Factores determinantes del exceso de peso en escolares: Un estudio multinivel

Background: Rates of obesity reach high levels in Chile, with geographic, social and school variations. Aim: To identify factors at two levels associated with excessive weight in school children: child-family characteristics and school-neighborhood. Material and methods: Using a cross-sectional and...

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Autores principales: Amigo,Hugo, Bustos,Patricia, Erazo,Marcia, Cumsille,Patricio, Silva,Claudio
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2007
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007001200002
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spelling oai:scielo:S0034-988720070012000022014-01-06Factores determinantes del exceso de peso en escolares: Un estudio multinivelAmigo,HugoBustos,PatriciaErazo,MarciaCumsille,PatricioSilva,Claudio Body mass index Child behavior Child, preschool Obesity Background: Rates of obesity reach high levels in Chile, with geographic, social and school variations. Aim: To identify factors at two levels associated with excessive weight in school children: child-family characteristics and school-neighborhood. Material and methods: Using a cross-sectional and multi-step design, seven counties with the highest prevalence of obesity were identified, and schools were randomly chosen from within the 1st, 3 and 5 quintiles of the school strata (same level of obesity prevalence). Within each school, twelve 2nd grade children were randomly chosen (n =42 schools and 504 students). Nutritional status, food intake, eating habits and physical activity were measured. Socio demographic, economic characteristics and nutritional status of the parents were assessed. Home size and facilities for children physical activities were assessed, as well as school infrastructure and management. Results: Most of the explained variance (97%) in the Body Mass Index (BMI) was due to individual-level factors: sedentary children behaviour (JS coefficient 1.6, standard error (SE) 0.052), maternal obesity (ß 0.94; SE 0.25), paternal obesity (ß 0.83; SE 0.28) and hours watching television (ß 0.789, SE 0.297). The same risk factors were predictive of obesity: child sedentary behaviours odds ratio (OR): 3-98, 95%) confidence interval (CI): 2.44-6.48, maternal obesity (OR 1.91, CI 1.21-3-02) and being woman (OR 1.75, CI 1.01-2.76). Conclusions: BMI and obesity are associated with children behaviour or biological and cultural conditions of their families and not with school characteristicsinfo:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.135 n.12 20072007-12-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007001200002es10.4067/S0034-98872007001200002
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Body mass index
Child behavior
Child, preschool
Obesity
spellingShingle Body mass index
Child behavior
Child, preschool
Obesity
Amigo,Hugo
Bustos,Patricia
Erazo,Marcia
Cumsille,Patricio
Silva,Claudio
Factores determinantes del exceso de peso en escolares: Un estudio multinivel
description Background: Rates of obesity reach high levels in Chile, with geographic, social and school variations. Aim: To identify factors at two levels associated with excessive weight in school children: child-family characteristics and school-neighborhood. Material and methods: Using a cross-sectional and multi-step design, seven counties with the highest prevalence of obesity were identified, and schools were randomly chosen from within the 1st, 3 and 5 quintiles of the school strata (same level of obesity prevalence). Within each school, twelve 2nd grade children were randomly chosen (n =42 schools and 504 students). Nutritional status, food intake, eating habits and physical activity were measured. Socio demographic, economic characteristics and nutritional status of the parents were assessed. Home size and facilities for children physical activities were assessed, as well as school infrastructure and management. Results: Most of the explained variance (97%) in the Body Mass Index (BMI) was due to individual-level factors: sedentary children behaviour (JS coefficient 1.6, standard error (SE) 0.052), maternal obesity (ß 0.94; SE 0.25), paternal obesity (ß 0.83; SE 0.28) and hours watching television (ß 0.789, SE 0.297). The same risk factors were predictive of obesity: child sedentary behaviours odds ratio (OR): 3-98, 95%) confidence interval (CI): 2.44-6.48, maternal obesity (OR 1.91, CI 1.21-3-02) and being woman (OR 1.75, CI 1.01-2.76). Conclusions: BMI and obesity are associated with children behaviour or biological and cultural conditions of their families and not with school characteristics
author Amigo,Hugo
Bustos,Patricia
Erazo,Marcia
Cumsille,Patricio
Silva,Claudio
author_facet Amigo,Hugo
Bustos,Patricia
Erazo,Marcia
Cumsille,Patricio
Silva,Claudio
author_sort Amigo,Hugo
title Factores determinantes del exceso de peso en escolares: Un estudio multinivel
title_short Factores determinantes del exceso de peso en escolares: Un estudio multinivel
title_full Factores determinantes del exceso de peso en escolares: Un estudio multinivel
title_fullStr Factores determinantes del exceso de peso en escolares: Un estudio multinivel
title_full_unstemmed Factores determinantes del exceso de peso en escolares: Un estudio multinivel
title_sort factores determinantes del exceso de peso en escolares: un estudio multinivel
publisher Sociedad Médica de Santiago
publishDate 2007
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872007001200002
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