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Previous issue date: 2012-01-19 / Background: Evidences indicate that eating habits established during childhood related to food intake persist when the child becomes adult. The parental obesity is positively associated to the development of obesity in their offsprings, who tend to become sick and obese young adults during the reproductive phase and end up looking for bariatric surgery in order to reverse the non-communicable diseases (NCDs) already established. Methods: In this cross-sectional study, female patients, who underwent bariatric surgery at the Center of Morbid Obesity, Hospital S?o Lucas, Pontif?cia Universidade Cat?lica do Rio Grande do Sul were contacted. If they had children who fit the eligibility criteria, they were invited to participate in the study. Forty children aged between 0 and 10 years were evaluated. Results: Among these children, 45% were overweight and 16 had high values of waist circumference. The total energy intake and sodium consumption were above the Dietary Reference Intakes (DRIs) for the age group while dietary fiber and potassium intakes were below. Comparing to the non-obese, the obese children had higher intake of caloric lipid percentage (28.3 vs. 25.3%, p<0.025), while the non-obese group tended to have an increased consumption of carbohydrate (62.6 vs. 60%, p<0.066). The presence of NCDs in children?s relatives was 100%. Conclusions: There is probably a significantly higher prevalence of obesity among children of morbidly obese parents when compared to the general child population. Since the familial aggregation of NCDs was absolute, these results point to the need for careful evaluation when dealing with children. However, it is necessary to increase the number of individuals in the present study to confirm these results. / Introdu??o: Evid?ncias indicam que h?bitos alimentares estabelecidos durante a inf?ncia relacionados ? ingest?o alimentar persistem quando a crian?a se torna adulto. A obesidade parental ? positivamente associada ao desenvolvimento de obesidade em seus filhos, que tendem a se tornar jovens adultos doentes e obesos durante a fase reprodutiva e buscam a cirurgia bari?trica para reverter as doen?as cr?nicas n?o-transmiss?veis (DCNTs), na maioria dos casos, j? presentes. Sujeitos e M?todos: Estudo transversal, em que foram contatadas pacientes submetidas ? cirurgia bari?trica no Centro da Obesidade e S?ndrome Metab?lica do Hospital S?o Lucas da Pontif?cia Universidade Cat?lica do Rio Grande do Sul. Caso tivessem filhos que satisfazessem os crit?rios de elegibilidade, eram questionados se teriam interesse em participar do estudo. Foram avaliadas 40 crian?as com idade entre 0 e 10 anos. Resultados: Dentre as crian?as, 45% estavam com excesso de peso e 16 apresentavam valores elevados de circunfer?ncia abdominal. A ingest?o energ?tica total e o consumo de s?dio estavam muito acima do padr?o de refer?ncia de ingest?o diet?tica (Dietary Reference Intakes - DRIs) para a faixa et?ria, enquanto que os consumos de fibra diet?tica e de pot?ssio estavam abaixo. Crian?as obesas apresentaram maior consumo de ingest?o total de lip?dios comparada ?s n?o-obesas (28.3 vs. 25.3%, p<0.025), por?m, o grupo das n?o-obesas tiveram uma tend?ncia maior a consumir carboidratos (62.6 vs. 60%, p<0.066) quando comparados aos par?metros da DRIs respectivamente. Houve uma presen?a absoluta de DCNTs nos parentes das crian?as. Conclus?es: H?, provavelmente, uma preval?ncia significativamente maior de obesidade dentre crian?as filhas de pais com obesidade m?rbida quando comparados ? popula??o infantil em geral. Como a agrega??o familiar de DCNTs foi plena, estes resultados apontam para a necessidade de uma avalia??o mais cuidadosa ao se tratar de crian?as. Contudo, faz-se necess?rio aumentar a amostra do presente estudo para confirmar estes resultados.
| Identifer | oai:union.ndltd.org:IBICT/oai:tede2.pucrs.br:tede/1659 |
| Date | 19 January 2012 |
| Creators | Pufal, Milene Amarante |
| Contributors | Mottin, Cl?udio Cor? |
| Publisher | Pontif?cia Universidade Cat?lica do Rio Grande do Sul, Programa de P?s-Gradua??o em Medicina e Ci?ncias da Sa?de, PUCRS, BR, Faculdade de Medicina |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Biblioteca Digital de Teses e Dissertações da PUC_RS, instname:Pontifícia Universidade Católica do Rio Grande do Sul, instacron:PUC_RS |
| Rights | info:eu-repo/semantics/openAccess |
| Relation | 7620745074616285884, 500, 600, -8624664729441623247 |
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