Lourenço Ana Eliza Port, Coutinho Thácia de Araújo Amado, Monteiro Luana Silva, Botelho Laís Vargas, Pontes Priscila Vieira, Sperandio Naiara
Universidade Federal do Rio de Janeiro, Instituto de Alimentação e Nutrição, Macaé, RJ, Brazil.
Epidemiol Serv Saude. 2025 Aug 4;34:e20240386. doi: 10.1590/S2237-96222025v34e20240386.en. eCollection 2025.
To assess the nutritional status of preschool children in the public school system of Macaé, Rio de Janeiro, at two apart times, separated by an interval of five years.
This is a panel study conducted between 2012-2014 and 2017-2019, including five schools, located in regions with different socioeconomic conditions. The samples covered 15.0% of the total number of students in the public early childhood education network in Macaé. Indicators of height-for-age and body mass index for age were evaluated. Summary measurements of anthropometric variables were calculated, with stratification by sex and age group. For comparisons between groups and surveys, Student's t-test or Mann-Whitney and chi-square tests were used.
1,028 and 1,005 preschoolers were evaluated in each period. The average age was 55.3 and 54.7 months, with 50.6% and 51.6% being girls. Height deficit was identified in 1.9% and 2.1% of the children, with no significant difference by sex, age group or between surveys. The prevalence of obesity was 5.1% and 4.7% among those under 5 years old, and 10.1% and 11.0% among the oldest, also with no difference between the surveys.
At both moments of the panel, the prevalence of nutritional deficit was low, and of obesity, relatively high. Despite the context of crisis in the local economy, the frequency of anthropometric indicators did not deteriorate between the surveys. The implementation of educational actions in schools, guided by the Dietary Guidelines for the Brazilian Population, may have contributed to protecting children's health.
评估里约热内卢马卡埃公立学校系统中学龄前儿童在两个不同时间点(间隔五年)的营养状况。
这是一项在2012 - 2014年和2017 - 2019年期间进行的面板研究,包括位于不同社会经济条件地区的五所学校。样本覆盖了马卡埃公立幼儿教育网络中15.0%的学生总数。评估了年龄别身高和年龄别体重指数指标。计算了人体测量变量的汇总测量值,并按性别和年龄组进行分层。对于组间比较和调查,使用了学生t检验或曼 - 惠特尼检验以及卡方检验。
每个时期分别评估了1028名和1005名学龄前儿童。平均年龄分别为55.3个月和54.7个月,女孩分别占50.6%和51.6%。1.9%和2.1%的儿童被确定存在身高不足,在性别、年龄组或两次调查之间无显著差异。5岁以下儿童肥胖患病率分别为5.1%和4.7%,年龄较大儿童中肥胖患病率分别为10.1%和11.0%,两次调查之间也无差异。
在面板研究的两个时间点,营养缺乏患病率较低,而肥胖患病率相对较高。尽管当地经济处于危机背景下,但两次调查之间人体测量指标的频率并未恶化。以《巴西人口膳食指南》为指导在学校开展的教育行动可能有助于保护儿童健康。