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https://www.arca.fiocruz.br/handle/icict/64155
RECENT CHANGES IN GROWTH TRAJECTORIES: A POPULATION-BASED COHORT STUDY OF OVER 5 MILLION BRAZILIAN CHILDREN BORN BETWEEN 2001 AND 2014
Altura
Trajetórias de crescimento
Mudanças
Crianças brasileiras
Author
Affilliation
Universidade Federal de Minas Gerais. Escola de Enfermagem, Belo Horizonte, MG, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para Saúde (CIDACS). Salvador, BA, Brasil / Population, Policy and Practice Research and Teaching Department. Great Ormond Street Institute of Child Health. University College London. London, UK.
Universidade Federal de Minas Gerais. Escola de Enfermagem, Belo Horizonte, MG, Brasil.
Universidade Federal da Bahia. Escola de Nutrição. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para Saúde (CIDACS). Salvador, BA, Brasil.
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para Saúde (CIDACS). Salvador, BA, Brasil / Universidade Federal do Recôncavo da Bahia. Centro de Ciências da Saúde. Santo Antônio de Jesus, BA, Brasil.
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para Saúde (CIDACS). Salvador, BA, Brasil.
Population, Policy and Practice Research and Teaching Department. Great Ormond Street Institute of Child Health. University College London. London, UK.
Universidade Federal de Minas Gerais. Escola de Enfermagem, Belo Horizonte, MG, Brasil.
Universidade Federal da Bahia. Escola de Nutrição. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para Saúde (CIDACS). Salvador, BA, Brasil.
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para Saúde (CIDACS). Salvador, BA, Brasil / Universidade Federal do Recôncavo da Bahia. Centro de Ciências da Saúde. Santo Antônio de Jesus, BA, Brasil.
Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimento para Saúde (CIDACS). Salvador, BA, Brasil.
Population, Policy and Practice Research and Teaching Department. Great Ormond Street Institute of Child Health. University College London. London, UK.
Abstract
Background: There is limited evidence on recent trends in childhood growth trajectories in Low-/middle-income countries. We investigated how age-trajectories for height and Body Mass Index (BMI) have changed among Brazilian children born in two different time periods after 2000. Methods: We used a population-based cohort (part of the “Cohort of 100-Million Brazilians”) created by the linkage of three Brazilian administrative databases: the Cadastro Único of the Federal Government, the National System of Live Births and the National Nutritional and Food Surveillance System. We included longitudinal data on 5,750,214 children who were 3 to <10 years of age and born between 2001 and 2014 (20,209,133 observations). We applied fractional polynomial models with random-effects to estimate mean height and BMI trajectories for children. Findings: Compared to children born in 2001–2007, the cohort born in 2008–2014 were on average taller, by a z-score of 0.15 in boys and 0.12 in girls. Their height trajectories shifted upwards, by approximately 1 cm in both sexes. Levels of BMI increased little, by a z-score of 0.06 (boys) and 0.04 (girls). Mean BMI trajectories also changed little. However, the prevalence of overweight/obesity increased between cohorts, e.g., from 26.8% to 30% in boys and 23.9%–26.6% in girls aged between 5 and <10 years. Interpretation: An increase of 1 cm in mean height of Brazilian children during a short period indicates the improvement in maternal and child health, especially those from low-income families due to the new health and welfare policies in Brazil. Although mean BMI changed little, the prevalence of child overweight/obesity slightly increased and remained high.
Keywords in Portuguese
Índice de massa corporalAltura
Trajetórias de crescimento
Mudanças
Crianças brasileiras
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