Multilevel analysis of factors that influence overweight in children: research in schools enrolled in northern Brazil School Health Program
Abstract Background The study evaluates children in schools that participate in the School Health Program in the Northern region of Brazil with the objective of assessing whether their schools interfered in the development of overweight/obesity and how individual and school environment variables beh...
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| Format: | Article |
| Language: | English |
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BMC
2020-04-01
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| Series: | BMC Pediatrics |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12887-020-02096-8 |
| _version_ | 1818513499151663104 |
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| author | Renata Andrade de Medeiros Moreira Tiago Ricardo Moreira Glauce Dias da Costa Luiza Carla Vidigal Castro Rosângela Minardi Mitre Cotta |
| author_facet | Renata Andrade de Medeiros Moreira Tiago Ricardo Moreira Glauce Dias da Costa Luiza Carla Vidigal Castro Rosângela Minardi Mitre Cotta |
| author_sort | Renata Andrade de Medeiros Moreira |
| collection | DOAJ |
| description | Abstract Background The study evaluates children in schools that participate in the School Health Program in the Northern region of Brazil with the objective of assessing whether their schools interfered in the development of overweight/obesity and how individual and school environment variables behave according to contextual analysis. Methods The analyses were carried out with 1036 children from 25 municipal public schools in Northern Brazil that participated in the School Health Program. We evaluated both individual characteristics and scholar environment through univariate and multivariate logistic regressions to identify which of these factors were related to overweight/obesity as well as the effect of varying such associations. Results The considered individuals had an median age of 8 years, being 54.9% female and 27.8% presenting overweight/obesity. In multivariate logistic regression, the overweight/obesity variance in schools was 0.386 (individual variables) and 0.102 (individual and school variables), explaining 23.7% of the variation, reduction of ICC and MOR. The Akaike Information Criterion between the models was reduced and the likelihood ratio indicated better adequacy of the latter model. The investigated children had a greater chance of developing overweight/obesity when they performed 2+ sedentary activities/day, depending on school location as well as whether or not candies were sold in the school surroundings. On the other hand, a lower chance of developing overweight/obesity was identified in children that ate 5+ meals/day and practiced dance at school. Conclusion We observed that the variables inherent to both individuals and schools favored the development of overweight/obesity in children. It is relevant that scholar curriculums incorporate healthy eating interventions and encourage body practices associated with policies that restrain the sale of ultra-processed food in schools as well as the development of intersectoral actions between education and health to control childhood obesity. |
| first_indexed | 2024-12-11T00:02:18Z |
| format | Article |
| id | doaj.art-895a7d96498545c4b78e7159b6456c4f |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-12-11T00:02:18Z |
| publishDate | 2020-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-895a7d96498545c4b78e7159b6456c4f2022-12-22T01:28:26ZengBMCBMC Pediatrics1471-24312020-04-0120111710.1186/s12887-020-02096-8Multilevel analysis of factors that influence overweight in children: research in schools enrolled in northern Brazil School Health ProgramRenata Andrade de Medeiros Moreira0Tiago Ricardo Moreira1Glauce Dias da Costa2Luiza Carla Vidigal Castro3Rosângela Minardi Mitre Cotta4Curso de Nutrição, Câmpus de Palmas, Universidade Federal do TocantinsDepartamento de Medicina e Enfermagem, Universidade Federal de ViçosaDepartamento de Nutrição e Saúde, Universidade Federal de ViçosaDepartamento de Nutrição e Saúde, Universidade Federal de ViçosaDepartamento de Nutrição e Saúde, Universidade Federal de ViçosaAbstract Background The study evaluates children in schools that participate in the School Health Program in the Northern region of Brazil with the objective of assessing whether their schools interfered in the development of overweight/obesity and how individual and school environment variables behave according to contextual analysis. Methods The analyses were carried out with 1036 children from 25 municipal public schools in Northern Brazil that participated in the School Health Program. We evaluated both individual characteristics and scholar environment through univariate and multivariate logistic regressions to identify which of these factors were related to overweight/obesity as well as the effect of varying such associations. Results The considered individuals had an median age of 8 years, being 54.9% female and 27.8% presenting overweight/obesity. In multivariate logistic regression, the overweight/obesity variance in schools was 0.386 (individual variables) and 0.102 (individual and school variables), explaining 23.7% of the variation, reduction of ICC and MOR. The Akaike Information Criterion between the models was reduced and the likelihood ratio indicated better adequacy of the latter model. The investigated children had a greater chance of developing overweight/obesity when they performed 2+ sedentary activities/day, depending on school location as well as whether or not candies were sold in the school surroundings. On the other hand, a lower chance of developing overweight/obesity was identified in children that ate 5+ meals/day and practiced dance at school. Conclusion We observed that the variables inherent to both individuals and schools favored the development of overweight/obesity in children. It is relevant that scholar curriculums incorporate healthy eating interventions and encourage body practices associated with policies that restrain the sale of ultra-processed food in schools as well as the development of intersectoral actions between education and health to control childhood obesity.http://link.springer.com/article/10.1186/s12887-020-02096-8ObesityFood consumptionPhysical activitySchool surroundingsNutritional educationPublic health |
| spellingShingle | Renata Andrade de Medeiros Moreira Tiago Ricardo Moreira Glauce Dias da Costa Luiza Carla Vidigal Castro Rosângela Minardi Mitre Cotta Multilevel analysis of factors that influence overweight in children: research in schools enrolled in northern Brazil School Health Program BMC Pediatrics Obesity Food consumption Physical activity School surroundings Nutritional education Public health |
| title | Multilevel analysis of factors that influence overweight in children: research in schools enrolled in northern Brazil School Health Program |
| title_full | Multilevel analysis of factors that influence overweight in children: research in schools enrolled in northern Brazil School Health Program |
| title_fullStr | Multilevel analysis of factors that influence overweight in children: research in schools enrolled in northern Brazil School Health Program |
| title_full_unstemmed | Multilevel analysis of factors that influence overweight in children: research in schools enrolled in northern Brazil School Health Program |
| title_short | Multilevel analysis of factors that influence overweight in children: research in schools enrolled in northern Brazil School Health Program |
| title_sort | multilevel analysis of factors that influence overweight in children research in schools enrolled in northern brazil school health program |
| topic | Obesity Food consumption Physical activity School surroundings Nutritional education Public health |
| url | http://link.springer.com/article/10.1186/s12887-020-02096-8 |
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