Body Mass Index and Height Growth Curves are influenced by Sexual Maturation Status in Brazil: Cross-Sectional Study

Authors

  • Fernando Adami Programa de Pós-Graduação em Saúde Coletiva, Universidade do Extremo Sul Catarinense
  • Jucemar Benedet Departamento de Educação Física. Programa de Pós-Graduação em Educação Física - Centro de Desportos - Universidade Federal de Santa Catarina - UFSC. Campus Universitário – Trindade. CEP.88040.900, Florianópolis – SC, Brazil
  • Adair da Silva Lopes Departamento de Educação Física. Programa de Pós-Graduação em Educação Física - Centro de Desportos - Universidade Federal de Santa Catarina - UFSC. Campus Universitário – Trindade. CEP.88040.900, Florianópolis – SC, Brazil
  • Maria Gabriela Matias de Pinho Departamento de Nutrição. Programa de Pós-graduação em Nutrição do Centro de Ciências da Saúde – Universidade Federal de Santa Catarina - UFSC. Centro de Ciências da Saúde. Campus Universitário – Trindade. CEP: 88040-900, Florianópolis – SC, Brazil.6 Instituto Brasileiro de Ensino e Pesquisa – IBESPA
  • Francisco Winter dos Santos Figueiredo Departamento de Saúde da Coletividade. Laboratório de Epidemiologia e Análise de dados, Laboratório de Delineamento de Estudos e Escrita Científica, Faculdade de Medicina do ABC. Avenida Príncipe de Gales – Príncipe de Gales, CEP: 09060-650, Santo André – SP, Brazil
  • Laércio da Silva Paiva 4Departamento de Saúde da Coletividade. Laboratório de Epidemiologia e Análise de dados, Laboratório de Delineamento de Estudos e Escrita Científica, Faculdade de Medicina do ABC. Avenida Príncipe de Gales – Príncipe de Gales, CEP: 09060-650, Santo André – SP, Brazil;
  • Luiz Carlos de Abreu Faculdade de Medicina do ABC. Departamento de Saúde da Coletividade. Disciplina de Metodologia Científica.
  • Francisco de Assis Guedes de Vasconcelos Departamento de Nutrição. Programa de Pós-graduação em Nutrição do Centro de Ciências da Saúde – Universidade Federal de Santa Catarina - UFSC. Centro de Ciências da Saúde. Campus Universitário – Trindade. CEP: 88040-900, Florianópolis – SC, Brazil.

DOI:

https://doi.org/10.3823/1833

Keywords:

Schoolchildren, Curves, Growth, Obesity, Sexual Maturation.

Abstract

Abstract

Background: To describe and analyze growth curves of body mass index (BMI) and height according to sexual maturation status in children and adolescents aged 8-14 years old in the city of Florianopolis, Santa Catarina, Brazil. Methods: Cross-sectional study conducted in 2007 with a random sample of 2,339 students from public and private elementary school. Excess weight was determined by BMI curves of the World Health Organization according to sex and age. Sexual maturation was self-assessed and classified according to Tanner stages of sexual development. Tertiles of age in each sexual maturation stage were used to classify individuals in early, normal or late sexual maturation. Growth curves of BMI and height were estimated using median values for each sex, using six degree polynomial to smooth the curve. Results: We observed different growth curves of BMI and height according to sexual maturation status for both boys and girls. Early sexual maturation is associated with increased BMI z score to boys until 11 years of age and to girls in all groups age, and with increased height z score to boys in all age groups and in girls of 9 -12.5 years of age. Late sexual maturation is associated with lower values of BMI Z score in boys between 10 to 12 years of age and slower evolution of BMI Z score in girls. Conclusion: The sexual maturation seems to affect directly the evolution of BMI and height and should be considered in the assessment of nutritional status during childhood.

 

 

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Published

2015-10-27

Issue

Vol. 8 (2015)

Section

Epidemiology

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