Time trends in the prevalence of breastfeeding among schoolchildren from public and private schools in Florianópolis, Southern Brazil: From 2002 to 2013

Wagner, Kátia Jakovljevic Pudla; Hinnig, Patrícia de Fragas; Rossi, Camila Elizandra; Alves, Mariane de Almeida; Leite, Maurício Soares; Vasconcelos, Francisco de Assis Guedes de

doi:10.1002/ajhb.23386

Cited by 2 publications

(3 citation statements)

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“…This is a cross-sectional study nested within a broader investigation which general objective was to review the trend in the prevalence of overweight/obesity and associated factors in schoolchildren, aged 7 to 14 years, based on the comparison of data obtained at three investigation time-points: 2002, 2007 and 2012/2013 [13][14][15][24][25][26][27] . In this article, BI and anthropometric data were reviewed, as well as behavior of students in relation to purgative trends for weight control and binge eating, collected in the third wave (2012/2013) 13,15,[24][25][26][27] .…”

Section: Methodsmentioning

confidence: 99%

“…In each stratum, the schools included in the study were randomly selected, by simple drawing. Subsequently, the selection of classes to be evaluated in each school was carried out, through a systematic sampling process, based on the list of students available in each school 13,15,[24][25][26][27] .…”

Section: Methodsmentioning

confidence: 99%

“…Prior to data collection, the team was trained and a pilot study was carried out, for field practice. The data collection team was composed of undergraduate students in Nutrition and Physical Education from the Universidade Federal de Santa Catarina and the Universidade Estadual de Santa Catarina 13,15,[24][25][26][27] .…”

Section: Data Collection and Proceduresmentioning

confidence: 99%

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Body image and association with BMI, and purgative behaviours for weight control in adolescents aged 11–14 years

Rossi

Silva²,

Costa³

et al. 2022

Br J Nutr

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We aimed to evaluate the association of overweight/obesity based in body mass index (BMI) and purgative behaviors with body image (BI). Methods: Cross-sectional study, with probabilistic sample of 976 adolescents, aged 11 to 14 years, from the city of Florianópolis, Brazil. Multivariate analyses were performed. Overweight (including obesity), and four variables related to purgative methods for body weight control or eating behavior were evaluated as outcomes, while body image satisfaction was the primary independent variable in each model. Models were controlled for age, gender, type of school (public or private), intake of fruit and vegetables, number of daily meals, and physical activity scores levels. A total of 31.4% of adolescents wanted to enlarge their silhouette and 45.6% wanted to reduce it. Among overweight/obese adolescents, 9.6% were satisfied with their bodies, while 89.8% wanted to reduce it, while among the not overweight/obese adolescents, 45.4% wanted to enlarge their silhouette (p<0.001). Multivariate analysis showed that the odds for overweight/obesity is higher among adolescents who wanted to reduce their silhouette (OR=11.20; 95%CI=5.55-22.58). Adolescents who want to reduce their silhouette are more likely to use diuretics (OR=3.08; CI=1.78-5.32) and to use laxatives (OR=2.10; CI=1.20-3.68). A significant association was also found between dissatisfaction with BI and overeating (among those who want to enlarge their silhouette: OR=1.78; CI=1.12-2.85 and among those who want to reduce their silhouette: OR=1.81; CI=1.03-3.19). Conclusion: BI dissatisfaction was associated with overweight/obesity, as well with overeating, and the use of purgative methods.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Body image and association with BMI, and purgative behaviours for weight control in adolescents aged 11–14 years

Rossi

Silva²,

Costa³

et al. 2022

Br J Nutr

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Breastfeeding, first-food systems and corporate power: a case study on the market and political practices of the transnational baby food industry in Brazil

Robles,

Mialon,

Mais

et al. 2024

Global Health

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Background The exploitative marketing of commercial milk formula (CMF) reduces breastfeeding, and harms child and maternal health globally. Yet forty years after the International Code of Marketing of Breast-Milk Substitutes (The Code) was adopted by WHO member states, many countries are still to fully implement its provisions into national law. Furthermore, despite The Code, worldwide CMF markets have markedly expanded. In this paper, we adopt Brazil as a case study to understand the power of the baby food industry’s marketing and corporate political activity, and how this influences the country’s ‘first-food system’ in ways that promote and sustain CMF consumption. Methods We used a case study design, drawing data from from documents and key informant interviews (N = 10). Results Breastfeeding rates plummeted in Brazil to a historic low in the 1970s. A resurgence in breastfeeding from the mid-1980s onwards reflected strengthening political commitment for a national policy framework and breastfeeding protection law, resulting in-turn, from collective actions by breastfeeding coalitions, advocates, and mothers. Yet more recently, improvements in breastfeeding have plateaued in Brazil, while the industry grew CMF sales in Brazil by 750% between 2006 and 20. As regulations tightened, the industry has more aggressively promoted CMF for older infants and young children, as well as specialised formulas. The baby food industry is empowered through association with powerful industry groups, and employs lobbyists with good access to policymakers. The industry has captured the pediatric profession in Brazil through its long-standing association with the Brazilian Society of Pediatrics. Conclusion Brazil illustrates how the baby food industry uses marketing and political activity to promote and sustain CMF markets, to the detriment of breastfeeding. Our results demonstrate that this industry requires much greater scrutiny by regulators.

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Time trends in the prevalence of breastfeeding among schoolchildren from public and private schools in Florianópolis, Southern Brazil: From 2002 to 2013

Cited by 2 publications

References 54 publications

Body image and association with BMI, and purgative behaviours for weight control in adolescents aged 11–14 years

Body image and association with BMI, and purgative behaviours for weight control in adolescents aged 11–14 years

Breastfeeding, first-food systems and corporate power: a case study on the market and political practices of the transnational baby food industry in Brazil

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