Environmental Determinants of Obesity in Children and Adolescents Attending Two Primary Health Care Centers in the City of Cordoba, Argentina, 2019-2022
DOI:
https://doi.org/10.31052/1853.1180.v29.n2.41813Keywords:
Environment, Childhood, ObesityAbstract
Introduction: Health is perceived as a dynamic process that considers the holistic well-being of individuals, wherein various conditions operate at multiple organizational levels. The World Health Organization (WHO) recognizes Children's Environmental Health as a significant health challenge in the 21st century.
Objetives: to assess the environmental factors that contribute to obesity in children and adolescents who receive medical care at two primary healthcare centers (HC) at Córdoba, Argentina, during 2019 to 2022.
Methods: Observational, descriptive and transversal study. The physical, social and food environment, and nutritional status were assessed in 382 children and adolescents who attend two HC in the city of Córdoba, Argentina. Univariate analysis and multiple correspondence analysis were performed. The aim was to identify and characterize clusters based on response modalities to selected variables of nutritional status (prevalence of obesity in children and adolescents) and environmental (possession of sewers, type of dwelling, type of cooking fuel, migrant population, neighborhood of residence, parents' work, consumption of fruits and vegetables), with significant association (test value>2).
Results: Obesity was characterized by a population that does not have access to sewer systems, lives in ceded or occupied homes, has male and female parents who are unemployed or informal workers, and do not consume fruits and vegetables frequently.
Conclusions: Differential characteristics of the environment were observed in relation to the occurrence of obesity. The present study introduces a novel perspective that enhances the comprehension of health in children and adolescents.
Downloads
References
Digesto UCC. Política y Estrategia de Investigación y Vinculación tecnológica (Resolución Rectoral Nº 1091/2011)
Quiroga D, Fernández R, Paris E Salud Ambiental Infantil: manual para enseñanza de grado en escuelas de medicina. Buenos Aires: Ministerio de Salud de la Nación, Organización Panamericana de la Salud. 2010. ISBN 978-950-38-0097-3.
INDEC. Instituto Nacional de Estadísticas y Censos. [Internet]. 2021 [citado 4 de mayo de 2022]; Disponible en: https://www.indec.gob.ar/indec/web/Nivel4-Tema-4-32-68.
Tuñón, I and González MS. Aproximación a la medición de la pobreza infantil desde un enfoque multidimensional y de derechos. Revista sociedad y equidad 5 2013.
Prüss-Üstün A, Corvalán CF, World Health Organization Ambientes saludables y prevención de enfermedades: hacia una estimación de la carga de morbilidad atribuible al medio ambiente: resumen de orientación / A. Prüss-Üstün, C. Corvalán. Preventing disease through healthy environments : towards an estimate of the environmental burden of disease : executive summary. 2006:16.
Barquera S Importancia de las políticas públicas para atender problemas de nutrición de niños, niñas y adolescentes. Rev Esp Nutr Hum Diet. 2022;26, doi: 10.14306/renhyd.26.S2.1763.
Varela Arévalo MT, Méndez Paz F. Aspectos físicos y sociales del ambiente alimentario del hogar relacionados con el consumo de frutas y verduras en niños escolares: Un estudio transversal. Rev Esp Nutr Hum Diet. 2021; 25(2): 143-53. doi: 10.14306/renhyd.25.2.1092
Ranjit, N., Wilkinson, AV, Lytle, LM, Evans, AE, Saxton, D. y Hoelscher, DM. Desigualdades socioeconómicas en la alimentación infantil: el papel del entorno alimentario del hogar. Revista internacional de nutrición conductual y actividad física, 2015, vol. 12, nº 1, pág. 1-9.
Bartrina, J. Aranceta, et al. Epidemiología y factores determinantes de la obesidad infantil y juvenil en España. Revista pediatría de atención primaria, 2005, vol. 7, no Suplemento 1, p. 13-20.
Salinas, V; Goldsmith Weil, J. Una nueva mirada a los determinantes del peso infantil en la primera infancia. Revista chilena de pediatría, 2020, vol. 91, no 6, p. 899-907.
OPS. Ambientes Saludables: Niños Saludables. Un movimiento para lograr ambientes saludables para los niños de las Américas. La organización: Washington, D.C. 2003.
Flynn, J; Falkner, B. Nueva guía de práctica clínica para el manejo de la hipertensión arterial en niños y adolescentes. Hipertensión, 2017, vol. 70, nº 4, pág. 683-686.
Navarrete Mejía PJ, Velasco Guerrero JC, Loayza Alarico MJ, Huatuco Collantes ZA. Indicadores antropométricos en dos escuelas públicas de zona rural y citadina en el Perú: 2014. Horizonte Médico (Lima), 2015, vol. 15, no 4, p. 6-10.
Gualdi-Russo E, Toselli S, Masotti S, et al. Health, growth and psychosocial adaptation of immigrant children. Eur J Public Health. 2014;24:16-25
Besharat Pour M, Bergstrom A, Bottai M, et al. Effect of parental migration background on childhood nutrition, physical activity, and body mass index. J Obes. 2014;2014, 406529.
González-Rábago, Y; Martín, U. Salud y determinantes sociales de la salud en hijos e hijas de personas inmigrantes internacionales: ¿desigualdades sociales en salud desde la infancia? Gaceta Sanitaria, 2019, vol. 33, p. 156-161.
Delgado Acosta, HM; Alonso Padrón, E; Rodríguez Fernández, L; Pedraza A; Álvarez Pérez, AG; Pérez Álvarez, AD. Study of social determinants and population health status. Revista de Enfermedades no Transmisibles Finlay, 2013, vol. 3, no 4, p. 219-229.
Guedes, D. P., Rocha, G. D., Silva, A. J. R. M., Carvalhal, I. M., & Coelho, E. M. Efectos de los determinantes sociales y ambientales sobre la obesidad y el sobrepeso en escolares de una region en desarrollo del Brasil. Revista Panamericana de Salud Publica, 2011, vol. 30, no 4, p. 295-303.
Caruso, B., Stephenson, R., & Leon, J. S. Comportamiento y experiencia, acceso a la atención de salud y capacidad de acción de la madre como determinantes de la diarrea infantil en Bolivia. Revista Panamericana de Salud Pública, 2010, vol. 28, no 6, p. 429-440.
Monteban, M; Villagra, G; Alderete, E. Vegetables and fruits in early childhood: maternal nutritional practices. Medicina, 2022, vol. 82, no 5, p. 732-739.
Salazar Burgos RJ, Oyhenart EE Estado nutricional y condiciones de vida de niños y jóvenes rurales de Tucumán, Argentina: Un estudio observacional transversal. Nutritional status and living conditions of rural schoolchildren from Tucumán, Argentina: A cross-sectional observational study. Revista Española de Nutrición Humana y Dietética, 2021;25, n.o 1, doi: 10.14306/renhyd.25.1.1162.
Organización Mundial de la Salud. Obesidad y sobrepeso. 2020. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/obesity-and-overweight
FAO, OPS, WFP y UNICEF. Panorama de la seguridad alimentaria y nutricional en América Latina y el Caribe 2019. Santiago. 135. 2019. Disponible en: http://www.fao.org/3/ca6979es/ca6979es.pd
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Escuela de Salud Pública y Ambiente. Facultad de Ciencias Médicas. Universidad Nacional de Córdoba
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License which allows the work to be copied, distributed, exhibited and interpreted as long as it is not done for commercial purposes.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) after the publication process. (See The Effect of Open Access). (See The Effect of Open Access).