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Correlates of Overweight in Children and Adolescents Living at Different Altitudes: The Peruvian Health and Optimist Growth Study.


ABSTRACT:

Background and aim

Overweight prevalence in children and adolescents shows great variability which is related to individual-level and environmental-level factors. The present study aimed to determine the prevalence of and factors associated with overweight in Peruvian children and adolescents living at different altitudes.

Methods

8568 subjects, aged 6-16?y, from the sea level, Amazon, and high-altitude regions were sampled. Overweight was identified using BMI; biological maturation and physical fitness were measured; school characteristics were assessed via an objective audit.

Results

Overweight prevalence decreased with age (28.3% at 6?y to 13.9% at 16?y); it was higher in girls (21.7%) than boys (19.8%) and was higher at the sea level (41.3%), compared with Amazon (18.8%) and high-altitude (6.3%) regions. Approximately 79% of the variance in overweight was explained by child-level characteristics. In Model 1, all child-level predictors were significant (p < 0.001); in Model 2, six out of nine added school-level predictors (number of students, existence of policies and practices for physical activity, multisports-roofed, duration of Physical Education classes, and extracurricular activities) were significant (p < 0.001); in Model 3, subjects living at high altitudes were less likely to be overweight than those living at the sea level.

Conclusions

Child- and school-level variables played important roles in explaining overweight variation. This information should be taken into account when designing more efficient strategies to combat the overweight and obesity epidemic.

SUBMITTER: Santos C 

PROVIDER: S-EPMC6701273 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Publications

Correlates of Overweight in Children and Adolescents Living at Different Altitudes: The Peruvian Health and Optimist Growth Study.

Santos Carla C   Bustamante Alcibíades A   Hedeker Donald D   Vasconcelos Olga O   Garganta Rui R   Katzmarzyk Peter T PT   Maia José J  

Journal of obesity 20190801


<h4>Background and aim</h4>Overweight prevalence in children and adolescents shows great variability which is related to individual-level and environmental-level factors. The present study aimed to determine the prevalence of and factors associated with overweight in Peruvian children and adolescents living at different altitudes.<h4>Methods</h4>8568 subjects, aged 6-16 y, from the sea level, Amazon, and high-altitude regions were sampled. Overweight was identified using BMI; biological maturati  ...[more]

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