Post-Graduate Program in Physical Education, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil.
Eur J Pediatr. 2011 Dec;170(12):1541-50. doi: 10.1007/s00431-011-1460-3. Epub 2011 Apr 19.
The aim of this study was to associate the epidemiology of whole body, peripheral, and central adiposity with sociodemographic characteristics, health-related behaviors, and biological maturation of adolescents from a Brazilian state capital. A cross-sectional school-based study was conducted in Florianopolis, Santa Catarina, Brazil with 818 adolescents aged 14 to 18 years, and 61.8% female. The peripheral adiposity was assessed by the triceps skinfold thickness and the central adiposity by the subscapular skinfold thickness, using cutoff greater than or equal to percentile 90 of the Centers for Disease Control and Prevention reference curve. Adolescents with high whole body adiposity were those showing skinfold thickness values above the reference percentile. Logistic regression analysis was applied using multivariable model. The prevalence of high whole body, peripheral, and central adiposity was 8.0%, 8.7%, and 10.3% for boys and 3.8%, 6.3%, and 11.1% for girls, respectively. Factors associated with this outcome in boys were overweight/obesity and low aerobic fitness (p < 0.05). Besides these factors, girls were also associated with excessive body fat, low paternal schooling, and puberty status (p < 0.05). Physical activity, sedentary behavior, and eating habits were not associated with this outcome. It was concluded that the main predictors of high body adiposity were overweight and low aerobic fitness in both sexes and low parental schooling and puberty status in females.
本研究旨在探讨巴西某首府青少年全身、外周和中心肥胖的流行病学与社会人口学特征、健康相关行为和生物成熟度之间的关系。这是一项在巴西圣卡塔琳娜州弗洛里亚诺波利斯市进行的横断面学校基础研究，共纳入 818 名 14 至 18 岁青少年，其中 61.8%为女性。外周肥胖通过肱三头肌皮褶厚度评估，中心肥胖通过肩胛下皮褶厚度评估，采用美国疾病控制与预防中心参考曲线第 90 百分位以上的切点值。全身肥胖程度高的青少年是指皮肤褶皱厚度值高于参考百分位的青少年。采用多变量模型进行逻辑回归分析。男生全身肥胖、外周肥胖和中心肥胖的患病率分别为 8.0%、8.7%和 10.3%，女生分别为 3.8%、6.3%和 11.1%。与男生肥胖相关的因素有超重/肥胖和低有氧适能（p<0.05）。除了这些因素，女孩还与体脂过多、父亲受教育程度低和青春期状态有关（p<0.05）。身体活动、久坐行为和饮食习惯与该结果无关。综上所述，无论男女，超重和低有氧适能都是全身肥胖的主要预测因素，而女性的低父母受教育程度和青春期状态也是肥胖的主要预测因素。
