Estado nutricional e qualidade de vida de escolares de 7 a 10 anos de idade de municípios da Região Metropolitana de Campinas / Nutritional status and quality of life for students aged 7 to 10 years old of cities in the Metropolitan Region of Campinas

AUTOR(ES)
FONTE

IBICT - Instituto Brasileiro de Informação em Ciência e Tecnologia

DATA DE PUBLICAÇÃO

27/10/2011

RESUMO

The aim was to investigate nutritional status (NS) and quality of life (QOL) of students in municipal elementary schools (MES) of cities with different socio-economic characteristics of the Metropolitan Region of Campinas. We have studied 1162 boys and 1104 girls enrolled in MES from 1st to 4th grades, from Artur Nogueira (SP) and Vinhedo (SP). The search was done on a data basis for description of the demographic and socio-economic conditions of the cities. There were investigated family income (FI) and maternal education (ME) with a specific questionnaire; there were measured weight, height and body composition (BC) - lean body mass, fat mass and body fat percentage (% BF) with bio-electrical impedance analysis; using the questionnaire "Autoquestionnaire Qualité de Vie Enfant Image" (AUQEI), translated and validated to Brazil was evaluated the QOL of Nogueirenses students. The classification criteria used were established by the World Health Organization (WHO) and Nutritional Surveillance System of the Ministry of Health of Brazil (SISVAN-MS). It was performed Chi-square tests, Fisher s exact and Mann-Whitney test with 95% confidence interval to compare sex, age, FI, ME and NS amongst cities; polytomous logistic regression of generalized logit, proportional odds for univariate and multiple verification of associations between FI, ME and NS and FI, ME and BC in the cities. To analyze the internal consistency of responses obtained with AUQEI it was used Cronbach s coefficient alpha; for the association between sex, age, FI, ME and NS with QOL it was used Mann-Whitney and Kruskal-Wallis test. As a result it was observed that 66,9% of the students mothers of Artur Nogueira and 51,1% of those from Vinhedo had at most elementary schools degree and 20.9% of the families of Artur Nogueira and 8.9% of the ones in Vinhedo lived up to one minimum wage. Both municipalities have prevalence of less than 3% rates of low weight , 13.2% of overweight in Artur Nogueira and 18.6% in Vinhedo and obesity in 10.9% and 14.5% respectively, higher than the appropriate values. The prevalence of children with high levels of fat (% BF>30% for girls and>25% for boys) was 18.9% among boys in Vinhedo and 15.9% in Artur Nogueira, 12.5% between girls in Vinhedo and 8.3% among the ones in Artur Nogueira. There was a positive association between FI and overweight and high %BF and no association between ME and overweight and % BF in both municipalities. Boys were more likely to be obese, with high% BF. The chance of obesity and children have high% BF increased with age and FI. QOL was associated with positive FI and age. The NS observed was characteristic of emerging obesity and high levels of adiposity associated with increasing FI, not associated with overall QOL and ME; this does not provide protection for populations of different features of socio-economic development, leading to the need to adopt health promotion actions in the schools at the municipal and regional level, considering the demographic and socio-economic characteristics

ASSUNTO(S)

estado nutricional qualidade de vida crianças escolares - aspectos sócio-econômicos composição corporal quality of life children schoolchildren body composition nutritional status

ACESSO AO ARTIGO

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