Fatores associados à obesidade e o padrão de consumo alimentar de pré-escolares em Feira de Santana - BA

Detalhes bibliográficos
Autor(a) principal: Gomes, Karina Emanuella Peixoto de Souza
Data de Publicação: 2011
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da UEFS
Texto Completo: http://localhost:8080/tede/handle/tede/461
Resumo: The present study aimed to analyze food consumption patterns and the nutritional status of children under four years old in Feira de Santana – Bahia. It is a cross-sectional study nested in a cohortoflivebirths population based in Feira de Santana - Bahia.This study evaluated the data of 813 pairs of mothers and children under four years old from a cohort of live births. The anthropometric profile was defined through direct method by measuring the body mass index based on the variables height and weight and eating patterns (main independent variable) determined by principal component analysis through data obtained from the food frequency questionnaire.Also, were evaluated as potential confounders: child characteristics (sex, birth weight, nutritional status, interruption of exclusive breastfeeding at 4 months of age, weaning at twoyears old, bottle feeding, feeding during sleep and consumption of blended food) and maternal (gestational age, maternal age at birth, skin color, education, work, income, overweight / obesity), defined.The association between obesity and eating patterns were estimated using Pearson's chi-squared test (p <0.05) and multiple logistic regression analysis. In children under four years old, the prevalence of obesity was 12.7%.Regarding the children's characteristics, 51.7% were male, 95.7% were born weighting more than five pounds, eight ounces. Most children (96.4%) were born in the pregnancy term. 82.9% of mothers gave birth with age equal to or higher than 20 years old, 64.8% were brown, 66.4% had high school / college level education, 61.7% did not went away from home to work and 51.3% had income above 2 minimum wages.According to food characteristics, 21.2% continued exclusive breastfeeding until fourmonths and 10.9% still breastfeeding at 2 years old.The bottle use was reported in 63.0% of children, 29.5% ate sleeping and 47.6% were in the habit of consuming blended food. Four food consumption patterns were identified: food standard 1 (milk and derivatives, vegetables and tubers, legumes, fruit, fish and eggs); food pattern 2 (cereals, snacks, fats and oils, non-alcoholic drinks and sweets); food pattern 3 (processed meats, fast-food, ketchup/mayonnaise); and, food standard 4 (red meat and chicken).In the bivariate analysis, there was a positive association between obesity and the predictor variables: appropriate birth weight, family income, maternal overweight/obesity, interruption of exclusive breastfeeding at four months, no weaning attwoyears of age and use of bottle.In logistic regression analysis, obesity was associated with the consumption of processed meats, fast food and ketchup / mayonnaise (food standard 3). It has been shown that the high intake of processed and energy dense foods were contributing factors to the occurrence of obesity in childhood.These results reinforce the need for public policies and nutrition education programs in health facilities and schools, to assist in changing the eating habits of children, an important predictor of nutritional problems.
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spelling Vieira, Graciete Oliveira1309281254900282321519http://lattes.cnpq.br/0045813332542383Gomes, Karina Emanuella Peixoto de Souza2017-03-14T21:09:49Z2011-03-31GOMES, Karina Emanuella Peixoto de Souza. Fatores associados à obesidade e o padrão de consumo alimentar de pré-escolares em Feira de Santana – BA. 2011. 42 f. Dissertação (Mestrado Acadêmico em Saúde Coletiva)- Universidade Estadual de Feira de Santana, Feira de Santana, 2011.http://localhost:8080/tede/handle/tede/461The present study aimed to analyze food consumption patterns and the nutritional status of children under four years old in Feira de Santana – Bahia. It is a cross-sectional study nested in a cohortoflivebirths population based in Feira de Santana - Bahia.This study evaluated the data of 813 pairs of mothers and children under four years old from a cohort of live births. The anthropometric profile was defined through direct method by measuring the body mass index based on the variables height and weight and eating patterns (main independent variable) determined by principal component analysis through data obtained from the food frequency questionnaire.Also, were evaluated as potential confounders: child characteristics (sex, birth weight, nutritional status, interruption of exclusive breastfeeding at 4 months of age, weaning at twoyears old, bottle feeding, feeding during sleep and consumption of blended food) and maternal (gestational age, maternal age at birth, skin color, education, work, income, overweight / obesity), defined.The association between obesity and eating patterns were estimated using Pearson's chi-squared test (p <0.05) and multiple logistic regression analysis. In children under four years old, the prevalence of obesity was 12.7%.Regarding the children's characteristics, 51.7% were male, 95.7% were born weighting more than five pounds, eight ounces. Most children (96.4%) were born in the pregnancy term. 82.9% of mothers gave birth with age equal to or higher than 20 years old, 64.8% were brown, 66.4% had high school / college level education, 61.7% did not went away from home to work and 51.3% had income above 2 minimum wages.According to food characteristics, 21.2% continued exclusive breastfeeding until fourmonths and 10.9% still breastfeeding at 2 years old.The bottle use was reported in 63.0% of children, 29.5% ate sleeping and 47.6% were in the habit of consuming blended food. Four food consumption patterns were identified: food standard 1 (milk and derivatives, vegetables and tubers, legumes, fruit, fish and eggs); food pattern 2 (cereals, snacks, fats and oils, non-alcoholic drinks and sweets); food pattern 3 (processed meats, fast-food, ketchup/mayonnaise); and, food standard 4 (red meat and chicken).In the bivariate analysis, there was a positive association between obesity and the predictor variables: appropriate birth weight, family income, maternal overweight/obesity, interruption of exclusive breastfeeding at four months, no weaning attwoyears of age and use of bottle.In logistic regression analysis, obesity was associated with the consumption of processed meats, fast food and ketchup / mayonnaise (food standard 3). It has been shown that the high intake of processed and energy dense foods were contributing factors to the occurrence of obesity in childhood.These results reinforce the need for public policies and nutrition education programs in health facilities and schools, to assist in changing the eating habits of children, an important predictor of nutritional problems.O presente estudo teve como objetivo analisar os padrões de consumo alimentar e o estado nutricional de crianças menores de quatro anos em Feira de Santana – Bahia. Trata-se de estudo de corte transversal aninhado a uma coorte de nascidos vivos de base populacional em Feira de Santana – Bahia. Neste estudo foram avaliados os dados de 813 duplas mães e filhos menores de quatro anos provenientes de uma coorte de nascidos vivos. O perfil antropométrico foi definido pelo método direto através da medida do índice de massa corpórea com base nas variáveis peso e estatura e os padrões alimentares (variável independente principal), determinados por meio da análise de componentes principais através dos dados obtidos no questionário de frequência alimentar. Além disso, foram avaliadas como potenciais confundidoras: as características infantis (sexo, peso ao nascer, estado nutricional, interrupção do aleitamento materno exclusivo aos quatro meses de idade, desmame aos dois anos de idade, uso de mamadeira, alimentação durante o sono e consumode alimentos liquidificados) e as maternas (idade gestacional, idade materna no parto, cor da pele, escolaridade, trabalho, renda, sobrepeso/obesidade),definidas. A associação entre a obesidade e os padrões alimentaresfoiestimada através do teste qui-quadrado de Pearson (p<0,05) e da análise de regressão logística múltipla.Nas crianças menores de quatro anos, aprevalência de obesidadefoi de12,7%. Com relação às características infantis, 51,7% eram do sexo masculino, 95,7% nasceram com peso superior a 2500g. A maioria das crianças (96,4%) nasceuno termo da gestação.82,9% das mães pariram com idade igual ou superior a 20 anos, 64,8% eram pardas, 66,4% tinham ensino médio/superior, 61,7% não se ausentavam do lar para trabalhar e 51,3% tinham renda superior a 2 salários mínimos. Segundo as características alimentares, 21,2% continuaram o aleitamento exclusivo até os 4 meses e 10,9% ainda amamentavam aos 2 anos de idade. O uso de mamadeira foi reportado em 63,0% das crianças, 29,5% comiam dormindo e 47,6% tinham o hábito de consumir alimentos liquidificados.Foram identificados quatro padrões alimentares: padrão alimentar 1 (leite e derivados, verduras e tubérculos, leguminosas, frutas, pescados e ovos); padrão alimentar 2 (cereais, salgadinhos, óleos e gorduras, bebidas não alcoólicas e doces); padrão alimentar 3 (embutidos, fast-food, catchup/maionese); e padrão alimentar 4 (frango e carnes vermelhas).Na análise bivariada,observou-se associação positiva entre a obesidade e as variáveis preditoras: peso adequado ao nascer, maior renda familiar, sobrepeso/obesidade materno, interrupção do aleitamento materno exclusivo aos 4 meses, ausência de desmame aos 2 anos de idade e uso de mamadeira. Na análise de regressão logística, aobesidade esteve associada com o consumode alimentos embutidos, fast-food e catchup/maionese (padrão alimentar 3).Ficou demonstrado que a elevada ingestão de alimentos industrializados e altamente energéticos foram fatores contributivos para a ocorrência da obesidade na infância. Estes resultados reforçam a necessidade de políticas públicas e programas de educação alimentar, nas unidades de saúde e escolas, que auxiliem na mudança dos hábitos alimentares das crianças, importante preditor de problemas nutricionais.Submitted by Ricardo Cedraz Duque Moliterno (ricardo.moliterno@uefs.br) on 2017-03-14T21:09:49Z No. of bitstreams: 1 GOMES KARINA E P S.pdf: 817980 bytes, checksum: 221a76bf0c6f605d5bafbecd9d1d415b (MD5)Made available in DSpace on 2017-03-14T21:09:49Z (GMT). No. of bitstreams: 1 GOMES KARINA E P S.pdf: 817980 bytes, checksum: 221a76bf0c6f605d5bafbecd9d1d415b (MD5) Previous issue date: 2011-03-31Fundação de Amparo à Pesquisa do Estado da Bahia - FAPEBapplication/pdfporUniversidade Estadual de Feira de SantanaMestrado Acadêmico em Saúde ColetivaUEFSBrasilDEPARTAMENTO DE SAÚDEConsumo de alimentosPré-escolaresCriançasObesidadeAnálise fatorialFood consumptionPreschoolChildrenObesityFactor analysisCIENCIAS DA SAUDE::SAUDE COLETIVAFatores associados à obesidade e o padrão de consumo alimentar de pré-escolares em Feira de Santana - BAinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis-21222253766072083266006006006001006395569471477890-6173167103754495199-8233071094704392586info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UEFSinstname:Universidade Estadual de Feira de Santana (UEFS)instacron:UEFSORIGINALGOMES KARINA E P S.pdfGOMES KARINA E P S.pdfapplication/pdf817980http://tede2.uefs.br:8080/bitstream/tede/461/2/GOMES+KARINA+E+P+S.pdf221a76bf0c6f605d5bafbecd9d1d415bMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82089http://tede2.uefs.br:8080/bitstream/tede/461/1/license.txt7b5ba3d2445355f386edab96125d42b7MD51tede/4612017-03-14 18:09:49.787oai:tede2.uefs.br:8080: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.uefs.br:8080/PUBhttp://tede2.uefs.br:8080/oai/requestbcuefs@uefs.br|| bcref@uefs.br||bcuefs@uefs.bropendoar:2017-03-14T21:09:49Biblioteca Digital de Teses e Dissertações da UEFS - Universidade Estadual de Feira de Santana (UEFS)false
dc.title.por.fl_str_mv Fatores associados à obesidade e o padrão de consumo alimentar de pré-escolares em Feira de Santana - BA
title Fatores associados à obesidade e o padrão de consumo alimentar de pré-escolares em Feira de Santana - BA
spellingShingle Fatores associados à obesidade e o padrão de consumo alimentar de pré-escolares em Feira de Santana - BA
Gomes, Karina Emanuella Peixoto de Souza
Consumo de alimentos
Pré-escolares
Crianças
Obesidade
Análise fatorial
Food consumption
Preschool
Children
Obesity
Factor analysis
CIENCIAS DA SAUDE::SAUDE COLETIVA
title_short Fatores associados à obesidade e o padrão de consumo alimentar de pré-escolares em Feira de Santana - BA
title_full Fatores associados à obesidade e o padrão de consumo alimentar de pré-escolares em Feira de Santana - BA
title_fullStr Fatores associados à obesidade e o padrão de consumo alimentar de pré-escolares em Feira de Santana - BA
title_full_unstemmed Fatores associados à obesidade e o padrão de consumo alimentar de pré-escolares em Feira de Santana - BA
title_sort Fatores associados à obesidade e o padrão de consumo alimentar de pré-escolares em Feira de Santana - BA
author Gomes, Karina Emanuella Peixoto de Souza
author_facet Gomes, Karina Emanuella Peixoto de Souza
author_role author
dc.contributor.advisor1.fl_str_mv Vieira, Graciete Oliveira
dc.contributor.advisor1ID.fl_str_mv 13092812549
dc.contributor.authorID.fl_str_mv 00282321519
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/0045813332542383
dc.contributor.author.fl_str_mv Gomes, Karina Emanuella Peixoto de Souza
contributor_str_mv Vieira, Graciete Oliveira
dc.subject.por.fl_str_mv Consumo de alimentos
Pré-escolares
Crianças
Obesidade
Análise fatorial
topic Consumo de alimentos
Pré-escolares
Crianças
Obesidade
Análise fatorial
Food consumption
Preschool
Children
Obesity
Factor analysis
CIENCIAS DA SAUDE::SAUDE COLETIVA
dc.subject.eng.fl_str_mv Food consumption
Preschool
Children
Obesity
Factor analysis
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE::SAUDE COLETIVA
description The present study aimed to analyze food consumption patterns and the nutritional status of children under four years old in Feira de Santana – Bahia. It is a cross-sectional study nested in a cohortoflivebirths population based in Feira de Santana - Bahia.This study evaluated the data of 813 pairs of mothers and children under four years old from a cohort of live births. The anthropometric profile was defined through direct method by measuring the body mass index based on the variables height and weight and eating patterns (main independent variable) determined by principal component analysis through data obtained from the food frequency questionnaire.Also, were evaluated as potential confounders: child characteristics (sex, birth weight, nutritional status, interruption of exclusive breastfeeding at 4 months of age, weaning at twoyears old, bottle feeding, feeding during sleep and consumption of blended food) and maternal (gestational age, maternal age at birth, skin color, education, work, income, overweight / obesity), defined.The association between obesity and eating patterns were estimated using Pearson's chi-squared test (p <0.05) and multiple logistic regression analysis. In children under four years old, the prevalence of obesity was 12.7%.Regarding the children's characteristics, 51.7% were male, 95.7% were born weighting more than five pounds, eight ounces. Most children (96.4%) were born in the pregnancy term. 82.9% of mothers gave birth with age equal to or higher than 20 years old, 64.8% were brown, 66.4% had high school / college level education, 61.7% did not went away from home to work and 51.3% had income above 2 minimum wages.According to food characteristics, 21.2% continued exclusive breastfeeding until fourmonths and 10.9% still breastfeeding at 2 years old.The bottle use was reported in 63.0% of children, 29.5% ate sleeping and 47.6% were in the habit of consuming blended food. Four food consumption patterns were identified: food standard 1 (milk and derivatives, vegetables and tubers, legumes, fruit, fish and eggs); food pattern 2 (cereals, snacks, fats and oils, non-alcoholic drinks and sweets); food pattern 3 (processed meats, fast-food, ketchup/mayonnaise); and, food standard 4 (red meat and chicken).In the bivariate analysis, there was a positive association between obesity and the predictor variables: appropriate birth weight, family income, maternal overweight/obesity, interruption of exclusive breastfeeding at four months, no weaning attwoyears of age and use of bottle.In logistic regression analysis, obesity was associated with the consumption of processed meats, fast food and ketchup / mayonnaise (food standard 3). It has been shown that the high intake of processed and energy dense foods were contributing factors to the occurrence of obesity in childhood.These results reinforce the need for public policies and nutrition education programs in health facilities and schools, to assist in changing the eating habits of children, an important predictor of nutritional problems.
publishDate 2011
dc.date.issued.fl_str_mv 2011-03-31
dc.date.accessioned.fl_str_mv 2017-03-14T21:09:49Z
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dc.identifier.citation.fl_str_mv GOMES, Karina Emanuella Peixoto de Souza. Fatores associados à obesidade e o padrão de consumo alimentar de pré-escolares em Feira de Santana – BA. 2011. 42 f. Dissertação (Mestrado Acadêmico em Saúde Coletiva)- Universidade Estadual de Feira de Santana, Feira de Santana, 2011.
dc.identifier.uri.fl_str_mv http://localhost:8080/tede/handle/tede/461
identifier_str_mv GOMES, Karina Emanuella Peixoto de Souza. Fatores associados à obesidade e o padrão de consumo alimentar de pré-escolares em Feira de Santana – BA. 2011. 42 f. Dissertação (Mestrado Acadêmico em Saúde Coletiva)- Universidade Estadual de Feira de Santana, Feira de Santana, 2011.
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