Universidade Federal de Pernambuco, Recife, PE, Brazil.
Universidade Federal de Pernambuco, Vitória de Santo Antão, PE, Brazil.
Rev Paul Pediatr. 2021 Jan 11;39:e2019380. doi: 10.1590/1984-0462/2021/39/2019380. eCollection 2021.
To verify the association of anthropometric parameters at birth, socioeconomic and biological variables, physical activity, and parental nutritional status with overweight and abdominal obesity in adolescents.
A cross-sectional study was carried out on 39 public and private schools in Recife (state of Pernambuco, Brazil). The sample consisted of 1,081 teenagers aged from 12 to 17 years. Data were collected from the Study of Cardiovascular Risks in Adolescents (ERICA). Body mass index according to age (BMI-for-age), waist circumference (WC), and waist-to-height ratio (WtHR) were considered as outcome variables, whereas the explanatory variables were birth weight, Röhrer's Ponderal Index (RPI), biological and socioeconomic variables, physical activity, and parental nutritional status. The crude and adjusted prevalence ratios (PR) for the studied association were estimated by Poisson Regression.
The multivariate Poisson regression showed that the variable that remained significantly associated with overweight in adolescence was maternal overweight, PR=1.86 (95% confidence interval [95%CI] 1.09-3.17). High birth weight also remained significantly associated with abdominal obesity assessed by WC, PR=3.25 (95%CI 1.0-9.74).
High birth weight may be a marker for abdominal obesity in adolescence; and high maternal BMI, for overweight.
验证出生时的人体测量参数、社会经济和生物学变量、体力活动以及父母营养状况与青少年超重和腹型肥胖的相关性。
这是一项在累西腓（巴西伯南布哥州）的 39 所公立和私立学校进行的横断面研究。该样本由 1081 名年龄在 12 至 17 岁的青少年组成。数据来自青少年心血管风险研究（ERICA）。体重指数（BMI）、腰围（WC）和腰高比（WtHR）被视为因变量，而出生体重、Röhrer 体质量指数（RPI）、生物学和社会经济变量、体力活动以及父母营养状况则被视为解释变量。采用泊松回归估计研究相关性的粗患病率比（PR）和调整后患病率比（PR）。
多变量泊松回归显示，与青少年超重相关的变量是母亲超重，PR=1.86（95%置信区间[95%CI] 1.09-3.17）。高出生体重也与 WC 评估的腹型肥胖显著相关，PR=3.25（95%CI 1.0-9.74）。
高出生体重可能是青少年腹型肥胖的一个标志物；而母亲 BMI 高则是超重的一个标志物。
