Early predictive model of child and adolescent obesity
Keywords:
PEDIATRIC OBESITY, OBESITY, MATERNAL, TOBACCO USE DISORDER.Abstract
Introduction: it would be useful to establish a model for predicting child and adolescent obesity through modifiable factors from the first thousand days of life.
Objective: to develop an early predictive model of child and adolescent obesity.
Methods: a longitudinal, retrospective and observational case-control study was conducted at the "Manuel González Díaz" Polyclinic, period March/2021-May/2023. Universe, consisting of 3091 children under 19 years of age (Basic Working Group 2), forming a Sample A [105 children under two years of age (35 cases and 70 controls)] and a Sample B [(144 adolescents (72 cases and 72 controls)]. The factors associated with obesity were identified, with them an early predictive model of obesity was developed and validated using methods such as: logistic regression analysis, goodness of fit test of Hosmer and Lemeshow and estimation of the Area Under Curve-ROC.
Results: in Sample A two factors were associated with childhood and adolescent obesity: history of maternal obesity [OR 3.32 (CI: 1.11-9.88)] and maternal smoking [OR 6.15 (CI: 1.07-35.15)], calibration (p=0.1729), AUC-ROC 0.68. The results were similar in Sample B.
Conclusions: the history of maternal obesity and maternal smoking were predictive factors of child and adolescent obesity with an adequate adjustment of reality in sample A and similar results in sample B, a fact consistent with the fact that both factors achieve a significant reduction in distance, so its use is proposed in clinical practice to predict from the first thousand days of life the future development of child and adolescent obesity.
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1. Gahagan S. Sobrepeso y obesidad. Kliegman RM, St. Geme III JW, Blum NJ, Shah S, editores. In: Nelson. Tratado de pediatría [Internet]. 21 ª ed. Barcelona: Editorial Elsevier España; 2020 [citado 18/06/2023]: 345-360. Disponible en: https://booksmedicos.org/nelson-tratado-de-pediatria-21a-edicion/
2. UNICEF. The State of the World’s Children 2019. Children, Food and Nutrition: Growing well in a changing world [Internet]. New York: Unicef; 2019 [citado 18/06/2023]. Disponible en: https://www.unicef.org/reports/state-of-worlds-children-2019
3. FAO, FIDA, OPS, WFP y UNICEF. Panorama de la seguridad alimentaria y nutrición en América Latina y el Caribe 2020 [Internet]. Santiago de Chile; 2020 [citado 18/06/2023]. Disponible en: https://iris.paho.org/handle/10665.2/53143
4. Terry Berro B, Rodríguez Vázquez L, Silvera Téllez D, Rodríguez Flores V, Chávez Valle HN, Rodríguez Salvá A. Overweight, obesity and eating behaviors in primary school children in Cruces municipality, Cienfuegos province. Rev Cubana Salud Pública [Internet]. 2021 Mar [citado 18/06/2023]; 47(1): e2552. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-34662021000100014&lng=es.
5. Ruvalcaba Ledezma JC, Hernández Barrera J, García Díaz JR, Lozano Jaén A, Morales García LI, Hernández Medina MS, et al. Factores desencadenantes de obesidad infantil, un problema de salud pública. JONNPR [Internet]. 2018 [citado 18/06/2023]; 3(8): 614-626. Disponible en: https://revistas.proeditio.com/jonnpr/article/view/2542
6. Valladares-Salgado A, Fernando Suárez-Sánchez F, Burguete-García AI, Cruza M. Epigenética de la obesidad infantil y de la diabetes. Rev Med Inst Mex Seguro Soc [Internet]. 2014 [citado 18/06/2023]; 52(Suppl 1): 88-93. Disponible en: http://www.redalyc.org/articulo.oa?id=457745485015
7. Shamah-Levy T, Campos-Nonato I, Cuevas-Nasu L, Hernández-Barrera L, Morales-Ruán MC, Rivera-Dommarco J, et al. Sobrepeso y obesidad en población mexicana en condición de vulnerabilidad. Resultados de la Ensanut 100k. Salud Pública Mex [Internet]. 2019 [citado 18/06/2023]; 61(6): 852-865. Disponible en: https://www.saludpublica.mx/index.php/spm/article/view/10585
8. Méndez-Venegas O, Merellano-Navarro E. Niveles de condición física en relación con el estado nutricional en preescolares chilenos. Retos [Internet]. 2021 [citado 18/06/2023]; 41: 589-595. Disponible en: https://recyt.fecyt.es/index.php/retos/article/view/82897
9. Borjas-Santillán M, Loaiza-Dávila L, Vásquez-Portugal R, Campoverde-Palma P, Arias-Cevallos K, Chávez-Cevallos E. Obesidad, hábitos alimenticios y actividad física en alumnos de educación secundaria. Revista Cubana de Investigaciones Biomédicas [Internet]. 2017 [citado 18/06/2023]; 36(3). Disponible en: https://revibiomedica.sld.cu/index.php/ibi/article/view/85
10. Martínez-Villanueva J, González-Leal R, Argente J, Martos-Moreno GA. La obesidad parental se asocia con la gravedad de la obesidad infantil y de sus comorbilidades. Anales de Pediatría [Internet]. 2019 [citado 18/06/2023]; 90(4): 224-231. Disponible en: https://doi.org/10.1016/j.anpedi.2018.06.013.
11. Cervantes-Bravo F, Saucedo-García RP, Romero-Quechol GM, Ríos-Morales R. Obesidad materna como factor de riesgo de obesidad infantil. Rev Enferm Inst Mex Seguro Soc [Internet]. 2020 [citado 18/06/2023]; 28(2):82-91. Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=95333
12. Ormeño-Julca AJ. Interacciones entre los genes y el medio ambiente en la obesidad infantil. Rev Cubana Pediatr [Internet]. 2022 Jun [citado 20/06/2023]; 94(2): e1802. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-75312022000200010&lng=es.
13. Chinchilla Araya T, Durán Monge MP. Efectos fetales y posnatales del tabaquismo durante el embarazo. Med. leg. Costa Rica [Internet]. 2019 Dic [citado 30/05/2023]; 36(2): 68-75. Disponible en: http://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S1409-00152019000200068&lng=en.
14. Ocaña Esponda MA, Velázquez Domínguez JA. Bajo peso al nacimiento antesala de obesidad. Contactos [Internet]. 30 de septiembre de 2019 [citado 30/05/2023]; (113): 32-36. Disponible en: https://contactos.izt.uam.mx/index.php/contactos/article/view/19
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