2014, Number S1
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Rev Med Inst Mex Seguro Soc 2014; 52 (S1)
Model for predicting childhood obesity from diet and physical activity
Larrosa-Haro A, González-Pérez GJ, Vásquez-Garibay EM, Romero-Velarde E, Chávez-Palencia C, Salazar-Preciado LL, Lizárraga-Corona E
Language: Spanish
References: 30
Page: 18-25
PDF size: 202.01 Kb.
ABSTRACT
Background: If obesity results from the interaction of variables that
involve the subject and his environment, the alternatives to face the
problem could be very diverse. The objective of this study was to seek
for the best predictive model of childhood obesity from energy ingestion,
dietary habits and physical activity.
Methods: Case control study of 99 obese and 100 healthy weight children
(Center for Diseases Control criteria). Energy ingestion was estimated
by means of a 24-hour recall, dietary and physical activity habits
by validated questionnaires. A logistic regression analysis was made.
Results: Variables independently associated to obesity were higher
energy ingestion; lower frequency in mealtimes; having the afternoon
lunch outside home; higher frequency of consumption of fat, junk food
and sweetened beverages; lower time of moderate physical activity at
school and at home; and increased time for homework and watching
TV. The variables included in the regression model were energy intake;
frequency of ingestion of fat, junk foods and sweetened beverages; and
physical activity at home and at school.
Conclusion: The diversity of associated variables underlines the complexity
and multi-causal condition of obesity.
REFERENCES
American Academy of Pediatrics. Pediatric obesity. In: Kleinman RE, editor. Pediatric nutrition handbook. 5th ed. [Washington, D.C.]: American Academy of Pediatrics; 2004. p. 551-554.
Baker S, Barlow S, Cochran W, Fuchs G, Klish W, Krebs N, et al. Overweight in children and adolescents: a clinical report of the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. J Pediatr Gastroenterol Nutr. 2005;40(5):533-43.
Brockway JM. Derivation of formulae used to calculate energy expenditure in man. Hum Nutr Clin Nutr. 1983;41(6):463 -71.
Luke A, Schoeller DA. Basal metabolic rate, fat-free mass, and body cell mass during energy restriction. Metabolism. 1992;41(4):450-6.
Stubbs CO, Lee AJ. The obesity epidemic: both energy intake and physical activity contribute. Med J Aust. 2004;181(9):489-91.
Newby PK. Are dietary intakes and eating behaviors related to childhood obesity? A comprehensive review of the evidence. J Law Med Ethics. 2007;35(1):35-60.
Levine JA. Nonexercise activity thermogenesis--liberating the life-force. J Intern Med. 2007;262(3):273-87.
Goris AH, Westerterp KR. Physical activity, fat intake and body fat. Physiol Behav. 2008;94(2):164-8.
Popkin BM. Contemporary nutritional transition: determinants of diet and its impact on body composition. Proc Nutr Soc. 2011;70(1):82-91.
Heart and Stroke Foundation of Canada. Addressing obesity in Canada: a think thank on selected policy research priorities. Proceedings report. Toronto, Ontario: Heart and Stroke Foundation of Canada; 2005 Oct 6-7.
Gillis L, Gillis A. Nutrient inadequacy in obese and non-obese youth. Can J Diet Pract Res. 2005;66(4):237-42.
Grant AM, Ferguson EL, Toafa V, Henry TE, Guthrie BE. Dietary factors are not associated with high levels of obesity in New Zealand Pacifi c preschool children. J Nutr. 2004;134(10):2561-5.
Epstein LH, Paluch RA, Consalvi A, Riordan K, Scholl T. Effects of manipulating sedentary behavior on physical activity and food intake. J Pediatr. 2002;140(3):334-9.
Madrigal-Fritsch H, Martínez-Salgado H, editores. Manual de encuestas de dieta. Cuernavaca, Morelos: Instituto Nacional de Salud Pública; 1996.
World Health Organization. Food and Agriculture organization of the United Nations, United Nations University. Human energy requirements: Report of a Joint FAO/WHO/UNU Expert Consultation. Rome, Italy; 2001 Oct 17-24.
Álvarez-Rivero JC, Bourges-Rodríguez H, Casanueva E, Kaufer M, Morales de León J, Plazas M et al. Glosario de términos para la orientación alimentaria. Cuadernos de Nutrición. 2001;24(1):7-43.
Kuczmarski RJ, Ogden CL, Grummer-Strawn LM, Flegal KM, Guo SS, Wei R, et al. CDC growth charts: United States. Adv Data. 2000 Jun 8;(314):1-27.
Frisancho AR. Anthropometric standards for the assessment of growth and nutritional status. United States of America: The University of Michigan Press; 1993.
Macías-Rosales R, Vásquez-Garibay EM, Larrosa- Haro A, Rojo-Chávez M, Bernal-Virgen A, Romo- Rubio H. Secondary malnutrition and overweight in a pediatric referral hospital: associated factors. J Pediatr Gastroenterol Nutr. 2009;48(2):226-32.
Gutiérrez-Ruvalcaba CL, Vásquez-Garibay E, Romero- Velarde E, Troyo-Sanromán R, Cabrera-Pivaral C, Ramírez-Magaña O. Consumo de refrescos y riesgo de obesidad en adolescentes de Guadalajara. Bol Med Hosp Infant Mex. 2009;66:522-8
Kral TV, Berkowitz RI, Stunkard AJ, Stallings VA, Brown DD, Faith MS. Dietary energy density increases during early childhood irrespective of familiar predisposition to obesity: results from a prospective cohort study. Int J Obes. 2007;31(7):1061-7.
Johnson L, Mander AP, Jones LR, Emmet PM, Jebb, SA. Energy-dense, low-fi ber, high-fat dietary pattern is associated with increased fatness in childhood. Am J ClinNutr. 2008;87(4):846-54.
Villa I, Yngve A, Poortvliet E, Grjibovski A, Liiv K, Sjöström M, et al. Dietary intake among under- ,normal- and overweight 9- and 15-year-old Estonian and Swedish schoolchildren. Public Health Nutr. 2007;10(3):311-22.
ESPGHAN Committee on Nutrition, Agostoni C, Braegger C, Decsi T, Kolacek S, Koletzko B, et al. Role of dietary factors and food habits in the development of childhood obesity: a commentary by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr. 2011;52(6):662-9.
Armstrong T, Bull F. Development of the World Health Organization Global Physical Activity Questionnaire (GPAQ). J Public Health. 2006;14(2):66-70.
Johannsen DL, Ravussin, E. Spontaneous physical activity: relationship between fi dgeting and body weight control. Curr Opin Endocrinol Diabetes Obes. 2008;15(5):409-15.
Eisenmann JC. Insight into the causes of the recent secular trend in pediatric obesity: Common sense does not always prevail for complex, multi-factorial phenotypes. Prev Med. 2006;42(5):329-35.
Tremblay MS, Esliger DW, Copeland JL, Barnes JD, Bassett DR. Moving forward by looking back: lessons learned from long-lost lifestyles. Appl Physiol Nutr Metab. 2008;33(4):836-42.
Chaput JP, Lambert M, Mathieu ME, Tremblay MS, O’Loughlin J, Tremblay A. Physical activity vs. sedentary time: independent associations with adiposity in children. Pediatr Obes. 2012;7(3):251-8.
Kwon S, Burns TL, Levy SM, Janz KF. Which contributes more to childhood adiposity-high levels of sedentarism or low levels of moderate-throughvigorous physical activity? The Iowa Bone Development Study. J Pediatr. 2013;162(6):1169-74.