Secular trend of growth of preschool, Brazil

Authors

  • Viviane Gabriela Nascimento Universidade de São Paulo; Faculdade de Saúde Pública; Departamento de Saúde Materno-Infantil
  • Ciro João Bertoli Universidade de Taubaté; Departamento de Medicina
  • Lucia Musmê Queiroga Bertoli Universidade de Taubaté; Departamento de Medicina
  • Rubens Feferbaun Universidade de São Paulo; Faculdade de Medicina; Departamento de Pediatria
  • Luiz Carlos de Abreu Universidade de São Paulo; Faculdade de Saúde Pública; Departamento de Saúde Materno-Infantil
  • Claudio Leone Universidade de São Paulo; Faculdade de Saúde Pública; Departamento de Saúde Materno-Infantil

DOI:

https://doi.org/10.7322/jhgd.19958

Keywords:

growth, anthropometry, preschool children, secular trend

Abstract

INTRODUCTION: the analysis of the temporal distribution of events in the health-disease process is one of the strategies of the oldest and most valuable research in epidemiology and public health. OBJECTIVE: To analyze changes in the anthropometric profile of preschool children that frequented public day-care centers of Taubate, Brazil. METHOD: 755 children in 1997 and 1448 in 2007 were evaluated. The study variables were: age, sex, weight, stature and body mass index (BMI). The transformation of the anthropometric values in Z scores was carried through the reference data of the CDC/NCHS (2000). The comparisons between the two moments were made by χ-squared and t-Student tests (α = 0,05). RESULTS: positive secular trend of growth was observed between 1997 and 2007 with a significant increase in the average values of Z scores of stature in both sexes, boys: 0,04 to 0,39 and girls: 0,05 to 0,33, and of weight, boys; -0,03 to 0,26 and girls: 0,03 to 0,21. The averages of BMI showed no significant difference (boys 0,02 to 0,07 and girls 0,09 to 0,12). There was an increase of thinness prevalence, 9,8 to 12,6% children, and also of weight excess, 17,0 to 20,9%, between 1997 and 2007. CONCLUSIONS: Preschool children from the city of Taubaté showed a quite significant increase in the growth trend between 1997 and 2007, more height than weight, which was accompanied by an increased prevalence of thin children and especially overweight. This indicates that possibly the improvement of the population, and impact positively on growth in stature of preschool children, can also result in the installation of an early and intense nutritional transition process, even outside the major metropolitan areas.

References

Forattini OP. Ecologia, epidemiologia e sociedade. São Paulo: EDUSP/Artes Médicas; 1992.

Jordan J, Ruben JM, Hernandez J, Bebe-lagua A, Tanner JM, Goldstein. The 1972 Cuban national child growth study as an example of population health monitoring: design and methods. Annals of Human Biology. 1975; 2(2): 153-171.

Whitehead RG. Growth in weight and length. Acta Pediatrica. 2003; 92:406-410.

World Health Organization. Physical status: the use and interpretation of anthropometry. Geneva: WHO; 1995. (WHO-Technical Report Series, 854).

Cole TJ. The secular trend in human physical growth: a biological view. Economics and Human Biology. 2003; 1: 161-168.

Ali AMD, Uetake T, Ohtsuki F. Secular changes in relative leg length in postwar Japan. Am J Hum Biol. 2000;12:405-416.

Loesch DZ, Strokes K, Huggins RM. Secular trend in body height and weight of Australian children and adolescents. Am J Phys Anthropol. 2000; 111:546-556.

Tanner JM. The potencial of auxological data for monitoring economic and social well-being. Social Science History. 1982;6:571-581.

Kac G. Tendência secular em estatura: uma revisão da literatura. Cad. Saúde Pública.1999; 15(3):451-461.

Zhang Y, Wang S. Secular trends in growth and body proportion among children and adolescents from 1985 to 2005 in Shandong, China. Anthropological Science. 2009; 117(2): 69-76.

Lohman TG, Roche AF, Matorell R. Antropometric standardization reference manual. 1988 Ilinois: Human Kinetics Publishers.

Leone C, Primo E, Castiglione MSG, Santos MG, Santos JM, Mascaretti LAS. Nutritional anthropometry of low socioeconomic level school children. Tema livre apresentado no 2nd Internacional Congressof Nutrition in Pediatrics, promovido pela International Society of Pediatric Nutrition e Sociedade Portuguesa de Pediatria. Lisboa. Portugal. 1994.

Kuczmarski RJ, Ogden CL, Grummer SLM et al. CDC Growth Charts: United States-methods and development. National Center for Health Statistics. Vital Health Statistics. 2000:246.

Monteiro CA. Critérios antropométricos no diagnóstico da desnutrição em programas de assistência a criança. Rev Saúde Pública. 1984;18(3):209-17.

World Health Organization. Software fora sensing growth of the world ́s children and adolescents. Who Antro Plus for Personal Computers Manual. 2009.

Marmo DB, Zambom MP, Morcillo AM, Guimarey LM. Tendência secular de crescimento em escolares de Paulínia, São Paulo- Brasil (1979/80-1993/94). Rev Assoc Med Bras. 2004; 50(4):386-90.

Seade. Fundação Sistema Estadual de Análise de Dados.www.Seade.gov.br.2009.

Neto JE, Filho AAB. Tendência secular decrescimento em crianças do Brasil: evidencias de evolução positiva desde a primeira metade do século XX. Rev Cienc. Méd. 2004; 13(2):95-104.

Monteiro CA, Torres AM. Can secular trends in child in growth be estimated from a single cross sectional survey? BMJ. 1992;305:797-9.

Monteiro CA, Benicio MH, Gouveia NC. Secular trends in Brazil over thre e decades. Ann Hum Biol. 1994; 21:381-90.

Monteiro CA, Conde WL. Tendência secular do crescimento pós-natal na cidade de São Paulo (1974-1996). Rev Saúde Pública. 2000; 34(6): 41-51.

Popkin BM. The nutrition transition and its health implications in lower-income countries. Public Health Nutr. 1998; 1:5-22.

Uauy R, Albala C, Kain J. Obesity trends in Latin America: transiting from under to overweight. J Nutr. 2001; 131:893S-99S.

Kac G. A transição nutricional e a epidemiologia da obesidade na América Latina. Cad Saúde Pública. 2003; 19 (Sup. 1)S4-S5.

Published

2010-08-01

Issue

Section

Original Research