Correlates of Overweight in Children and Adolescents Living at Different Altitudes: The Peruvian Health and Optimist Growth Study
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 livin...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2019/2631713 |
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| author | Carla Santos Alcibíades Bustamante Donald Hedeker Olga Vasconcelos Rui Garganta Peter T. Katzmarzyk José Maia |
| author_facet | Carla Santos Alcibíades Bustamante Donald Hedeker Olga Vasconcelos Rui Garganta Peter T. Katzmarzyk José Maia |
| author_sort | Carla Santos |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-2f16ced072a244459e7b208314ab1878 |
| institution | OA Journals |
| issn | 2090-0708 2090-0716 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj-art-2f16ced072a244459e7b208314ab18782025-08-20T02:08:11ZengWileyJournal of Obesity2090-07082090-07162019-01-01201910.1155/2019/26317132631713Correlates of Overweight in Children and Adolescents Living at Different Altitudes: The Peruvian Health and Optimist Growth StudyCarla Santos0Alcibíades Bustamante1Donald Hedeker2Olga Vasconcelos3Rui Garganta4Peter T. Katzmarzyk5José Maia6CIFI2 D, Faculty of Sport, University of Porto, Porto, PortugalFaculty of Physical Culture and Sports, National University of Education Enrique Guzmán y Valle, Lima, PeruDepartment of Public Health Sciences, University of Chicago, Chicago, IL, USACIFI2 D, Faculty of Sport, University of Porto, Porto, PortugalCIFI2 D, Faculty of Sport, University of Porto, Porto, PortugalPennington Biomedical Research Center, Louisiana State University, Baton Rouge, LA, USACIFI2 D, Faculty of Sport, University of Porto, Porto, PortugalBackground 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.http://dx.doi.org/10.1155/2019/2631713 |
| spellingShingle | Carla Santos Alcibíades Bustamante Donald Hedeker Olga Vasconcelos Rui Garganta Peter T. Katzmarzyk José Maia Correlates of Overweight in Children and Adolescents Living at Different Altitudes: The Peruvian Health and Optimist Growth Study Journal of Obesity |
| title | Correlates of Overweight in Children and Adolescents Living at Different Altitudes: The Peruvian Health and Optimist Growth Study |
| title_full | Correlates of Overweight in Children and Adolescents Living at Different Altitudes: The Peruvian Health and Optimist Growth Study |
| title_fullStr | Correlates of Overweight in Children and Adolescents Living at Different Altitudes: The Peruvian Health and Optimist Growth Study |
| title_full_unstemmed | Correlates of Overweight in Children and Adolescents Living at Different Altitudes: The Peruvian Health and Optimist Growth Study |
| title_short | Correlates of Overweight in Children and Adolescents Living at Different Altitudes: The Peruvian Health and Optimist Growth Study |
| title_sort | correlates of overweight in children and adolescents living at different altitudes the peruvian health and optimist growth study |
| url | http://dx.doi.org/10.1155/2019/2631713 |
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