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Excesso de peso e obesidade parental e perceção do aumento de peso infantil, durante o confinamento em contexto da pandemia da COVID-19, em Portugal: Programa MUN-SI Cascais 2019/2020
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Advisor(s)
Abstract(s)
O contexto pandémico provocado pelo coronavírus SARS-CoV-2
(COVID-19) combinado com o ambiente obesogénico em que muitas
crianças se desenvolvem e a já elevada prevalência de obesidade infantil
em Portugal, estão identificados como fatores de alto risco para o
desenvolvimento ou agravamento da doença da atualidade mais prevalente
na infância. A perceção parental do estado nutricional (EN) infantil,
e, principalmente, a incapacidade dos pais reconhecerem o excesso de
peso das suas crianças, tem sido apontada como outra razão para o
aumento da obesidade infantil. O presente trabalho avaliou a perceção
parental sobre o EN de crianças participantes no programa comunitário
de base escolar, MUN-SI Cascais 2019/2020, durante o confinamento
em contexto da pandemia da COVID-19 e analisou a prevalência de
excesso de peso e obesidade parental antes e durante este período. Os
resultados deste estudo mostraram que apesar de 35,4% dos inquiridos
referir que, na sua perceção, o peso da criança aumentou durante o
período de confinamento, mais de metade (61,1%) não demonstrou qualquer
preocupação com um possível aumento ponderal neste período,
nas suas crianças. As mães (maioria dos respondentes) reportaram
um diagnóstico inicial de obesidade (3,6%) inferior ao verificado no
período de pré-confinamento (7,5%). Foi ainda verificado um aumento
estatisticamente significativo ( p<0,01) da prevalência de excesso de
peso (de 24,7% para 39,4%) e de obesidade (+5,1%) nas mães, durante
o confinamento. Assim, no contexto atual de pandemia da COVID-19,
em que a modelagem parental está evidenciada e o excesso peso agravado,
é importante que intervenções de abordagem de obesidade infantil
incluam igualmente ferramentas de orientação que auxiliem os pais a
avaliar com maior precisão o EN das suas crianças.
The SARS-CoV-2 coronavirus (COVID-19) pandemic context combined with the obesogenic environment in which many children live and the already high prevalence of childhood obesity in Portugal, are identified as factors of high risk for the development or worsening of the current disease most prevalent in childhood. Parental perception of children's nutritional status (NS), especially the parents' inability to recognize their children's overweight has been pointed out as another reason for the increase in childhood obesity. The present study analyzed the parental perception of their children NS, who participated in community and school based program, MUN-SI Cascais 2019/2020, during the confinement by COVID-19. It also assessed the prevalence of parental overweight and obesity before and during this period. The results of this study showed that although 35.4% of the respondents said that, in their perception, their child's weight increased during the confinement period, more than half (61.1%) did not show any concern about a possible children weight gain in this period. Mothers (most respondents) reported an initial diagnosis of obesity (3.6%) lower than that the one analyzed in the pre-confinement period (7.5%). There was also a statistically significant increase (p<0.01) in the prevalence of overweight (from 24.7% to 39.4%) and obesity (+ 5.1%) in mothers, during confinement. Thus, in the current context of the COVID-19 pandemic, in which parental modeling is highlighted and overweight is aggravated, it is important that interventions that address childhood obesity also include guidance tools that help parents to more accurately assess their children EN.
The SARS-CoV-2 coronavirus (COVID-19) pandemic context combined with the obesogenic environment in which many children live and the already high prevalence of childhood obesity in Portugal, are identified as factors of high risk for the development or worsening of the current disease most prevalent in childhood. Parental perception of children's nutritional status (NS), especially the parents' inability to recognize their children's overweight has been pointed out as another reason for the increase in childhood obesity. The present study analyzed the parental perception of their children NS, who participated in community and school based program, MUN-SI Cascais 2019/2020, during the confinement by COVID-19. It also assessed the prevalence of parental overweight and obesity before and during this period. The results of this study showed that although 35.4% of the respondents said that, in their perception, their child's weight increased during the confinement period, more than half (61.1%) did not show any concern about a possible children weight gain in this period. Mothers (most respondents) reported an initial diagnosis of obesity (3.6%) lower than that the one analyzed in the pre-confinement period (7.5%). There was also a statistically significant increase (p<0.01) in the prevalence of overweight (from 24.7% to 39.4%) and obesity (+ 5.1%) in mothers, during confinement. Thus, in the current context of the COVID-19 pandemic, in which parental modeling is highlighted and overweight is aggravated, it is important that interventions that address childhood obesity also include guidance tools that help parents to more accurately assess their children EN.
Description
Keywords
COVID-19 Pandemia da COVID-19 Infeção por SARS-CoV-2 Confinamento Impacto da Pandemia Excesso de Peso Obesidade Pais Crianças Perceção Parental Aumento de Peso Infantil Estado Nutricional Infantil Estilos de Vida e Impacto na Saúde Programa MUN-SI Cascais 2019/2020 Saúde Pública Portugal
Pedagogical Context
Citation
Boletim Epidemiológico Observações. 2020;9(Supl 12):46-50
Publisher
Instituto Nacional de Saúde Doutor Ricardo Jorge, IP