Gilmar Mercês de Jesus

Fatores determinantes do sobrepeso em crianças menores de 4 anos de idade

OBJECTIVES: To describe the prevalence of and factors associated with overweight in children under 4 years of age in Feira de Santana, state of Bahia, Brazil. METHODS: Cross-sectional study nested within a birth cohort of 793 children born in Feira de Santana, Brazil. Independent variables were related to infant characteristics, social and demographic factors, maternal reproductive aspects, and diet of the child at age 4 months. The dependent variable was nutritional status, as assessed by weight-for-height ratio compared to Multicentre Growth Reference Study standards and obtained with the use of the software ANTHRO. Z-scores of -2 and +2 above or below the median for the reference population were established as normality cutoff points. Child height and weight were measured with an anthropometer and digital scales, respectively; all measurements were taken in triplicate. The study was approved by the Research Ethics Committee of the Universidade Estadual de Feira de Santana (CEP/UEFS), under registration number 096/2006. RESULTS: The prevalence of overweight was 12.5%. Adequate birth weight (RR 2.75; 95%CI 1.50-5.05), primiparity (RR 1.61; 95%CI 1.09-2.35), and maternal employment outside the home at age 4 months (RR 1.73; 95%CI 1.16-2.59) were associated with overweight. CONCLUSIONS: In this study, adequate birth weight, primiparity and maternal employment outside the home were associated with overweight in children. The rate of overweight found, which surpassed that reported by other studies conducted across the country (including Bahia), point to a risk of child obesity in Feira de Santana.

Determinants of overweight in children under 4 years of age

OBJECTIVES To describe the prevalence of and factors associated with overweight in children under 4 years of age in Feira de Santana, state of Bahia, Brazil. METHODS Cross-sectional study nested within a birth cohort of 793 children born in Feira de Santana, Brazil. Independent variables were related to infant characteristics, social and demographic factors, maternal reproductive aspects, and diet of the child at age 4 months. The dependent variable was nutritional status, as assessed by weight-for-height ratio compared to Multicentre Growth Reference Study standards and obtained with the use of the software ANTHRO. Z-scores of -2 and +2 above or below the median for the reference population were established as normality cutoff points. Child height and weight were measured with an anthropometer and digital scales, respectively; all measurements were taken in triplicate. The study was approved by the Research Ethics Committee of the Universidade Estadual de Feira de Santana (CEP/UEFS), under registration number 096/2006. RESULTS The prevalence of overweight was 12.5%. Adequate birth weight (RR 2.75; 95%CI 1.50-5.05), primiparity (RR 1.61; 95%CI 1.09-2.35), and maternal employment outside the home at age 4 months (RR 1.73; 95%CI 1.16-2.59) were associated with overweight. CONCLUSIONS In this study, adequate birth weight, primiparity and maternal employment outside the home were associated with overweight in children. The rate of overweight found, which surpassed that reported by other studies conducted across the country (including Bahia), point to a risk of child obesity in Feira de Santana.

Nível de atividade física e barreiras percebidas para a prática de atividades físicas entre policiais militares

This research describes levels of physical activity and perceived barriers to physical activities of military police in Feira de Santana, Bahia. This is a cross sectional study, with a sample of 316 subjects. The results showed that in regard to physical activity, 37% of the military police are inactive, no significant difference related to gender and age. Among perceived barriers to practice physical activity stood out: family commitments (39.2%), the workday (36.7%), lack of equipment (30.4%), unsafe environment (26.9%), lack of company (25.6%), housework (20.6%) and lack of financial resources (20.3%). The prevalence of inactive police was higher among those who perceived personal barriers, adjusted by gender, age, and by environmental, social and financial barriers (OR: 1.5; CI95%: 1.00-2.26).O estudo descreveu o nivel de atividade fisica e as barreiras percebidas para a pratica de atividades fisicas em uma amostra de 316 policiais militares de Feira de Santana, Bahia. Houve 37% de individuos insuficientemente ativos, sem diferenca significante entre os sexos e a idade. Entre as barreiras percebidas para a pratica de atividade fisica destacaram-se: compromissos familiares (39,2%), jornada de trabalho (36,7%), falta de equipamento (30,4%), ambiente inseguro (26,9%), falta de companhia (25,6%), tarefas domesticas (20,6%) e falta de recursos financeiros (20,3%). A prevalencia de policiais insuficientemente ativos foi maior entre os que percebem barreiras pessoais, ajustado pelo sexo, idade e pelas barreiras ambientais, sociais e financeiras (RP: 1,5; IC95%: 1,00-2,26).

Déficit nutricional em crianças de uma cidade de grande porte do interior da Bahia, Brasil

The study sought to analyze the nutritional deficit of children and associated environmental factors and maternal and infant characteristics in a major city in the interior of the state of Bahia. Information from mother/child-under-four duos of a birth cohort was assessed. Malnutrition was defined by the height-for-age (H/A) anthropometric index, at a cutoff of -1 z-score relative to the benchmark of the 2006 Multicentre Growth Reference Study. The variables studied were: the characteristics of children (birth weight and multiple births) and mothers (age at the time of birth, education level, parity and performing prenatal exams) and environmental factors (floor and roof material of residence, source of water consumed, indoor plumbing, water used for consumption and ownership of a refrigerator). Logistic regression was used to identify factors associated with nutritional deficit. Nutritional deficit occurred in 24.6% of children. Underweight at birth, inadequate prenatal care, precarious nature of the floor of the home and no indoor plumbing were predictors of malnutrition among children in the study. Factors associated with malnutrition confirm the contribution of social issues in the genesis of malnutrition.

Risco cardiovascular em policiais militares de uma cidade de grande porte do Nordeste do Brasil

This research estimated the prevalence and factors associated with high cardiovascular risk (HCR), evaluating from abdominal obesity in a sample of 316 military policemen of a large city in Northeastern Brazil. Predictors: gender, age, marital status, graduation, function and time in the police, level of physical activity and smoking. We used the Poisson regression with robust variance to assess the association between HCR and sociodemographic, behavioral and work-related factors. The HCR occurred in 32.3% of subjects surveyed. In the adjusted analysis, gender (OR: 2.39, IC95%: 1.20-4.77), time in the police (OR: 1.74, IC95%: 1.17-2.58) and physical activity level (OR: 1.36, IC95%: 1.00-1.83) were associated with HCR among subjects, adjusted for graduation.

Risco cardiovascular em policiais militares de uma cidade de grande porte do Nordeste do BrasilCardiovascular Risk among Military Policemen of a Large City in Northeastern BrazilRiesgo cardiovascular en Policía Militar de una gran ciudad del Nordeste de Brasil

This research estimated the prevalence and factors associated with high cardiovascular risk (HCR), evaluating from abdominal obesity in a sample of 316 military policemen of a large city in Northeastern Brazil. Predictors: gender, age, marital status, graduation, function and time in the police, level of physical activity and smoking. We used the Poisson regression with robust variance to assess the association between HCR and sociodemographic, behavioral and work-related factors. The HCR occurred in 32.3% of subjects surveyed. In the adjusted analysis, gender (OR: 2.39, IC95%: 1.20-4.77), time in the police (OR: 1.74, IC95%: 1.17-2.58) and physical activity level (OR: 1.36, IC95%: 1.00-1.83) were associated with HCR among subjects, adjusted for graduation.

Cardiovascular Risk among Military Policemen of a Large City in Northeastern Brazil

This research estimated the prevalence and factors associated with high cardiovascular risk (HCR), evaluating from abdominal obesity in a sample of 316 military policemen of a large city in Northeastern Brazil. Predictors: gender, age, marital status, graduation, function and time in the police, level of physical activity and smoking. We used the Poisson regression with robust variance to assess the association between HCR and sociodemographic, behavioral and work-related factors. The HCR occurred in 32.3% of subjects surveyed. In the adjusted analysis, gender (OR: 2.39, IC95%: 1.20-4.77), time in the police (OR: 1.74, IC95%: 1.17-2.58) and physical activity level (OR: 1.36, IC95%: 1.00-1.83) were associated with HCR among subjects, adjusted for graduation.

Riesgo cardiovascular en Policía Militar de una gran ciudad del Nordeste de Brasil

This research estimated the prevalence and factors associated with high cardiovascular risk (HCR), evaluating from abdominal obesity in a sample of 316 military policemen of a large city in Northeastern Brazil. Predictors: gender, age, marital status, graduation, function and time in the police, level of physical activity and smoking. We used the Poisson regression with robust variance to assess the association between HCR and sociodemographic, behavioral and work-related factors. The HCR occurred in 32.3% of subjects surveyed. In the adjusted analysis, gender (OR: 2.39, IC95%: 1.20-4.77), time in the police (OR: 1.74, IC95%: 1.17-2.58) and physical activity level (OR: 1.36, IC95%: 1.00-1.83) were associated with HCR among subjects, adjusted for graduation.

Nivel de actividad física y barreras percibidas para la práctica de actividades físicas entre los policía militares

This research describes levels of physical activity and perceived barriers to physical activities of military police in Feira de Santana, Bahia. This is a cross sectional study, with a sample of 316 subjects. The results showed that in regard to physical activity, 37% of the military police are inactive, no significant difference related to gender and age. Among perceived barriers to practice physical activity stood out: family commitments (39.2%), the workday (36.7%), lack of equipment (30.4%), unsafe environment (26.9%), lack of company (25.6%), housework (20.6%) and lack of financial resources (20.3%). The prevalence of inactive police was higher among those who perceived personal barriers, adjusted by gender, age, and by environmental, social and financial barriers (OR: 1.5; CI95%: 1.00-2.26).O estudo descreveu o nivel de atividade fisica e as barreiras percebidas para a pratica de atividades fisicas em uma amostra de 316 policiais militares de Feira de Santana, Bahia. Houve 37% de individuos insuficientemente ativos, sem diferenca significante entre os sexos e a idade. Entre as barreiras percebidas para a pratica de atividade fisica destacaram-se: compromissos familiares (39,2%), jornada de trabalho (36,7%), falta de equipamento (30,4%), ambiente inseguro (26,9%), falta de companhia (25,6%), tarefas domesticas (20,6%) e falta de recursos financeiros (20,3%). A prevalencia de policiais insuficientemente ativos foi maior entre os que percebem barreiras pessoais, ajustado pelo sexo, idade e pelas barreiras ambientais, sociais e financeiras (RP: 1,5; IC95%: 1,00-2,26).

Level of physical activity and perceived barriers to practice physical activities among military police

This research describes levels of physical activity and perceived barriers to physical activities of military police in Feira de Santana, Bahia. This is a cross sectional study, with a sample of 316 subjects. The results showed that in regard to physical activity, 37% of the military police are inactive, no significant difference related to gender and age. Among perceived barriers to practice physical activity stood out: family commitments (39.2%), the workday (36.7%), lack of equipment (30.4%), unsafe environment (26.9%), lack of company (25.6%), housework (20.6%) and lack of financial resources (20.3%). The prevalence of inactive police was higher among those who perceived personal barriers, adjusted by gender, age, and by environmental, social and financial barriers (OR: 1.5; CI95%: 1.00-2.26).O estudo descreveu o nivel de atividade fisica e as barreiras percebidas para a pratica de atividades fisicas em uma amostra de 316 policiais militares de Feira de Santana, Bahia. Houve 37% de individuos insuficientemente ativos, sem diferenca significante entre os sexos e a idade. Entre as barreiras percebidas para a pratica de atividade fisica destacaram-se: compromissos familiares (39,2%), jornada de trabalho (36,7%), falta de equipamento (30,4%), ambiente inseguro (26,9%), falta de companhia (25,6%), tarefas domesticas (20,6%) e falta de recursos financeiros (20,3%). A prevalencia de policiais insuficientemente ativos foi maior entre os que percebem barreiras pessoais, ajustado pelo sexo, idade e pelas barreiras ambientais, sociais e financeiras (RP: 1,5; IC95%: 1,00-2,26).