Preschool children and excess weight: the impact of a low complexity intervention in public day care centers

Detalhes bibliográficos
Autor(a) principal: Nascimento, Viviane Gabriela
Data de Publicação: 2013
Outros Autores: Silva, Janaína Paula Costa da, Machado, Thais Costa, Bertoli, Ciro João, Valenti, Vitor Engrácia [UNESP], Leone, Claudio
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://www.revistas.usp.br/jhgd/article/view/69503
http://hdl.handle.net/11449/114667
Resumo: Introduction: childhood obesity is a major public health problem, affecting children even at early ages. Objective: to assess the impact of dietary intervention and relatively simple physical activity on the nutritional state of preschoolers. Method: this was an intervention study in public daycare centers targeting children from 2 to 4 years of age, in the State of São Paulo. The sample consisted of 9 daycare centers covering 578 children, with 264 children in the intervention group (IG) and 314 in the comparison group (CG). Intervention was focused on modifications in diet and physical activity, avoiding overloading the routine of daycare centers, for duration of one year. A zBMI score > 1 (zBMI) and < 2 was considered risk of being overweight, and > 2 zBMI was considered excess weight (overweight and obese). Analysis was done by frequency calculations, comparisons of proportions by χ2, mean comparisons by t-student and calculations according to Pearson’s correlation coefficient. Results: IG showed an inverse correlation between the initial zBMI of the children and the difference with the zBMI at the end of the intervention (rP = -0.39, p <0.0001). The mean difference of zBMI of the overweight children in IG between the beginning and the end of the study period was negative (-0.46 z score), indicating weight reduction, while the children in the CG was positive (+0. 17 z score) (p = 0.0037). Conclusion: intervention in diet and physical activity in overweight preschool children in daycare centers could have a favorable impact on the evolution of their nutritional state.
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spelling Preschool children and excess weight: the impact of a low complexity intervention in public day care centersPré-escolares e excesso de peso: impacto de uma intervenção de baixa complexidade em creches públicasIntroduction: childhood obesity is a major public health problem, affecting children even at early ages. Objective: to assess the impact of dietary intervention and relatively simple physical activity on the nutritional state of preschoolers. Method: this was an intervention study in public daycare centers targeting children from 2 to 4 years of age, in the State of São Paulo. The sample consisted of 9 daycare centers covering 578 children, with 264 children in the intervention group (IG) and 314 in the comparison group (CG). Intervention was focused on modifications in diet and physical activity, avoiding overloading the routine of daycare centers, for duration of one year. A zBMI score > 1 (zBMI) and < 2 was considered risk of being overweight, and > 2 zBMI was considered excess weight (overweight and obese). Analysis was done by frequency calculations, comparisons of proportions by χ2, mean comparisons by t-student and calculations according to Pearson’s correlation coefficient. Results: IG showed an inverse correlation between the initial zBMI of the children and the difference with the zBMI at the end of the intervention (rP = -0.39, p <0.0001). The mean difference of zBMI of the overweight children in IG between the beginning and the end of the study period was negative (-0.46 z score), indicating weight reduction, while the children in the CG was positive (+0. 17 z score) (p = 0.0037). Conclusion: intervention in diet and physical activity in overweight preschool children in daycare centers could have a favorable impact on the evolution of their nutritional state.Introdução: obesidade infantil é importante problema de saúde pública, afetando inclusive crianças muito precocemente. Objetivo: avaliar o impacto de uma intervenção alimentar e de atividade física relativamente simples no estado nutricional de pré-escolares. Método: estudo de intervenção em creches públicas visando as crianças de 2 a 4 anos incompletos de idade, no Estado de São Paulo. A amostra foi de 9 creches abarcando 578 crianças, sendo 264 crianças no grupo intervenção (GI) e 314 no grupo comparação (GC). A intervenção foi voltada para modificações na alimentação e na atividade física, evitando sobrecarregar a rotina das creches, com duração de um ano. Considerouse um escore z de IMC > 1 (zIMC) e < 2 como risco de sobrepeso, e zIMC > 2 como excesso de peso(sobrepeso e obesidade). A análise foi por cálculos de frequências, comparações de proporções pelo χ2, comparações de médias pelo t de Student e cálculo dos coeficientes de correlação de Pearson. Resultados: o GI mostrou correlação inversa entre o zIMC inicial das crianças e a diferença deste com o zIMC ao final da intervenção (rP= -0,39; p<0,0001). A média das diferenças do zIMC das crianças com excesso de peso do GI entre o início e o final do período de estudo foi negativa (-0,46 escore z), indicando redução de peso, enquanto nas crianças do GC foi positiva (+0,17 escore z), (p = 0,0037). Conclusão: intervenção na alimentação e nas atividades físicas de pré-escolares com excesso de peso em creches pode ter impacto favorável na evolução de seu estado nutricional.Universidade Estadual Paulista Júlio de Mesquita Filho, Departamento de Fonoaudiologia, Faculdade de Filosofia e Ciências - Campus de Marília, Marilia, Av. Higino Muzzi Filho, 737, Campus Universitário, CEP 17525-900, SP, BrasilUniversidade de São Paulo (USP)Universidade de TaubatéUniversidade Estadual Paulista (Unesp)Nascimento, Viviane GabrielaSilva, Janaína Paula Costa daMachado, Thais CostaBertoli, Ciro JoãoValenti, Vitor Engrácia [UNESP]Leone, Claudio2015-02-24T13:57:20Z2015-02-24T13:57:20Z2013info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article290-295application/pdfhttp://www.revistas.usp.br/jhgd/article/view/69503Revista Brasileira de Crescimento e Desenvolvimento Humano, v. 23, n. 3, p. 290-295, 2013.0104-1282http://hdl.handle.net/11449/114667ISSN0104-1282-2013-23-03-290-295.pdf133063736472779044921292272446558456421836597174Currículo Lattesreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengRevista Brasileira de Crescimento e Desenvolvimento Humano0,229info:eu-repo/semantics/openAccess2024-08-09T17:39:14Zoai:repositorio.unesp.br:11449/114667Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-09T17:39:14Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Preschool children and excess weight: the impact of a low complexity intervention in public day care centers
Pré-escolares e excesso de peso: impacto de uma intervenção de baixa complexidade em creches públicas
title Preschool children and excess weight: the impact of a low complexity intervention in public day care centers
spellingShingle Preschool children and excess weight: the impact of a low complexity intervention in public day care centers
Nascimento, Viviane Gabriela
title_short Preschool children and excess weight: the impact of a low complexity intervention in public day care centers
title_full Preschool children and excess weight: the impact of a low complexity intervention in public day care centers
title_fullStr Preschool children and excess weight: the impact of a low complexity intervention in public day care centers
title_full_unstemmed Preschool children and excess weight: the impact of a low complexity intervention in public day care centers
title_sort Preschool children and excess weight: the impact of a low complexity intervention in public day care centers
author Nascimento, Viviane Gabriela
author_facet Nascimento, Viviane Gabriela
Silva, Janaína Paula Costa da
Machado, Thais Costa
Bertoli, Ciro João
Valenti, Vitor Engrácia [UNESP]
Leone, Claudio
author_role author
author2 Silva, Janaína Paula Costa da
Machado, Thais Costa
Bertoli, Ciro João
Valenti, Vitor Engrácia [UNESP]
Leone, Claudio
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade de São Paulo (USP)
Universidade de Taubaté
Universidade Estadual Paulista (Unesp)
dc.contributor.author.fl_str_mv Nascimento, Viviane Gabriela
Silva, Janaína Paula Costa da
Machado, Thais Costa
Bertoli, Ciro João
Valenti, Vitor Engrácia [UNESP]
Leone, Claudio
description Introduction: childhood obesity is a major public health problem, affecting children even at early ages. Objective: to assess the impact of dietary intervention and relatively simple physical activity on the nutritional state of preschoolers. Method: this was an intervention study in public daycare centers targeting children from 2 to 4 years of age, in the State of São Paulo. The sample consisted of 9 daycare centers covering 578 children, with 264 children in the intervention group (IG) and 314 in the comparison group (CG). Intervention was focused on modifications in diet and physical activity, avoiding overloading the routine of daycare centers, for duration of one year. A zBMI score > 1 (zBMI) and < 2 was considered risk of being overweight, and > 2 zBMI was considered excess weight (overweight and obese). Analysis was done by frequency calculations, comparisons of proportions by χ2, mean comparisons by t-student and calculations according to Pearson’s correlation coefficient. Results: IG showed an inverse correlation between the initial zBMI of the children and the difference with the zBMI at the end of the intervention (rP = -0.39, p <0.0001). The mean difference of zBMI of the overweight children in IG between the beginning and the end of the study period was negative (-0.46 z score), indicating weight reduction, while the children in the CG was positive (+0. 17 z score) (p = 0.0037). Conclusion: intervention in diet and physical activity in overweight preschool children in daycare centers could have a favorable impact on the evolution of their nutritional state.
publishDate 2013
dc.date.none.fl_str_mv 2013
2015-02-24T13:57:20Z
2015-02-24T13:57:20Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://www.revistas.usp.br/jhgd/article/view/69503
Revista Brasileira de Crescimento e Desenvolvimento Humano, v. 23, n. 3, p. 290-295, 2013.
0104-1282
http://hdl.handle.net/11449/114667
ISSN0104-1282-2013-23-03-290-295.pdf
1330637364727790
4492129227244655
8456421836597174
url http://www.revistas.usp.br/jhgd/article/view/69503
http://hdl.handle.net/11449/114667
identifier_str_mv Revista Brasileira de Crescimento e Desenvolvimento Humano, v. 23, n. 3, p. 290-295, 2013.
0104-1282
ISSN0104-1282-2013-23-03-290-295.pdf
1330637364727790
4492129227244655
8456421836597174
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Revista Brasileira de Crescimento e Desenvolvimento Humano
0,229
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 290-295
application/pdf
dc.source.none.fl_str_mv Currículo Lattes
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
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