BMC Pediatrics

official impact factor 1.90

Open Access Research article

Overweight and lifestyle behaviors of low socioeconomic elementary school children in Buenos Aires

Valeria Hirschler1*, Karina Buzzano2, Anabella Erviti2, Noemi Ismael2, Silvina Silva2 and Ricardo Dalamon2

Author Affiliations

1 Nutrition and Diabetes Department, Hospital Durand, Buenos Aires, Argentina

2 Division of Pediatrics, Hospital Durand, Buenos Aires, Argentina

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BMC Pediatrics 2009, 9:17 doi:10.1186/1471-2431-9-17

Published: 24 February 2009

Abstract

Background

There is growing interest in understanding the role that lifestyle behaviors play in relation to children's weight status. The objective of the study was to determine the association between children s BMI and dietary practices and maternal BMI.

Methods

330 students (168M) aged 8.9 + 2 y from 4 suburban Buenos Aires elementary schools, and their mothers aged 36.2 + 7 y were examined between April and September 2007. Mothers were asked about their children s lifestyle. Data included parental education levels socioeconomic status, mothers and children s BMI, and Tanner stage.

Results

All families were in the low socio-economic class. 79% of parents had an elementary education or less. 61 (18.5%) of children were obese (OB) (BMI>95%ile per CDC norms), and 53 (16.1%) overweight (OW) (BMI>85<95%ile). 103 (31.2%) of mothers were OB (BMI>30 kg/m2), and102 (30.9%) OW (BMI>25<30). 63% the children were pre-pubertal. 40% had a TV set in their bedroom. 13% of the children skipped breakfast and only 38% watched TV ≤2 hours daily, as recommended. Multiple logistic regression analysis showed a positive association between children s OW/OB and drinking sweetened beverages (OR = 1.24; 95% CI, 1.02–1.52), TV viewing (OR = 1.30; 95% CI,1.05–1.62), and maternal BMI (OR: 1.07; 95% CI,1.02–1.12), and a negative association with eating breakfast (OR = 0.43; 95% CI, 0.19–0.97) adjusted for fruit and vegetables consumption, milk consumption, maternal educational level and socioeconomic class.

Conclusion

Our results suggest that TV viewing, drinking sweet beverages, skipping breakfast, and maternal BMI are important predictive variables for childhood OW/OB.