PRE- AND PERINATAL FACTORS ASSOCIATED WITH WEIGHT GAIN AMONG PRESCHOOL CHILDREN ENROLLED AT DAY CARE CENTERS
ABSTRACT Objective: To identify the factors associated with excessive weight gain in preschool children enrolled at daycare centers in a capital of the Northeast region of Brazil. Methods: It was a cross-sectional study conducted at the five daycare centers located in the city’s district of most s...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Sociedade de Pediatria de São Paulo
2020-01-01
|
| Series: | Revista Paulista de Pediatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822020000100421&tlng=en |
| _version_ | 1811273345788805120 |
|---|---|
| author | Nykholle Bezerra Almeida Rísia Cristina Egito de Menezes Kariny dos Santos Sobral Jaqueline Fernandes Gomes Giovana Longo-Silva Jonas Augusto Cardoso da Silveira |
| author_facet | Nykholle Bezerra Almeida Rísia Cristina Egito de Menezes Kariny dos Santos Sobral Jaqueline Fernandes Gomes Giovana Longo-Silva Jonas Augusto Cardoso da Silveira |
| author_sort | Nykholle Bezerra Almeida |
| collection | DOAJ |
| description | ABSTRACT Objective: To identify the factors associated with excessive weight gain in preschool children enrolled at daycare centers in a capital of the Northeast region of Brazil. Methods: It was a cross-sectional study conducted at the five daycare centers located in the city’s district of most socioeconomic vulnerability. The study included 326 preschool children (17 to 63 months old) from both genders. The dependent variable was the conditional weight gain (CWG), that represents how much a child, according to their gender, deviated from their peers in relation to the expected weight gain, given sample’s birthweight, gender, and age at the survey. Univariate tests (t-test and analysis of variance) were used to compare CWG means according to environmental and biological factors, considering the independent variables with p<0.20 as electable for the multiple linear regression model. In the final model, variables with p<0.05 or that contributed to the model adjustment were kept. Results: Children’s mean age was 45.4±9.9 months, and 53.4% of the sample consisted of boys. The prevalence of overweight was 7%. In the multivariable linear regression model, it was possible to identify that the following factors were associated with excessive weight gain among preschool children: less than six prenatal care visits (0.36 SD [95%CI 0.13–0.60]), not rooming-in in the postpartum period (0.30 SD [95%CI 0.03–0.58]), and never breastfed (0.44 SD [95%CI 0.06–0.81]). Conclusions: Inadequate prenatal (appointments) and perinatal care (mother-infant rooming-in and absence of breastfeeding) were associated with excessive weight gain among low-income preschool children. |
| first_indexed | 2024-04-12T22:57:28Z |
| format | Article |
| id | doaj.art-020676757cfa42a59b16e3dfd240dd41 |
| institution | Directory Open Access Journal |
| issn | 1984-0462 |
| language | English |
| last_indexed | 2024-04-12T22:57:28Z |
| publishDate | 2020-01-01 |
| publisher | Sociedade de Pediatria de São Paulo |
| record_format | Article |
| series | Revista Paulista de Pediatria |
| spelling | doaj.art-020676757cfa42a59b16e3dfd240dd412022-12-22T03:13:08ZengSociedade de Pediatria de São PauloRevista Paulista de Pediatria1984-04622020-01-013810.1590/1984-0462/2020/38/2019060PRE- AND PERINATAL FACTORS ASSOCIATED WITH WEIGHT GAIN AMONG PRESCHOOL CHILDREN ENROLLED AT DAY CARE CENTERSNykholle Bezerra Almeidahttps://orcid.org/0000-0002-8536-3972Rísia Cristina Egito de Menezeshttps://orcid.org/0000-0003-1568-2836Kariny dos Santos Sobralhttps://orcid.org/0000-0002-7933-7962Jaqueline Fernandes Gomeshttps://orcid.org/0000-0002-0139-6065Giovana Longo-Silvahttps://orcid.org/0000-0003-0776-0638Jonas Augusto Cardoso da Silveirahttps://orcid.org/0000-0003-3838-6212ABSTRACT Objective: To identify the factors associated with excessive weight gain in preschool children enrolled at daycare centers in a capital of the Northeast region of Brazil. Methods: It was a cross-sectional study conducted at the five daycare centers located in the city’s district of most socioeconomic vulnerability. The study included 326 preschool children (17 to 63 months old) from both genders. The dependent variable was the conditional weight gain (CWG), that represents how much a child, according to their gender, deviated from their peers in relation to the expected weight gain, given sample’s birthweight, gender, and age at the survey. Univariate tests (t-test and analysis of variance) were used to compare CWG means according to environmental and biological factors, considering the independent variables with p<0.20 as electable for the multiple linear regression model. In the final model, variables with p<0.05 or that contributed to the model adjustment were kept. Results: Children’s mean age was 45.4±9.9 months, and 53.4% of the sample consisted of boys. The prevalence of overweight was 7%. In the multivariable linear regression model, it was possible to identify that the following factors were associated with excessive weight gain among preschool children: less than six prenatal care visits (0.36 SD [95%CI 0.13–0.60]), not rooming-in in the postpartum period (0.30 SD [95%CI 0.03–0.58]), and never breastfed (0.44 SD [95%CI 0.06–0.81]). Conclusions: Inadequate prenatal (appointments) and perinatal care (mother-infant rooming-in and absence of breastfeeding) were associated with excessive weight gain among low-income preschool children.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822020000100421&tlng=enChild, preschoolWeight gainObesityChild day care centersPrenatal careBreast feeding |
| spellingShingle | Nykholle Bezerra Almeida Rísia Cristina Egito de Menezes Kariny dos Santos Sobral Jaqueline Fernandes Gomes Giovana Longo-Silva Jonas Augusto Cardoso da Silveira PRE- AND PERINATAL FACTORS ASSOCIATED WITH WEIGHT GAIN AMONG PRESCHOOL CHILDREN ENROLLED AT DAY CARE CENTERS Revista Paulista de Pediatria Child, preschool Weight gain Obesity Child day care centers Prenatal care Breast feeding |
| title | PRE- AND PERINATAL FACTORS ASSOCIATED WITH WEIGHT GAIN AMONG PRESCHOOL CHILDREN ENROLLED AT DAY CARE CENTERS |
| title_full | PRE- AND PERINATAL FACTORS ASSOCIATED WITH WEIGHT GAIN AMONG PRESCHOOL CHILDREN ENROLLED AT DAY CARE CENTERS |
| title_fullStr | PRE- AND PERINATAL FACTORS ASSOCIATED WITH WEIGHT GAIN AMONG PRESCHOOL CHILDREN ENROLLED AT DAY CARE CENTERS |
| title_full_unstemmed | PRE- AND PERINATAL FACTORS ASSOCIATED WITH WEIGHT GAIN AMONG PRESCHOOL CHILDREN ENROLLED AT DAY CARE CENTERS |
| title_short | PRE- AND PERINATAL FACTORS ASSOCIATED WITH WEIGHT GAIN AMONG PRESCHOOL CHILDREN ENROLLED AT DAY CARE CENTERS |
| title_sort | pre and perinatal factors associated with weight gain among preschool children enrolled at day care centers |
| topic | Child, preschool Weight gain Obesity Child day care centers Prenatal care Breast feeding |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822020000100421&tlng=en |
| work_keys_str_mv | AT nykhollebezerraalmeida preandperinatalfactorsassociatedwithweightgainamongpreschoolchildrenenrolledatdaycarecenters AT risiacristinaegitodemenezes preandperinatalfactorsassociatedwithweightgainamongpreschoolchildrenenrolledatdaycarecenters AT karinydossantossobral preandperinatalfactorsassociatedwithweightgainamongpreschoolchildrenenrolledatdaycarecenters AT jaquelinefernandesgomes preandperinatalfactorsassociatedwithweightgainamongpreschoolchildrenenrolledatdaycarecenters AT giovanalongosilva preandperinatalfactorsassociatedwithweightgainamongpreschoolchildrenenrolledatdaycarecenters AT jonasaugustocardosodasilveira preandperinatalfactorsassociatedwithweightgainamongpreschoolchildrenenrolledatdaycarecenters |