Is the secular trend in height delaying overweight rise among adolescents? The Brazilian case.

Abstract:

OBJECTIVE:To explore if the secular trend in height is contributing to delay overweight rise among Brazilian adolescents. DESIGN:Changes in BMI mean over time were fitted using linear regression including as independent variables survey year, height, survey-specific income quintiles, age and an interaction term of height × survey year. Overweight was defined as BMI≥25·0 kg/m2. Changes in overweight prevalence over time were fitted using Poisson regression. SETTING:Four national household surveys: 1974/5, 1989, 2002/3 and 2008/9. SUBJECTS:Brazilian adolescents. RESULTS:Mean values of height and BMI increased over the period, for both sexes and in all age ranges, except for girls aged 14-19 years from 1989 to 2002/3. The highest average increment and mean rate of height were between 1989 and 2002/3 and in 10-15-year-olds. The annual increment of height decreased from 2002/3 to 2008/9 in parallel with the increment in BMI rate. After fitting the regression model, the height × survey year interaction and per capita income were strong vectors to increase BMI mean. Changes in increment rate of height played a protective role against overweight in the last two periods for both sexes, mainly for girls. The period from 1989 to 2002/3 was the strongest vector associated with overweight in boys and the association decreased to the next period, from 2002/3 to 2008/9. CONCLUSIONS:BMI and height of adolescents have increased in a wavering and alternate way throughout four decades in Brazil. The rate of height increment has played a protective role against overweight in adolescents.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Conde WL,Rinaldi AE,Enes CC

doi

10.1017/S1368980016000203

subject

Has Abstract

pub_date

2016-08-01 00:00:00

pages

2213-9

issue

12

eissn

1368-9800

issn

1475-2727

pii

S1368980016000203

journal_volume

19

pub_type

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