Prevalence and factors associated with nutritional deviations in women in the pre-pregnancy phase in two municipalities of the State of Rio de Janeiro, Brazil

OBJECTIVE: To assess the prevalence and potential factors associated with pre-pregnancy nutritional status of women. METHODS: This is a cross-sectional study carried out between December 2007 and November 2008 with 1,535 women in the first trimester of pregnancy and randomly selected in health units of the Brazilian public health system (SUS) in the municipalities of Queimados and Petrópolis in the State of Rio de Janeiro. The diagnosis of nutritional deviations was based on the Body Mass Index, according to the classification of the Institute of Medicine, and the following categories were obtained: underweight, normal weight, overweight and obesity. In the statistical analysis, the multinomial logistic regression model was used and an odds ratio and confidence interval of 95% were estimated. RESULTS: The sample included women between 13 and 45 years. The prevalence of underweight, overweight and obesity were 10, 18 and 11%, respectively. Women living in Queimados, adolescents, women who did not live with a partner and smokers had a higher proportion of low pre-pregnancy weight. There was an association between hypertension, overweight and obesity. Adolescents presented lower chance to overweight and obesity. Living in Queimados reduced the odds of overweight. CONCLUSION: The proportion of pre-pregnancy nutritional deviations was high, and recognizing factors that lead to them is very important for an early identification of women at nutritional risk, with view to interventions to reduce the adverse effects of malnutrition on maternal and child health.

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Factors associated with gestational weight gain in pregnant women in Rio de Janeiro, Brazil, 2008

Cadernos de Saúde Pública ◽

10.1590/0102-311x00085313 ◽

2014 ◽

Vol 30 (3) ◽

pp. 633-644 ◽

Cited By ~ 12

Author(s):

Ana Claudia Santos Amaral Fraga ◽

Mariza Miranda Theme Filha

Keyword(s):

Weight Gain ◽

Prenatal Care ◽

Pregnant Women ◽

Rio De Janeiro ◽

Nutritional Assessment ◽

Multinomial Logistic Regression ◽

National Health System ◽

Overweight And Obesity ◽

Institute Of Medicine ◽

Factors Associated

Inadequate weight gain during pregnancy is an important predictor of complications for the mother and infant. This cross-sectional study assessed factors associated with inadequate weight gain among women in the third trimester of pregnancy who received prenatal care under the Brazilian Unified National Health System (SUS) in the city of Rio de Janeiro, Brazil, from November 2007 to July 2008. A total of 1,079 pregnant women were interviewed, and adequacy of weight gain was obtained by calculating weight gain as recommended by the U.S. Institute of Medicine. Social, demographic, and obstetric factors were analyzed as independent variables. A multinomial logistic regression model was used, and pregnant women with weight gain below or above the recommended levels were compared to those with adequate weight gain. Low schooling was associated with insufficient weight gain, while excessive gain was observed in women with hypertension and pre-gestational underweight, overweight, and obesity. Nutritional assessment during prenatal care is essential, and interventions should target cases of inadequate weight gain in order to prevent complications for the mother and infant.

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The secular trend in the prevalence of overweight and obesity in the population of primary school children from Ljubljana (Slovenia)

Slovenian Journal of Public Health ◽

10.2478/sjph-2014-0019 ◽

2014 ◽

Vol 53 (2) ◽

pp. 188-198 ◽

Cited By ~ 4

Author(s):

Marjeta Kovač ◽

Gregor Jurak ◽

Lijana Zaletel Kragelj ◽

Bojan Leskošek

Keyword(s):

Primary School ◽

School Children ◽

Task Force ◽

Reference Group ◽

Multinomial Logistic Regression ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

The Body ◽

Primary School Children ◽

Cross Sectional

Abstract Background: The prevalence of overweight and obesity among children has increased dramatically in recent decades. The survey examined overweight and obesity in the population of boys and girls from Ljubljana, the capital of Slovenia, aged seven through fourteen from 1991 to 2011. Methods: An annually repeated cross-sectional study of data from the national SLOFIT monitoring system was used. The body mass index cut-off points of the International Obesity Task Force were used to identify the prevalence of overweight and obesity. Multinomial logistic regression was used for modelling the probability of overweight and obesity as a function of time (year of measurement), sex and age of subjects. Results: In 1991-2011 period, the odds for overweight and obesity among primary school children (n = 376,719) increased every year by 1.7% (95% CI: 1.6-1.9) and 3.7% (3.4-4%) respectively. Boys have 1.17 (95% CI: 1.15-1.20) times higher odds of becoming overweight and 1.39 (95% CI: 1.35-1.44) times higher odds of becoming obese than girls. In comparison to the reference group (age of 14), the highest odds for overweight were found at the ages of nine and ten (1.39; 95% CI: 1.34-1.44), while for the obesity the highest odds were at the age of eight (2.01; 95% CI: 1.86-2.16). Conclusion: From 1991 to 2011, overweight and obesity clearly became more prevalent in children from Ljubljana. This trend has been more obvious among boys than girls. In comparison to 14-year-old boys and girls, the highest odds for excessive weight were found below the age of 10.

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Factores de riesgo relacionados con la prevalencia de sobrepeso y obesidad en adolescentes

Revista Ciencia y Cuidado ◽

10.22463/17949831.510 ◽

2015 ◽

Vol 12 (2) ◽

pp. 72 ◽

Cited By ~ 1

Author(s):

Gloria Esperanza Zambrano-Plata ◽

Yasmin Gabriela Otero-Esteban ◽

Silvia Lisbeth Rodríguez-Berrio

Keyword(s):

Risk Factors ◽

Public Schools ◽

Normal Weight ◽

Overweight And Obesity ◽

The Body ◽

Nutritional State ◽

Cross Sectional ◽

Endogenous Factors ◽

Factors Associated ◽

Factores De Riesgo

Objetivo: identificar los factores de riesgo relacionados con la prevalencia de sobrepeso y obesidad en adolescentes entre 10 y 18 años que pertenecen a los colegios públicos de la ciudad de Cúcuta, durante el primer semestre del 2014. Materiales y Métodos: estudio descriptivo de corte transversal; con una población: 61.172 adolescentes y una muestra de 382 estudiantes matriculados en los colegios públicos de Cúcuta. El instrumento fue diseñado por las investigadoras para valorar las características sociodemográficas, medidas antropométricas, factores endógenos, exógenos y percepción del exceso de peso y de su imagen. Resultados: el exceso de peso presento alta proporción en la adolescencia temprana y en el estrato socioeconómico 2. Predominio de sobrepeso en mujeres y obesidad en hombres. En los factores endógenos asociados con estos trastornos, prevaleció el antecedente familiar de sobrepeso y obesidad, además recibieron otra alimentación y no leche materna durante los primeros seis meses, y como antecedentes personales presentaron ansiedad y parto prematuro. En los factores exógenos la alimentación de los adolescentes con sobrepeso es alta en grasas y en los obesos es alta en azúcares, baja en verduras y fibra. Los estudiantes con déficit y con peso normal, se sienten flacos y sanos; los adolescentes con sobrepeso perciben su silueta mayor, y los obesos la perciben menor a la establecida para su índice de masa corporal. Conclusiones: los adolescentes escolarizados presentan una alta prevalencia de sobrepeso y obesidad, observándose una mayor preponderancia de factores de riesgo endógenos y exógenos. De igual manera, presentan una imagen corporal que no corresponde a su estado nutricional. PALABRAS CLAVE: adolescentes, escolar, estado nutricional, factores de riesgo. Risk factors associated with the prevalence of overweight and obesity among adolescent ABSTRACTObjective: to identify risk factors associated with the prevalence of overweight and obesity in adolescents aged 10 to 18 who belong to public schools in Cucuta city, in the first half of 2014. Materials and Methods: a descriptive cross-sectional study; population: 61,172 adolescents as a sample: 382 students enrolled in public schools in Cúcuta. The instrument was designed by the researchers to assess sociodemographic, anthropometric measurements, endogenous factors, exogenous and perception of overweight and image. Results: there was a high overweight proportion in early adolescence and socioeconomic level 2: prevalence of overweight in women and obesity in men. According to endogenous factors associated with these disorders, the prevailing factors were: family history of overweight and obesity in addition they didn`t have other food and breast milk for the first six months, and as personal history showed anxiety and prematurity. In the exogenous factors, the adolescent feeding is high in fat and in obese adolescents is high in sugar, low in vegetables and fiber. Students with deficit and normal weight, feel thin and healthy; overweight adolescents perceive their greater size shape, obese students perceive a lower size than the established one for BMI. Conclusions: school teenagers have a high prevalence of overweight and obesity, showing a greater preponderance of endogenous and exogenous risk factors. Similarly, the body image of the adolescents does not correspond to their nutritional state. KEY WORDS: adolescents, school, nutritional state, risk factors. Os fatores de risco associados com a prevalência de sobrepeso e obesidade entre adolescentes RESUMO Objetivo: identificar fatores de risco associados com a prevalência de sobrepeso e obesidade em adolescentes de 10 a 18 anos que pertencem a escolas públicas na cidade de Cucuta, no primeiro semestre de 2014. Materiais e Métodos: um estudo descritivo transversal ; População: 61,172 adolescentes mostra: 382 alunos matriculados em escolas públicas de Cúcuta. O instrumento foi projetado pelos pesquisadores para avaliar sociodemográficas, medidas antropométricas, fatores endógenos, exógeno e percepção de excesso de peso e sua imagem. Resultados: sobrepeso alta proporção presente no início da adolescência e estratos sócio-econômicos 2: prevalência de excesso de peso em mulheres e obesidade em homens. Em fatores endógenos associados a esses distúrbios, a história da família predominante do sobrepeso e obesidade, além recebeu nenhum outro leite alimentos e de mama para os primeiros seis meses e, como história pessoal mostrou ansiedade e prematuridade. Nos factores exógenos alimentação adolescentes com sobrepeso é rico em gordura e obesidade é rico em açúcar, pobre em vegetais e fibras. Estudantes défice e de peso normal, se sentir magra e saudável; adolescentes com sobrepeso percebem sua maior silhueta, obesos e perceber inferiores aos estabelecidos para o IMC. Conclusões: adolescentes escola tem uma alta prevalência de sobrepeso e obesidade, mostrando uma maior preponderância de fatores de risco endógeno e exógeno. Da mesma forma, uma imagem do corpo que não corresponde ao seu estado nutricional é apresentada.PALAVRAS-CHAVE: adolescentes, escolares, estado nutricional, fatores de risco.

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WHICH PATIENTS SURGICALLY TREATED FOR UROLITHIASIS NEED NUTRITIONAL CARE?

Journal of Aging Research and Lifestyle ◽

10.14283/jarcp.2015.69 ◽

2015 ◽

pp. 1-5

Author(s):

V. Aparecida Leandro-Merhi ◽

J.L. Braga de Aquino ◽

R. Marmiroli ◽

L. Oliveira Reis

Keyword(s):

Nutritional Status ◽

Kidney Stones ◽

Nutritional Assessment ◽

Multinomial Logistic Regression ◽

Nutritional Risk ◽

Cross Sectional ◽

Significance Level ◽

Factors Associated ◽

Urologic Diseases ◽

The Impact

Introduction: The present study is justified by the interest of investigating the impact of nutritional status on urology patients. Objective: To investigate the nutritional status of urology patients and identify the risk factors associated with type of kidney stone. Method: This cross-sectional study assessed the nutritional status and energy and nutrient intakes of 175 hospitalized adult urology patients stratified as follows: patients submitted to percutaneous nephrolithotripsy (PN), patients submitted to endoscopic ureterolithotripsy (EU), and patients without kidney stones. All study variables were investigated as possible predictors of urologic diseases. Multinomial logistic regression analysis and the proportional odds model identified the factors associated with kidney stones. The significance level was set at 5%. Results: Kidney stones were more common in females (p<0.0001), EU patients without nutritional risk according to the Nutritional Risk Screening (NRS) (p=0.0061), patients with normal triceps skinfold thickness (p=0.015), and younger patients (p=0.0001). Patients hospitalized for longer periods (p=0.0038) and older patients (p=0.0001) did not have kidney stones. In EU patients kidney stones were associated with being female (p<0.0001; OR: 3.699; CI: 2.001; 6.838), having mid-upper arm muscle circumference between the 10th and 90th percentiles (p=0.0477; OR: 3.164; CI: 1.012; 9.895), not being at nutritional risk according to the NRS (p=0.0308; OR: 3.265; IC: 1.116; 9.557), and being younger (p=0.0008; OR: 0.966; CI: 2.001; 6.838). Conclusion: PN patients seem to need nutritional assessment and follow-up, while patients with kidney stones smaller than one centimeter do not seem to need routine nutritional assessment.

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Prevalence of weight excess according to age group in students from Campinas, SP, Brazil

Revista Paulista de Pediatria ◽

10.1590/0103-0582201432214713 ◽

2014 ◽

Vol 32 (2) ◽

pp. 200-206 ◽

Cited By ~ 1

Author(s):

Silvia Diez Castilho ◽

Luciana Bertoldi Nucci ◽

Lucca Ortolan Hansen ◽

Samanta Ramos Assuino

Keyword(s):

Public Schools ◽

Private Schools ◽

Multinomial Logistic Regression ◽

Normal Weight ◽

Overweight And Obesity ◽

The Body ◽

World Health ◽

Age Group ◽

Cross Sectional ◽

Weight Excess

OBJECTIVE: To evaluate the prevalence of weight excess in children and adolescents attending public and private schools of Campinas, Southeast Brazil, according to age group.METHODS: Cross-sectional study that enrolled 3,130 students from 2010 to 2012. The weight and the height were measured and the body mass index (BMI) was calculated. The students were classified by BMI Z-score/age curves of the World Health Organization (WHO)-2007 (thinness, normal weight, overweight and obesity) and by age group (7-10, 11-14 and 15-18 years). Multinomial logistic regression analysis was applied to verify variables associated to overweight and obesity.RESULTS: Among the 3,130 students, 53.7% attended public schools and 53.4% were girls. The prevalence of weight excess (overweight or obesity) was higher in private schools (37.3%) than in public ones (32.9%) and among males (37.5%), compared to females (32.7%; p<0.05). The chance of having weight excess in children aged 7-10 years was more than twice of those over 15 years old (OR 2.4; 95%CI 2.0-3.0) and it was 60% higher for the group with 11-14 years old (OR 1.6; 95%CI 1.3-2.0). The chance of being obese was three times higher in 7-10 years old children than in the adolescents with 15-18 years old (OR 4.4; 95%CI 3.3-6.4) and 130% higher than the group with 11-14 years old (OR 2.3; 95%CI 1.6-3.2).CONCLUSIONS: The prevalence of weight excess in Campinas keeps increasing at an alarming rate, especially in the younger age group.

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Factors Associated With Death in Confirmed Cases of COVID-19 in the State of Rio De Janeiro

10.21203/rs.3.rs-435549/v1 ◽

2021 ◽

Author(s):

Marcella Cini Oliveira ◽

Tatiana de Araujo Eleuterio ◽

Allan Bruno de Andrade Corrêa ◽

Lucas Dalsenter Romano da Silva ◽

Renata Coelho Rodrigues ◽

...

Keyword(s):

Skin Color ◽

Rio De Janeiro ◽

Cross Sectional Study ◽

Severe Form ◽

The State ◽

Older Individuals ◽

Cross Sectional ◽

Factors Associated ◽

Unified Health System ◽

Independent Variable

Abstract Background: We analyzed the factors associated with death in confirmed cases of COVID-19 in the state of Rio de Janeiro. This cross-sectional study evaluated the association between individual demographic, clinical, and epidemiological variables and the outcome (death) using data from the Unified Health System information systems.Methods: We used the extreme boosting gradient (XGBoost) model to analyze the data, which uses decision trees weighted by the estimation difficulty. To evaluate the relevance of each independent variable, we used the SHapley Additive exPlanations (SHAP) metric. From the probabilities generated by the XGBoost model, we transformed the data to the logarithm of odds to estimate the odds ratio for each independent variable.Results: This study showed that older individuals of black race/skin color with heart disease or diabetes who had dyspnea or fever were more likely to die.Conclusions: The early identification of patients who may progress to a more severe form of the disease can help improve the clinical management of patients with COVID-19 and is thus essential to reduce the lethality of the disease.

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KEBIASAAN MAKAN, AKTIVITAS FISIK DAN INDEKS MASSA TUBUH (IMT) MAHASISWA S-1 UNIVERSITAS SEBELAS MARET SURAKARTA

Jurnal Kesehatan Kusuma Husada ◽

10.34035/jk.v9i1.342 ◽

2018 ◽

pp. 19-25

Author(s):

Aisyah Nurkhopipah ◽

Ari Natalia Probandari ◽

Sapja Anantanyu

Keyword(s):

Physical Activity ◽

Transition Period ◽

Eating Habits ◽

Multinomial Logistic Regression ◽

Overweight And Obesity ◽

The Body ◽

Chi Square ◽

Cross Sectional ◽

Student College ◽

Prevalence Of Obesity

Bagian penting dari mahasiswa adalah mereka mengalami masa transisi kuat dengan perubahanlingkungan yang ditandai dengan pola makan yang tidak sehat dan kurang aktivitas Þ sik yangmenempatkan mahasiswa pada risiko yang lebih besar dari kenaikan berat badan. Kelebihan beratbadan dan obesitas terjadi pada mahasiswa, menurut Centers for Disease Control (CDC), prevalensiobesitas pada mahasiswa laki-laki adalah 29,5% dan pada mahasiswa perempuan sebesar 32,6%.Tujuan penelitian ini adalah untuk menganalisis hubungan kebiasaan makan dan aktivitas Þ sik denganIndeks Massa Tubuh mahasiswa S-1 UNS. Jenis penelitian ini adalah observasional analitik denganpendekatan Cross Sectional. Subjek penelitian ini adalah seluruh mahasiswa program studi S-1 UNSpada tahun 2016 yaitu sejumlah 24.826 orang. Data dianalisis dengan chi square dan regresi logisticmultinomial. Hasil uji korelasi chi square, menunjukkan bahwa kebiasaan makan tidak berhubungansecara signiÞ kan dengan IMT Normal-Kurus ataupun IMT Normal-Gemuk (p = 0,193 & p = 0,446),sedangkan aktivitas Þ sik mempunyai hubungan yang signiÞ kan dengan IMT Normal-Gemuk (p =0,029),tetapi tidak berhubungan dengan IMT normal-kurus (p=0,655). Kesimpulan dalam penelitianini adalah tidak terdapat hubungan yang signiÞ kan antara kebiasaan makan dengan IMT normalkurusataupun IMT normal-gemuk. Tidak ada hubungan antara aktiÞ tas Þ sik dengan IMT normal-kurusnamun terdapat hubungan yang signiÞ kan antara variable aktivitas Þ sik dengan IMT normal-gemuk. Kata kunci: kebiasaan, makan, aktivitas Þ sik, mahasiswa, IMT.The important part of the students is that they experience a strong transition period with environmentalchanges characterized by an unhealthy diet and lack of physical activity that puts students at greaterrisk of weight gain. Overweight and obesity occurs in college students, according to the Centers forDisease Control (CDC), the prevalence of obesity in male students is 29.5% and in female students32.6%. The purpose of this study was to analyze the relationship between eating habits and physicalactivity with the body mass index of S-1 UNS students. Type of observational analytic research withCross Sectional approach. The subjects of this study are all S-1 students of UNS program in 2016 thatis 24,826 people. Data were analyzed by chi square and multinomial logistic regression. The result ofchi square correlation test showed that Eating Habits did not correlate signiÞ cantly with Normal BMI- Thin or Normal BMI - Overweight (p = 0,193 & p = 0,446), whereas Physical Activity had signiÞ cantrelation with Normal BMI – Overweight (p = 0,029 ), But not related to normal BMI-thin (p = 0.655).Conclusion of the research is there was no signiÞ cant association between eating habits with normalBMI-thin or normal-fat BMI. There was no relationship between physical activity and normal BMI-butthere was a signiÞ cant relationship between physical activity variables and normal-fat BMI.Keywords:Eating Habits, Physical Activity, student college, BMI.

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The Role of Health-related Behaviors in Gestational Weight Gain among Women with Overweight and Obesity: A Cross-sectional Analysis

Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics ◽

10.1055/s-0040-1712132 ◽

2020 ◽

Vol 42 (06) ◽

pp. 316-324

Author(s):

Daiane Sofia Morais Paulino ◽

Maira Pinho-Pompeu ◽

Fernanda Raikov ◽

Juliana Vasconcellos Freitas-Jesus ◽

Helymar Costa Machado ◽

...

Keyword(s):

Weight Gain ◽

Sleep Duration ◽

Gestational Weight Gain ◽

Overweight And Obesity ◽

The Body ◽

Stepwise Logistic Regression ◽

Cross Sectional ◽

Gestational Weight ◽

Health Related Behaviors ◽

Health Related

Abstract Objective To evaluate the influence of health-related behaviors including food intake, physical activity, sleep time, smoking habits, stress, depression, and optimism on excessive gestational weight gain (GWG) among women with overweight and obesity. Methods A cross-sectional study was conducted at the Women's Hospital of the Universidade de Campinas, Campinas, state of São Paulo, Brazil, with 386 mediate postpartum women that fit the inclusion criteria of ≥ 19 years old, first prenatal care visit at or before 14 weeks, and single live baby. Dietary habits, physical exercise practice, sleep duration, smoking and alcohol habits were self-reported. Psychosocial history was evaluated using the Edinburgh Postpartum Depression Scale (EPDS), Perceived Stress Scale (PSS), and Life Orientation Test-Revised (LOT-R). Sociodemographic, obstetric, anthropometric, and neonatal data were retrieved from medical records. Descriptive statistics and stepwise logistic regression were performed. Results The prevalence of overweight and obesity was 29.27% and 24.61%, respectively, according to the body mass index (BMI). Excessive GWG was observed in 47.79% of women with overweight and in 45.26% of women with obesity. Excessive GWG among overweight and obese women was associated with inadequate vegetable and bean consumption (odds ratio [OR] = 2.95, 95% confidence interval [CI]: 1.35–6.46 and OR = 1.91; 95%CI: 1.01–3.63, respectively) and stress (OR = 1.63; 95%CI 1.01–2.64). After adjustment by maternal age, multiparity, sleep duration, smoking, and alcohol intake, we found that stress (PSS ≥ 20) was associated with excessive GWG in women with overweight or obesity (OR: 1.75; 95%CI: 1.03–2.96). Conclusion Among women with overweight and obesity, stress is the main variable associated with excessive GWG. Inadequate vegetables and beans consumption also showed association with excessive GWG.

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Factors Associated with Intermittent, Constant, and Mixed Pain in People with Knee Osteoarthritis

Physiotherapy Canada ◽

10.3138/ptc-2020-0093 ◽

2021 ◽

Author(s):

Fatme Hoteit ◽

Debbie Erhmann Feldman ◽

Lisa C. Carlesso

Keyword(s):

Knee Osteoarthritis ◽

Physical Function ◽

Multinomial Logistic Regression ◽

Secondary Analysis ◽

Cross Sectional ◽

System Sensitivity ◽

Factors Associated ◽

Lower Likelihood ◽

Paindetect Questionnaire ◽

Mixed Pain

Purpose: To explore factors associated with intermittent, constant, and mixed pain in people with knee osteoarthritis. Method: We conducted a secondary analysis of a cross-sectional multicenter study with adults ≥ 40 years with knee osteoarthritis. Participants completed questionnaires on personal (e.g., demographics, comorbidities), physical (e.g., physical function), psychological (e.g., depressive symptoms), pain (e.g., qualities), and tests for physical performance and nervous system sensitivity. We qualified patients’ pain as intermittent, constant, or mixed using the Modified painDETECT Questionnaire and assessed associations with the variables using multinomial logistic regression. Results: The 279 participants had an average age of 63.8 years (SD = 9.6), BMI of 31.5 kg/m2 (SD = 8.7), and 58.6% were female. Older age (odds ratio [OR] 0.95; 95% CI: 0.90, 1.00) and higher self-reported physical function ([OR] 0.94; 95% CI: 0.91, 0.98) were associated with a lower likelihood of mixed pain compared with intermittent pain. Higher pain intensity ([OR] 1.25; 95% CI: 1.07, 1.47) was related to a 25% higher likelihood of mixed pain compared with intermittent pain. Conclusions: This study provides initial data for associations of personal, pain, and physical function factors with different pain patterns. Awareness of these factors can help clinicians develop targeted strategies for managing patients’ pain.

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