Time trends (1992-2005) in undernutrition and obesity among children under five years of age in Alagoas State, Brazil

The aim of this study was to describe time trends in stunting and obesity in children under five years of age in Alagoas State, Brazil. Two surveys were conducted with representative samples, the first in 1992 (n = 1,228) and the second in 2005 (n = 1,384). Stunting was defined as height-for-age <...

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Main Authors: Haroldo da Silva Ferreira, Juraci Almeida Cesar, Monica Lopes de Assunção, Bernardo Lessa Horta
Format: Article
Language:English
Published: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz 2013-04-01
Series:Cadernos de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2013000400016&tlng=en
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author Haroldo da Silva Ferreira
Juraci Almeida Cesar
Monica Lopes de Assunção
Bernardo Lessa Horta
author_facet Haroldo da Silva Ferreira
Juraci Almeida Cesar
Monica Lopes de Assunção
Bernardo Lessa Horta
author_sort Haroldo da Silva Ferreira
collection DOAJ
description The aim of this study was to describe time trends in stunting and obesity in children under five years of age in Alagoas State, Brazil. Two surveys were conducted with representative samples, the first in 1992 (n = 1,228) and the second in 2005 (n = 1,384). Stunting was defined as height-for-age < -2 standard deviations and obesity as weight-for-height > 2 standard deviations. Prevalence of stunting decreased from 22.5% to 11.4% (PR = 0.50; 95%CI: 0.42; 0.60), while obesity increased from 6.7% to 9.3% (PR = 1.36; 95%CI: 1.04; 1.77). During the same period there was a decrease (p ≤ 0.05) in the proportions of the following variables: rural residence, households without running water, households with more than four members, mothers with more than two children, low birth weight, and mother's lack of access to prenatal care. Adjustment for these variables significantly reduced the magnitude of associations, and the 95% confidence included 1.0, suggesting that changes in the prevalence of stunting and obesity were mediated by these characteristics. During the period, there was a striking reduction in the prevalence of stunting and an increase in the frequency of obesity.
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spelling doaj.art-9662f5b9e500482fb6710c6264f581bb2022-12-21T19:29:01ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642013-04-0129479380010.1590/S0102-311X2013000400016Time trends (1992-2005) in undernutrition and obesity among children under five years of age in Alagoas State, BrazilHaroldo da Silva Ferreira0Juraci Almeida Cesar1Monica Lopes de Assunção2Bernardo Lessa Horta3Universidade Federal de AlagoasUniversidade Federal de PelotasUniversidade Federal de AlagoasUniversidade Federal de PelotasThe aim of this study was to describe time trends in stunting and obesity in children under five years of age in Alagoas State, Brazil. Two surveys were conducted with representative samples, the first in 1992 (n = 1,228) and the second in 2005 (n = 1,384). Stunting was defined as height-for-age < -2 standard deviations and obesity as weight-for-height > 2 standard deviations. Prevalence of stunting decreased from 22.5% to 11.4% (PR = 0.50; 95%CI: 0.42; 0.60), while obesity increased from 6.7% to 9.3% (PR = 1.36; 95%CI: 1.04; 1.77). During the same period there was a decrease (p ≤ 0.05) in the proportions of the following variables: rural residence, households without running water, households with more than four members, mothers with more than two children, low birth weight, and mother's lack of access to prenatal care. Adjustment for these variables significantly reduced the magnitude of associations, and the 95% confidence included 1.0, suggesting that changes in the prevalence of stunting and obesity were mediated by these characteristics. During the period, there was a striking reduction in the prevalence of stunting and an increase in the frequency of obesity.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2013000400016&tlng=enProtein-Energy MalnutritionNutrition SurveysPreschool Child
spellingShingle Haroldo da Silva Ferreira
Juraci Almeida Cesar
Monica Lopes de Assunção
Bernardo Lessa Horta
Time trends (1992-2005) in undernutrition and obesity among children under five years of age in Alagoas State, Brazil
Cadernos de Saúde Pública
Protein-Energy Malnutrition
Nutrition Surveys
Preschool Child
title Time trends (1992-2005) in undernutrition and obesity among children under five years of age in Alagoas State, Brazil
title_full Time trends (1992-2005) in undernutrition and obesity among children under five years of age in Alagoas State, Brazil
title_fullStr Time trends (1992-2005) in undernutrition and obesity among children under five years of age in Alagoas State, Brazil
title_full_unstemmed Time trends (1992-2005) in undernutrition and obesity among children under five years of age in Alagoas State, Brazil
title_short Time trends (1992-2005) in undernutrition and obesity among children under five years of age in Alagoas State, Brazil
title_sort time trends 1992 2005 in undernutrition and obesity among children under five years of age in alagoas state brazil
topic Protein-Energy Malnutrition
Nutrition Surveys
Preschool Child
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2013000400016&tlng=en
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