Child Archives - Revista Brasileira de Ginecologia e Obstetrícia
Summary
Rev Bras Ginecol Obstet. 2014;36(2):84-89
DOI 10.1590/S0100-72032014000200007
To identify and relate body fat percentage (skin fold measures), body mass index
(BMI) and age at menarcheto aerobic capacity using the indirect VO2
maximum value (VO2 max) of girls in the second cycle of primary school.
A total of 197 girls aged 13.0±1.2 years on average, students from two public
schools in the city of Atibaia in São Paulo, were evaluated. Anthropometric
evaluation of skin folds was performed using the Slaughter protocol for teenage
girls, and BMI (kg/m2) was based on "Z score" (graphic of percentile)
according to WHO recommendations. The Léger protocol was used to determine
VO2 max. Pearson linear regression and the Student t-test were used
for statistical analysis.
22.3% of the girls were overweight and 3.5% were obese according to the
classification proposed by the WHO; 140 (71.1%) girls reported menarche. The
average age at menarche was 12.0±1.0 years and was significantly higher in the
group with normal BMI (12.2±0.9 years) than in the overweight or obese groups
(11.6±1.0 years). The average indirect VO2 max value was 39.6±3.7
mL/kg/min, ranging from 30.3 to 50.5 mL/kg/min. The advance of chronological age
and early age at menarche were positively correlated with lower VO2 max
values.
This study showed that 25.8% of the girls had aBMI value above WHO
recommendations. Girls with higher BMI and higher body fat percentage had lower
VO2 max. The earlier age at menarche and the advance of
chronological age were the most important factors for the reduction of aerobic
capacity. The ageat menarche was higher in girls with adequate BMI compared
tooverweight or obese girls.
Summary
Rev Bras Ginecol Obstet. 2014;36(2):84-89
DOI 10.1590/S0100-72032014000200007
To identify and relate body fat percentage (skin fold measures), body mass index
(BMI) and age at menarcheto aerobic capacity using the indirect VO2
maximum value (VO2 max) of girls in the second cycle of primary school.
A total of 197 girls aged 13.0±1.2 years on average, students from two public
schools in the city of Atibaia in São Paulo, were evaluated. Anthropometric
evaluation of skin folds was performed using the Slaughter protocol for teenage
girls, and BMI (kg/m2) was based on "Z score" (graphic of percentile)
according to WHO recommendations. The Léger protocol was used to determine
VO2 max. Pearson linear regression and the Student t-test were used
for statistical analysis.
22.3% of the girls were overweight and 3.5% were obese according to the
classification proposed by the WHO; 140 (71.1%) girls reported menarche. The
average age at menarche was 12.0±1.0 years and was significantly higher in the
group with normal BMI (12.2±0.9 years) than in the overweight or obese groups
(11.6±1.0 years). The average indirect VO2 max value was 39.6±3.7
mL/kg/min, ranging from 30.3 to 50.5 mL/kg/min. The advance of chronological age
and early age at menarche were positively correlated with lower VO2 max
values.
This study showed that 25.8% of the girls had aBMI value above WHO
recommendations. Girls with higher BMI and higher body fat percentage had lower
VO2 max. The earlier age at menarche and the advance of
chronological age were the most important factors for the reduction of aerobic
capacity. The ageat menarche was higher in girls with adequate BMI compared
tooverweight or obese girls.
Summary
Rev Bras Ginecol Obstet. 2012;34(1):28-33
DOI 10.1590/S0100-72032012000100006
PURPOSE: To describe the characteristics of mothers and children and to evaluate the factors associated with discontinuation of exclusive breastfeeding. METHODS: A cross-sectional study on infants under six months of age who attended the vaccination campaign in 2008. In the sample design, vaccination units were selected by drawing lots and infants were similarly selected later at each unit systematically. A semi-structured instrument was used for data collection, containing questions about children's nutrition and socio-demographic characteristics. We used Odds Ratio and the χ² test for data analysis, accepting as the critical level p<0.05. RESULTS: The prevalence of breastfeeding for infants under 120 and 180 days of age was 89.5 and 85% respectively, and exclusive breastfeeding was 50.6 and 39.7% for infants less than 120 and 180 days of age, respectively. The factors most related to the abandonment of exclusive breastfeeding in infants under six months were maternal employment outside the home (OR=2.73; 95%CI=1.74-4.29) and use of pacifiers (OR=4.26; 95%CI=2.85-6.38). The mother being multiparous (OR=0.57; 95%CI=0.40-0.81) and receiving postpartum care in the public health care network (OR=0.55; 95%CI=0.39-0.79) represented protective factors against the practice of early cessation of breastfeeding. CONCLUSIONS: The prevalence of breastfeeding and exclusive breastfeeding in the municipality of Uberlândia is among the highest in the country and the factors most often associated with the practice of early weaning were maternal employment outside the home, offering pacifiers to the infants, receiving postpartum care in the private health sector, and primiparity.
Summary
Rev Bras Ginecol Obstet. 2012;34(1):28-33
DOI 10.1590/S0100-72032012000100006
PURPOSE: To describe the characteristics of mothers and children and to evaluate the factors associated with discontinuation of exclusive breastfeeding. METHODS: A cross-sectional study on infants under six months of age who attended the vaccination campaign in 2008. In the sample design, vaccination units were selected by drawing lots and infants were similarly selected later at each unit systematically. A semi-structured instrument was used for data collection, containing questions about children's nutrition and socio-demographic characteristics. We used Odds Ratio and the χ² test for data analysis, accepting as the critical level p<0.05. RESULTS: The prevalence of breastfeeding for infants under 120 and 180 days of age was 89.5 and 85% respectively, and exclusive breastfeeding was 50.6 and 39.7% for infants less than 120 and 180 days of age, respectively. The factors most related to the abandonment of exclusive breastfeeding in infants under six months were maternal employment outside the home (OR=2.73; 95%CI=1.74-4.29) and use of pacifiers (OR=4.26; 95%CI=2.85-6.38). The mother being multiparous (OR=0.57; 95%CI=0.40-0.81) and receiving postpartum care in the public health care network (OR=0.55; 95%CI=0.39-0.79) represented protective factors against the practice of early cessation of breastfeeding. CONCLUSIONS: The prevalence of breastfeeding and exclusive breastfeeding in the municipality of Uberlândia is among the highest in the country and the factors most often associated with the practice of early weaning were maternal employment outside the home, offering pacifiers to the infants, receiving postpartum care in the private health sector, and primiparity.