Análise multinível do excesso de peso em escolares de Palmas-TO nos contextos individuais, familiares e do ambiente escolar

Abstract

Introduction: Childhood obesity is considered a global public health problem and is a consequence of the interaction between environmental, genetic and family factors. Objective: To evaluate the relationship between individual characteristics, family context and school environment, with overweight in 2nd and 4th grade children from municipal schools in Palmas - TO. Methodology: Cross-sectional study carried out in 2018, with children enrolled in the 2nd and 4th year of municipal public schools agreed to the PSE. Sample was 470 students and their parents/guardians. Data collection consisted of age, sex, anthropometric measurements and food data, children's physical activity, and family and school characteristics. The chi-square test was performed to estimate the association of nutritional status with the variables and multilevel logistic regression to assess the strength of association. Results: The average age of the students was 8.64 years, 57.2% were female and 26.4% were overweight. The assessment of nutritional status by health service teams increases the chance of the child developing excess weight, and the variables birth weight, type of locomotion to school, daily fruit consumption and number of people living in the house , are related to the development of overweight. Conclusion: The individual characteristics of the child, the family and the school environment have a great influence on the development of overweight/obesity. It is necessary for schools to incorporate interventions that act in these different contexts related to this nutritional disorder