¹,

Oliveira²,

Oliveira³

et al. 2013

Health

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As elevated triglyceride (TG) to high-density lipoprotein cholesterol (HDL-C) ratio has been described as predictor for cardio metabolic disease with insulin resistance (IR) in the background, the aim was to assess the relationship between this ratio and IR in youth. Oral glucose tolerance test was performed in 318 Brazilian students (175 girls, 11.2 ± 3.2 years, BMI_z-score 1.2 ± 1.4 SD). Measurements: BMI, waist circumference (WC), blood pressure (BP), lipids, insulin and high sensitivity C-reactive protein (hsCRP). Excessive weight and abdominal obesity were defined using BMI_z-score and WC and IR by Homeostasis model assessment-insulin resistance (HOMA-IR). TG/HDL-C median was 2.37. There was an association between TG/ HDL-C and WC, systolic and diastolic BP, insulin, HOMA-IR, hsCRP, (p < 0.001). Stratified TG/HDL-C into two groups, based on a cut off point of 2.73 (Group 1: <2.73 and Group 2: ≥2.73). Adjusting for age, gender, ethnicity TG/HDL-C was an independent variable predicting IR (PR = 1.44; CI: 1.07 -1.96; p = 0.018). For every 1 (cm) in WC increased there was an addition of 0.04 of the value of TG/HDL-C and in those with TG/HDL-C ≥ 2.73 for every 10 (cm) increase in WC there was an improve of 4% in the ratio. In conclusion: In youth, the TG/HDL-C ratio could be a useful index for identifying groups with IR.

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“…Intrauterine growth may also influence the distribution of fat and lean tissue in the body and thus the proportion of fat to lean tissue for a particular BMI in childhood. 19,20 This, 14 i.e. countries with urban rich, urban poor and rural communities pursuing traditional ways of life, childhood overweight/obesity in affluent urban families may reach prevalences almost equivalent to those in North America whilst prevalences in the rural poor remain low.…”

Section: Defining Overweight/obesity In Childhoodmentioning

confidence: 99%

Countries in transition: underweight to obesity non-stop?

Poskitt¹

2009

Annals of Tropical Paediatrics

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The rise in childhood overweight and obesity in less developed countries and those with transitional economies is widely recorded. In many cases, this increase in overweight is occurring in societies where levels of under-nutrition remain high. Overweight particularly affects children in affluent families and urban families and is usually much less in rural areas. Changes such as the availability of more Western-style foods, the prevalence of snacking, a decline in physical activity, less sleep and the inactivity associated with watching television may all be contributing to the rise of overweight. The complications of overweight/obesity are already being seen in some affected children. Efforts to treat and prevent overweight in children are needed urgently if the appalling levels of overweight currently seen in the well established market economies of Europe and North America are to be avoided by less developed and transitional economies.

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Influence of the family nucleus on obesity in children from northeastern Brazil: a cross-sectional study

Abstract: Background: Obesity is considered to be caused by a combination of heredity and environmental factors with typical onset during childhood. The aim of this study was to identify family risk factors for the development of obesity in children from Brazil.

Cited by 30 publications

References 26 publications

Psychosocial Perspectives and the Issue of Prevention in Childhood Obesity

Psychosocial Perspectives and the Issue of Prevention in Childhood Obesity

Is triglyceride to high-density lipoprotein cholesterol ratio a surrogates for insulin resistance in youth?

Countries in transition: underweight to obesity non-stop?

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