2006, Número 3
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Bol Med Hosp Infant Mex 2006; 63 (3)
Hábitos de alimentación e ingestión de calorías en un grupo de niños y adolescentes obesos
Romero-Velarde E, Campollo-Rivas O, Castro-Hernández JF, Cruz-Osorio RM, Vásquez-Garibay EM
Idioma: Español
Referencias bibliográficas: 29
Paginas: 187-194
Archivo PDF: 62.62 Kb.
RESUMEN
Introducción. Objetivo: comparar los hábitos alimentarios y consumo de energía en niños y adolescentes obesos y no obesos.
Material y métodos. Estudio transversal analítico en 71 sujetos obesos (índice de masa corporal [IMC] ›centila 95) y 75 no obesos (IMC centilas 5 a 85) de 5 a 15 años de edad (promedio 9.8). Se realizaron encuestas alimentarias por recordatorio de 24 horas. Se calcularon: consumo de energía, macronutrimentos y alimentos de consumo común.
Resultados. El consumo de energía y grasas fue mayor en niños obesos (P ‹0.001). Los 5 alimentos referidos más frecuentemente fueron: leche, tortillas, frijoles, refrescos y agua de frutas. Los productos chatarra fueron referidos más frecuentemente que frutas y verduras.
Conclusiones. El consumo de energía en niños obesos fue superior al de no obesos, lo que puede explicar la presencia de obesidad. Es preocupante el consumo frecuente de refrescos y productos chatarra. La obesidad se debe prevenir a través de la educación y fomento de hábitos de alimentación y estilos de vida saludables.
REFERENCIAS (EN ESTE ARTÍCULO)
Troiano RP, Flegal KM. Overweight children and adolescents; description, epidemiology, and demographics. Pediatrics. 1998; 101: 497-504.
De Onis M, Blössner M. Prevalence and trends of overweight among preschool children in developing countries. Am J Clin Nutr. 2000; 72: 1032-9.
Must A, Dallal GE, Dietz WH. Reference data for obesity: 85th and 95th percentiles of body mass index (wt/ht2) and triceps skinfold thickness. Am J Clin Nutr. 1991; 53: 839-46.
Rivera-Dommarco J, Shamah-Levy T, Villalpando-Hernández S, González-de Cossío T, Hernández-Prado B, Sepúlveda J. Encuesta Nacional de Nutrición 1999. Estado nutricio de niños y mujeres en México. Cuernavaca, Morelos, México: Instituto Nacional de Salud Pública; 2001.
Roberts SB, Hoffman DJ. Energy and substrate regulation in obesity. En: Walker WA, Watkins JB, Duggan C, editores. Nutrition in pediatrics. London: BC Decker Inc. Publisher; 2003. p. 414-28.
Rocandio AM, Ansotegui L, Arroyo M. Comparison of dietary intake among overweight and non-overweight schoolchildren. Int J Obes. 2001; 25: 1651-5.
McGloin AF, Livingstone MBE, Greene LC, Webb SE, Gibson JMA, Jebb SA, et al. Energy and fat intake in obese and lean children at varying risk of obesity. Int J Obes. 2002; 26: 200-7.
Gazzaniga JM, Burns TL. Relationship between diet composition and body fatness, with adjustment for resting expenditure and physical activity, in preadolescent children. Am J Clin Nutr. 1993; 58: 21-8.
Barkeling B, Ekman S, Rossner S. Eating behavior in obese and normal weight 11-year-old children. Int J Obes. 1992; 16: 355-60.
Bandini LG, Schoeller DA, Cyr HN, Dietz WH. Validity of reported energy intake in obese and nonobese adolescents. Am J Clin Nutr. 1990; 52: 421-5.
Gillis LJ, Kennedy LC, Gillis AM, Bar-Or O. Relationship between juvenile obesity, dietary energy and fat intake and physical activity. Int J Obes Relat Metab Disord. 2002; 26: 458-63.
Rennie KL, Jebb SA, Wright A, Coward WA. Secular trends in under-reporting in young people. Br J Nutr. 2005; 93: 241-7.
Hill RJ, Davies PS. The validity of self-reported energy intake as determined using the doubly labelled water technique. Br J Nutr. 2001; 85: 415-30.
Johnson-Down L, O’Loughlin J, Koski KG, Gray-Donald K. High prevalence of obesity in low income and multiethnic schoolchildren: a diet and physical activity assessment. J Nutr. 1997; 127: 2310-5.
Tucker LA, Seljaas GT, Hager RL. Body fat percentage of children varies according to their diet composition. J Am Diet Assoc. 1997; 97: 981-6.
Skinner JD, Bounds W, Carruth BR, Morris M, Ziegler P. Predictors of children’s body mass index: a longitudinal study of diet and growth in children aged 2-8 y. Int J Obes Relat Metab Disord. 2004; 28: 476-82.
Nicklas TA, Demory-Luce D, Yang SJ, Baranowski T, Zakeri I, Berenson G. Children´s food consumption patterns have changed over two decades (1973-1994): The Bogalusa Heart Study. J Am Diet Assoc. 2004; 104: 1127-40.
Troiano RP, Briefel RR, Carroll MD, Bialostosky K. Energy and fat intakes of children and adolescents in the United States: data from the National Health and Nutrition Examination Surveys. Am J Clin Nutr. 2000; 72 Supl: 1343S-53S.
Drewnowski A, Popkin BM. The nutrition transition: new trends in the global diet. Nutr Rev. 1997; 55: 31-43.
St Onge MP, Keller KL, Heymsfield SB. Changes in childhood food consumption patterns: a cause for concern in light of increasing body weights. Am J Clin Nutr. 2003; 78: 1068-73.
Bowman SA, Gortmaker SL, Ebbeling CB, Pereira MA, Ludwig DS. Effect of fast-food consumption on energy intake and diet quality among children in a national household survey. Pediatrics. 2004; 113: 112-8.
American Academy of Pediatrics Committee on School Health. Soft drinks in schools. Pediatrics. 2004; 113: 152-4.
Frisancho RA. Anthropometric standards for the assessment of growth and nutritional status. Michigan: The University of Michigan Press; 1993. p. 37-118.
Buzzard M. 24-Hour dietary recall and food record methods. En: Willet WC, editor. Nutritional epidemiology. 2nd ed. New York: Oxford University Press; 1998. p. 50-73.
World Health Organization. Methods of taking measurements. En: Measuring change in nutritional status. Geneva: World Health Organization; 1983. p. 12-4.
Rosner B. Fundamentals of biostatistics. 3rd ed. Boston: PWS-Kent Publishing Company; 1990. p. 248-72, 498-503.
Stubbs RJ, Harbron CG, Murgatroyd PR, Prentice AM. Covert manipulation of dietary fat and energy density: effect on substrate flux and food intake in men feeding ad libitum. Am J Clin Nutr. 1995; 62: 316-29.
Romero-Velarde E, Vásquez-Garibay EM, Nápoles-Rodríguez F. Hábitos de alimentación de madres de colonias marginadas de Guadalajara. Bol Med Hosp Infant Mex. 1991; 48: 19-24.
Jiménez-Cruz A, Bacardi-Gascón M, Jones EG. Consumption of fruits, vegetables, soft drinks, and high-fat-containing snacks among Mexican children on the Mexico-U.S. border. Arch Med Res. 2002; 33: 74-80.