Journal of Community Health

, Volume 37, Issue 4, pp 791–798 | Cite as

Prevalence and Factors Associated With High Body Fat in Adolescents from a Region of Brazil

  • Diego Augusto Santos Silva
  • Juliane Berria
  • Leoberto Ricardo Grigollo
  • Edio Luiz Petroski
Original Paper

Abstract

The objective of this study was to identify the prevalence and factors associated with high body fat in adolescents. A cross-sectional study conducted with 601 students from both sexes aged 14–17 years who live in Midwestern state of Santa Catarina, Brazil. Body adiposity was assessed by the sum of subscapular and triceps skinfolds. Sociodemographic variables such as lifestyle, aerobic fitness and nutritional status were assessed. For data analysis, Poisson regression multivariable was used. The prevalence of high body fat was 51.2% for girls and 31.2% for boys. Higher prevalences of high body fat were observed for girls aged 16–17 years (PR: 1.15, CI 95%: 1.07–1.24) and overweight (PR: 1.36, CI 95%: 1.27–1.44) and for boys with high socioeconomic level (PR: 1.21, CI 95%: 1.09–1.34), inadequate eating habits (PR: 1.11, CI 95%: 1.02–1.21), physically inactive (PR: 1.10, CI 95%: 1.02–1.19) and overweight (PR: 1.46, CI 95%: 1.35–1.57). The prevalence of high body fat was high and factors associated with this outcome are different for each sex; thus, interventions for prevention and control of obesity should be different for girls and boys.

Keywords

Body composition Adiposity Adolescents Cross-sectional studies Brazil 

Notes

Conflict of interest

The authors have no conflicts of interest to disclose.

References

  1. 1.
    Wang, Y., Monteiro, C., & Popkin, B. M. (2002). Trends of obesity and underweight in older children and adolescent in the United States, Brazil, China and Russia. The American Journal of Clinical Nutrition, 75(6), 971–977.PubMedGoogle Scholar
  2. 2.
    Brazilian Institute of Geography and Statistics: Household Budget Survey 20082009. Available at: http://www.ibge.gov.br/home/estatistica/populacao/condicaodevida/pof/2003medidas/default.shtm. Accessed December 02, 2010.
  3. 3.
    Goran, M. I. (1998). Measurement issues related to studies of childhood obesity: assessment of body composition, body fat distribution, physical activity, and food intake. Pediatrics, 101(3), 505–518.PubMedGoogle Scholar
  4. 4.
    Neovius, M., Linné, Y., Barkeling, B., & Rössner, S. (2004). Discrepancies between classification systems of childhood obesity. Obesity Reviews, 5(2), 105–114.PubMedCrossRefGoogle Scholar
  5. 5.
    Berkey, C. S., Rockett, H. R., Field, A. E., Gillman, M. W., Frazier, A. L., Camargo, C. A., et al. (2000). Activity, dietary intake, and weight changes in a longitudinal study of preadolescent and adolescent boys and girls. Pediatrics, 105(4), E56.PubMedCrossRefGoogle Scholar
  6. 6.
    Duquia, R. P., Dumith, S. D. C., Reichert, F. F., Madruga, S. W., Duro, L. N., Menezes, A. M. B., et al. (2008). Epidemiology of elevated triciptal and subscapular skinfolds in adolescents. Cadernos de Saúde Publica, 24(1), 113–121.PubMedGoogle Scholar
  7. 7.
    Stamatakis, E., Wardle, J., & Cole, T. J. (2010). Childhood obesity and overweight prevalence trends in England: Evidence for growing socioeconomic disparities. International Journal of Obesity, 34(1), 41–47.PubMedCrossRefGoogle Scholar
  8. 8.
    Silva DA, Pelegrini, A., de Lima e Silva, J.M., & Petroski, E.L. (Epub ahead of print). Epidemiology of whole body, peripheral, and central adiposity in adolescents from a Brazilian state capital. European Journal of Pediatrics.Google Scholar
  9. 9.
    Liu, J., Bennett, K. J., Harun, N., & Probst, J. C. (2008). Urban-rural differences in overweight status and physical inactivity among US children aged 10–17 years. The Journal of Rural Health, 24(4), 407–415.PubMedCrossRefGoogle Scholar
  10. 10.
    Vicente-Rodríguez, G., Rey-López, J. P., Martín-Matillas, M., Moreno, L. A., Wärnberg, J., Redondo, C., et al. (2008). Television watching, videogames, and excess of body fat in Spanish adolescents: The AVENA study. Nutrition, 24(7–8), 654–662.PubMedCrossRefGoogle Scholar
  11. 11.
    Pelegrini, A., Silva, D. A. S., Petroski, E. L., & Glaner, M. F. (2011). Health-related physical fitness in Brasilian schoolchildren: data from the Brazil sport program. Revista Brasileira de Medicina do Esporte, 17(2), 92–96.CrossRefGoogle Scholar
  12. 12.
    United Nations. (2000). Human Development Index, Municipal 1991 and 2000. All cities in Brazil. Available at: http://www.pnud.org.br/atlas/ranking/IDH-M%2091%2000%20Ranking%20decrescente%20(pelos%20dados%20de%202000).htm. Accessed March 10, 2010.
  13. 13.
    Brazilian Institute of Geography and Statistics. IBGE cidades. Available at: http://www.ibge.gov.br. Accessed March 20, 2010.
  14. 14.
    Lohman, T. G. (1992). Advances in body composition assessment. Champaign Il: Human Kinetics.Google Scholar
  15. 15.
    Petroski, E. L. (2009). Anthropometry: techniques and standards. Porto Alegre, RS: Pallotti Press.Google Scholar
  16. 16.
    Brazilian Association of Research Companies. (2008). Brazil economic classification criterion 2008. Available at: http://www.abep.org/codigosguias/Criterio_Brasil_2008.pdf. Accessed August 26, 2008.
  17. 17.
    Rodriguez Añez, C. R., Reis, R. S., & Petroski, E. L. (2008). Brazilian version of a lifestyle questionnaire: translation and validation for young adults. Arquivos Brasileiros de Cardiologia, 91(2), 92–98.PubMedCrossRefGoogle Scholar
  18. 18.
    Marcus, B. H., Rossi, J. S., Selby, V. C., Niaura, R. S., & Abrams, D. B. (1992). The stages and processes of exercise adoption and maintenance in a worksite sample. Health Psychology, 11(6), 386–395.PubMedCrossRefGoogle Scholar
  19. 19.
    Nigg, C. R. (2005). There is more to stages of exercise than just exercise. Exercise and Sport Sciences Reviews, 33(1), 32–35.PubMedGoogle Scholar
  20. 20.
    Caspersen, C. J., Powell, K. E., & Christenson, G. M. (1985). Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research. Public Health Reports, 100(2), 126–131.PubMedGoogle Scholar
  21. 21.
    Cavill, N., Biddle, S., & Sallis, J. (2001). Health enhancing physical activity for young people: statement of the United Kingdom expert consensus conference. Pediatric Exercise Science, 13, 12–25.Google Scholar
  22. 22.
    Léger, L. A., Mercier, D., Gadoury, C., & Lambert, J. (1988). The multistage 20-meter shuttle run test for aerobic fitness. Journal of Sports Science, 6(2), 93–101.CrossRefGoogle Scholar
  23. 23.
    Welk, G. J., Marrow, J. R. J., & Falls, H. B. (2002). Fitnessgram reference guide. Dallas: The Cooper Institute.Google Scholar
  24. 24.
    Cole, T. J., Bellizi, M. C., Flegal, K. M., & Dietz, W. H. (2000). Establishing a standard definition for child overweight and obesity worldwide: international survey. British Medical Journal, 320(7244), 1240–1243.PubMedCrossRefGoogle Scholar
  25. 25.
    Victora, C. G., Huttly, S. R., Fuchs, S. C., & Olinto, M. T. (1997). The role of conceptual frameworks in epidemiological analysis: a hierarchical approach. International Journal of Epidemiology, 26(1), 224–227.PubMedCrossRefGoogle Scholar
  26. 26.
    Maldonado, G., & Greenland, S. (1993). Simulation study of confounder-selection strategies. American Journal of Epidemiology, 138(11), 923–936.PubMedGoogle Scholar
  27. 27.
    Minatto, G., Pelegrini, A., Silva, D.A.S., Petroski, E.L., & Silva, A.F. (Epub ahead of print). Association between inadequate body composition and sociodemographic factors in adolescents. Revista Paulista de Pediatria.Google Scholar
  28. 28.
    Arruda, E. L., & Lopes, A. S. (2007). Body fat, physical activity, and dietary patterns of adolescents in a mountainous region of Santa Catarina State, Brazil. Revista Brasileira de Cineantropometris & Desempenho Humano, 9(1), 5–11.Google Scholar
  29. 29.
    Barnett, T. A., O’Loughlin, J., Sabiston, C. M., Karp, I., Bélanger, M., Van Hulst, A., et al. (2010). Teens and screens: the influence of screen time on adiposity in adolescents. American Journal of Epidemiology, 172(3), 255–262.PubMedCrossRefGoogle Scholar
  30. 30.
    Kavak, V. (2006). The determination of subcutaneous body fat percentage by measuring skinfold thickness in teenagers in Turkey. International Journal of Sport Nutrition and Exercise Metabolism, 16(3), 296–304.PubMedGoogle Scholar
  31. 31.
    Gundersen, C., Garasky, S., & Lohman, B. J. (2009). Food insecurity is not associated with childhood obesity as assessed using multiple measures of obesity. The Journal of Nutrition, 139(6), 1173–1178.PubMedCrossRefGoogle Scholar
  32. 32.
    Wells, J. C. (2007). Sexual dimorphism of body composition. Best practice & research. Clinical endocrinology & metabolism, 21(3), 415–430.Google Scholar
  33. 33.
    Turconi, G., Guarcello, M., Maccarini, L., Bazzano, R., Zaccardo, A., & Roggi, C. (2006). BMI values and other anthropometric and functional measurements as predictors of obesity in a selected group of adolescents. European Journal of Nutrition, 45(3), 136–143.PubMedCrossRefGoogle Scholar
  34. 34.
    Silva, D. A. S., Lima, J. O., Silva, R. J. S., & Prado, R. L. (2009). Physical activity level and sedentary behavior among students. Revista Brasileira de Cineantropometria & Desempenho Humano, 11(3), 299–306.Google Scholar
  35. 35.
    Li, M., Dibley, M. J., Sibbritt, D., & Yan, H. (2008). Factors associated with adolescents’ overweight and obesity at community, school and household levels in Xi’an City, China: results of hierarchical analysis. European Journal of Clinical Nutrition, 62(5), 635–643.PubMedCrossRefGoogle Scholar
  36. 36.
    Neutzling, M. B., Araújo, C. L. P., Vieira, M. F. A., Hallal, P. C., & Menezes, A. M. B. (2007). Frequency of high-fat and low-fiber diets among adolescents. Revista de Saude Publica, 41(3), 336–342.PubMedCrossRefGoogle Scholar
  37. 37.
    Byrd-Williams, C. E., Belcher, B. R., Spruijt-Metz, D., Davis, J. N., Ventura, E. E., Kelly, L., et al. (2010). Increased physical activity and reduced adiposity in overweight Hispanic adolescents. Medicine and Science in Sports Exercercise, 42(3), 478–484.CrossRefGoogle Scholar
  38. 38.
    Stevens, J., Murray, D. M., Baggett, C. D., Elder, J. P., Lohman, T. G., Lytle, L. A., et al. (2007). Objectively assessed associations between physical activity and body composition in middle-school girls: The Trial of Activity for Adolescent Girls. American Journal of Epidemiology, 166(11), 1298–1305.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Diego Augusto Santos Silva
    • 1
  • Juliane Berria
    • 1
  • Leoberto Ricardo Grigollo
    • 2
  • Edio Luiz Petroski
    • 1
  1. 1.Federal University of Santa Catarina—Sports CentreCentre for Cineantropometry and Human Performan—UFSC/CDS/NuCIDHFlorianópolisBrazil
  2. 2.University of Western Santa CatarinaAcbs, Physical EducationJoacabaBrazil

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