Revista de Nutrição
On-line version ISSN 1678-9865
RIBEIRO, Isabela da Costa; COLUGNATI, Fernando Antonio Basile and TADDEI, José Augusto de Aguiar Carrazedo. Risk factors for overweight among adolescents: analysis of three Brazilian cities. Rev. Nutr. [online]. 2009, vol.22, n.4, pp.503-515. ISSN 1678-9865. http://dx.doi.org/10.1590/S1415-52732009000400006.
OBJECTIVE: The objective of this study was to conduct a comparative analysis of risk factors for overweight among adolescents from three Brazilian cities, Pelotas, São Paulo and Goiânia. METHODS: The three datasets derived from case-control studies that investigated risk factors for overweight/obesity among adolescents from the three cities. Adolescents were classified as overweight when body mass index exceeded the 85th percentile of the National Center for Health Statistics. Multivariate analysis using a hierarchical logistic regression model was performed. RESULTS: A total of 903 postpubertal adolescents were studied (443 cases and 460 controls). The unadjusted analysis combining the 3 datasets improved the power of associations when males and females were addressed separately. Maternal education <8 years doubled the risk of overweight among girls; parents' obesity was a strong predictor of adolescents' overweight; watching television for >4 hours was significantly associated with females' overweight but not males'; consumption of visible fat from meat increased the risk of overweight among boys by 70% while the consumption of fried foods had a negative association with girls' body mass index. Finally, alcohol consumption was significantly and inversely associated with overweight among boys only. CONCLUSION: Postpubertal girls from families with lower educational levels should receive special attention when strategies to prevent and control overweight are planned and executed.
Keywords : Adolescent; Analytic Epidemiology; Body mass índex; Overweight.