Analyzing the adolescents’ impaired physical health: prevalence and associated factors in more than 100,000 Brazilian schoolchildren
DOI:
https://doi.org/10.36311/jhgd.v34.16302Keywords:
Social Determinants of Health, Sedentary Behavior, Health Risk Behaviors, AdolescentAbstract
Introduction: Despite the vast evidence on different risk factors and their associations with behaviours that affect the development of young people, there is still a gap in the literature, the evidence bases that ad-dresses the components of health in an integral way.
Objective: The present study aims to propose a combined indicator with the intention of concatenating risk behaviours into a single primary outcome, called Health Impaired Physics, and after that, identify socioeconomic indicators that can help to understand how this commitment affects the Brazilian students.
Methods: This is a transversal-secondary analysis study of a Brazilian public database (National School Health Survey). The data are available from the Brazilian Institute of Geography and Statistics (https://www.ibge.gov.br/). We selected the information about physical activity, nutritional status perception, and “effort to change weight” from 108778 schoolchildren aged between 11 and 18 years. After proposing the “impaired physical health” variable, we use the Poisson logistic regression with p<0.05 of acceptable significance.
Results: Impaired physical health was adopted based on the following composition and criteria: negative classification of physical activity, poor perception of nutritional status and lack of effort to change weight. Individual characteristics (gender and race), food (smoking and drug consumption), family (e.g. not living with parents), phone use and geographic characteristics showed a significant association with the prevalence of impaired physical health.
Conclusion: Collectively, our evidence reinforces that physical health impairment is influenced by several factors, including lifestyle, family and demographic context, and technology use. This study provides important information for managers in planning efficient public policies to promote health for this population, especially in intervention in the social context.
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References
Rogol AD, Clark PA, Roemmich JN. Growth and pubertal development in children and adolescents: effects of diet and physical activity. Am J Clin Nutr [Internet]. 2000 Aug;72(2 Suppl): 521S – 8S. Available from: http://dx.doi.org/10.1093/ajcn/72.2.521S.
Prochnow T, Delgado H, Patterson MS, Umstattd Meyer MR. Social Network Analysis in Child and Adolescent Physical Activity Research: A Systematic Literature Review. J Phys Act Health [Internet]. 2020 Feb 1; 17(2): 250–60. Available from: http://dx.doi.org/10.1123/jpah.2019-0350.
Rodrigues PRM, Luiz RR, Monteiro LS, Ferreira MG, Gonçalves-Silva RMV, Pereira RA. Adolescents’ unhealthy eating habits are associated with meal skipping. Nutrition [Internet]. 2017 Oct; 42: 114–20.e1. Available from: http://dx.doi.org/10.1016/j.nut.2017.03.011.
Silva JI da, Andrade AC de S, Bloch KV, Brunken GS. Association between sharing meals with parents or guardians and obesity in Brazilian adolescents. Cad Saúde Pública [Internet]. 2020 Aug 3 [cited 2024 Apr 3];36(8):e00104419. Available from: https://www.scielo.br/j/csp/a/BRL5y7w3kCf3Fq8c3yYPhDr/abstract/?lang=en&format=html.
Spear LP. Effects of adolescent alcohol consumption on the brain and behaviour. Nat Rev Neurosci [Internet]. 2018 Apr;19(4):197–214. Available from: http://dx.doi.org/10.1038/nrn.2018.10.
Tremblay MS, LeBlanc AG, Kho ME, Saunders TJ, Larouche R, Colley RC, et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth. Int J Behav Nutr Phys Act [Internet]. 2011 Sep 21; 8: 98. Available from: http://dx.doi.org/10.1186/1479-5868-8-98.
Santi NMM, Gomes CS, Silva DRP, Szwarcwald CL, Barros MBA, Malta DC. Prevalência e incidência da prática insuficiente de atividade física em adolescentes brasileiros durante a pandemia: dados da ConVid Adolescentes. Rev Bras Epidemiol. 2023; 26: e230049. https://doi.org/10.1590/1980-549720230049.2.
SFM, C.; Van Cauwenberg, J.; Maenhout, L.; Cardon, G.; Lambert, E. V.; Van Dyck, D. Inequality in Physical Activ-ity, Global Trends by Income Inequality and Gender in Adults. International Journal of Behavioral Nutrition and Physical Activity 2020, 17, 142, doi:10.1186/s12966-020-01039-x.
Tavares, L.F.; Castro, I.R.R. de; Levy, R.B.; Cardoso, L. de O.; Claro, R.M. Dietary Patterns of Brazilian Adolescents: Results of the Brazilian National School-Based Health Survey (PeNSE). Cad Saude Publica 2014, 30, 2679–2690, doi:10.1590/0102-311x00016814.
Soares, A.L.G.; Howe, L.D.; Matijasevich, A.; Wehrmeister, F.C.; Menezes, A.M.B.; Gonçalves, H. Adverse Child-hood Experiences: Prevalence and Related Factors in Adolescents of a Brazilian Birth Cohort. Child Abuse Negl 2016, 51, 21–30, doi: 10.1016/j.chiabu.2015.11.017.
Duarte, L.; Fujimori, E.; Borges, A.L.; Kurihayashi, A.; Steen, M.; Roman Lay, A. Body Weight Dissatisfaction Is Associated with Cardiovascular Health-Risk Behaviors among Brazilian Adolescents: Findings from a National Survey. Int J Environ Res Public Health 2020, 17, 8929, doi:10.3390/ijerph17238929.
Saueressig, I.B.; Oliveira, V.M.A. de; Xavier, M.K.A.; Santos, L.R.A. dos; Silva, K.M.A.; Araújo, R.C. de Prevalence of Musculoskeletal Pain in Adolescents and Its Association with the Use of Electronic Devices. Revista Dor 2015, 16, doi:10.5935/1806-0013.20150025.
Escobar, D.F.S.S.; Jesus, T.F. de; Noll, P.R. e S.; Noll, M. Family and School Context: Effects on the Mental Health of Brazilian Students. Int J Environ Res Public Health 2020, 17, 6042, doi:10.3390/ijerph17176042.
Felin Fochesatto, C.; Brand, C.; Menezes, F.; Cristi-Montero, C.; Araujo Gaya, A.C.; Leite, N.; Reis Gaya, A. Seden-tary Time Play a Moderator Role in the Relationship between Physical Fitness and Brain-Derived Neurotrophic Factor in Children: A Pilot Study. J Exerc Sci Fit 2023, 21, 119–124, doi: 10.1016/j.jesf.2022.11.004.
Brand, C.; Reuter, C.P.; Dias, A.F.; Mota, J.; Duncan, M.; Gaya, A.R.; Naujorks Reis, L.; Pollo Renner, J.D.; Vil-la-González, E. Like Mother, like Son: Physical Activity, Commuting, and Associated Demographic Factors. Sus-tainability 2020, 12, 5631, doi:10.3390/su12145631.
Brand, C.; Fochesatto, C.F.; Dias, A.F.; Gaya, A.R.; de Lucena Martins, C.M.; Renner, J.D.P.; Reuter, C.P.; Kelishadi, R. Child’s Body Mass Index and Mother’s Obesity: The Moderating Role of Physical Fitness. Eur J Pediatr 2021, 180, 843–850, doi:10.1007/s00431-020-03810-5.
Nascimento JYV do, Lima CVP, Giudicelli BB, Lima LMP, Bandeira PFR, Pinheiro IKA dos S, et al. Fatores associados aos comportamentos ativo e sedentário em adolescentes brasileiros: uma análise de redes. Rev. Bras. Ativ. Fís. Saúde [Internet]. 20º de outubro de 2023 [citado 10º de abril de 2024];28:1-10. Disponível em: https://rbafs.org.br/RBAFS/article/view/15107.
Vale, D.; Lyra, C.d.O.; Dantas, N.M.; Andrade, M.E.d.C.; Oliveira, A.G.R.d.C. Dietary and Nutritional Profiles among Brazilian Adolescents. Nutrients 2022, 14, 4233. https://doi.org/10.3390/nu14204233.
Moura, L.R. de; Torres, L.M.; Cadete, M.M.M.; Cunha, C. de F. Fatores Associados Aos Comportamentos de Risco à Saúde Entre Adolescentes Brasileiros: Uma Revisão Integrativa. Revista da Escola de Enfermagem da USP 2018, 52, doi:10.1590/s1980-220x2017020403304. IDEM 7
Piola, T.S.; Bacil, E.D.A.; Pacífico, A.B.; Camargo, E.M. de; Campos, W. de Nível Insuficiente de Atividade Física e Elevado Tempo de Tela Em Adolescentes: Impacto de Fatores Associados. Cien Saude Colet 2020, 25, 2803–2812, doi:10.1590/1413-81232020257.24852018.
Ferreira, E.Z.; Oliveira, A.M.N. de; Medeiros, S.P.; Gomes, G.C.; Cezar-Vaz, M.R.; Ávila, J.A. de Internet Influence on the Biopsychosocial Health of Adolescents: An Integratitive Review. Rev Bras Enferm 2020, 73, doi:10.1590/0034-7167-2018-0766.
Prescott, S.L.; Logan, A.C. Planetary Health: From the Wellspring of Holistic Medicine to Personal and Public Health Imperative. EXPLORE 2019, 15, 98–106, doi: 10.1016/j.explore.2018.09.002.
Spear, H.J.; Kulbok, P.A. Adolescent Health Behaviors and Related Factors: A Review. Public Health Nurs 2001, 18, 82–93, doi:10.1046/j.1525-1446.2001.00082.x.
IBGE [Internet]. [cited 2024 Apr 3]. Available from: https://www.ibge.gov.br/
Costa, F.; Wendt, A.; Costa, C.; Chisini, L.A.; Agostini, B.; Neves, R.; Flores, T.; Correa, M.B.; Demarco, F. Racial and Regional Inequalities of Dental Pain in Adolescents: Brazilian National Survey of School Health (PeNSE), 2009 to 2015. Cad Saude Publica 2021, 37, doi:10.1590/0102-311x00108620.
Wickrama, K.A.S.; Conger, R.D.; Wallace, L.E.; Elder, G.H. Linking Early Social Risks to Impaired Physical Health during the Transition to Adulthood. J Health Soc Behav 2003, 44, 61, doi:10.2307/1519816.
Guerriero, I.C.Z. Resolução No 510 de 7 de Abril de 2016 Que Trata Das Especificidades Éticas Das Pesquisas Nas Ciências Humanas e Sociais e de Outras Que Utilizam Metodologias Próprias Dessas Áreas. Cien Saude Colet 2016, 21, 2619–2629.
Castro, I.R.R. de; Cardoso, L.O.; Engstrom, E.M.; Levy, R.B.; Monteiro, C.A. Vigilância de Fatores de Risco Para Doenças Não Transmissíveis Entre Adolescentes: A Experiência Da Cidade Do Rio de Janeiro, Brasil. Cad Saude Publica 2008, 24, 2279–2288, doi:10.1590/S0102-311X2008001000009.
Mello, J.; Pedretti, A.; Caporal, G.; Mahique, J.; Ferreira, A.; Reppold-Filho, A.; Gaya, A. Secular Trend of Sports Practice of Brazilian Children and Young People in the Decade of Mega-Sport Events. Journal of Human Sport and Exercise 2022, 17, doi:10.14198/jhse.2022.171.01.
Barbosa Filho, V.C.; Costa, R.M. da; Knebel, M.T.G.; Oliveira, B.N. de; Silva, C.B. de A.; Silva, K.S. da The Prevalence of Global Physical Activity among Young People: A Systematic Review for the Report Card Brazil 2018. Brazilian Journal of Kinanthropometry and Human Performance 2018, 20, 367–387, doi:10.5007/1980-0037.2018v20n4p367.
Silva, K.S.; Bandeira, A. da S.; Ravagnani, F.C. de P.; Camargo, E.M. de; Tenório, M.C.; Oliveira, V.J.M. de; Santos, P.C. dos; Ramires, V.V.; Sandreschi, P.F.; Hallal, P.C.; et al. Educação Física Escolar: Guia de Atividade Física Para a População Brasileira. Revista Brasileira de Atividade Física & Saúde 2021, 26, 1–18, doi:10.12820/rbafs.26e0219.
Malta, D.C.; Mascarenhas, M.D.M.; Porto, D.L.; Barreto, S.M.; Morais Neto, O.L. de Exposição Ao Álcool Entre Escolares e Fatores Associados. Rev Saude Publica 2014, 48, 52–62, doi:10.1590/S0034-8910.2014048004563.
Bittencourt, L. de J.; Nunes, M. de O.; Oliveira, J.J.F. de; Caron, J. Risco Para Transtornos Alimentares Em Escolares de Salvador, Bahia, e a Dimensão Raça/Cor. Revista de Nutrição 2013, 26, 497–508, doi:10.1590/S1415-52732013000500001.
Gabriel Chiconato, A.; Ullian Dall Evedove, A.; Aparecida dos Santos Panta, M. .;Roberto Loch, M. A variável raça/cor em estudos epidemiológicos brasileiros sobre atividade física (2015-2019): formas de estratificação e principais resultados. Pensar a Prática 2022, 25, doi: https://doi.org/10.5216/rpp.v25.69858.
Peres, C.A.; Rutherford, G.; Borges, G.; Galano, E.; Hudes, E.S.; Hearst, N. Family Structure and Adolescent Sexual Behavior in a Poor Area of São Paulo, Brazil. Journal of Adolescent Health 2008, 42, 177–183, doi:10.1016/j.jadohealth.2007.08.007.
Costa, M.C.O.; Alves, M.V. de Q.M.; Santos, C.A. de S.T.; Carvalho, R.C. de; Souza, K.E.P. de; Sousa, H.L. de Expe-rimentação e Uso Regular de Bebidas Alcoólicas, Cigarros e Outras Substâncias Psicoativas/SPA Na Adolescên-cia. Cien Saude Colet 2007, 12, 1143–1154, doi:10.1590/S1413-81232007000500011.
Silva, N.S.; Mello, J.B.; Pedretti, A.; Gaya, A.; Gaya, A. Atividade Física de Crianças e Apoio Familiar Percebido: Um Estudo Exploratório. Saúde (Santa Maria) 2019, 45, doi:10.5902/2236583438542.
Silva, K.S. da; Nahas, M.V.; Peres, K.G.; Lopes, A. da S. Fatores Associados à Atividade Física, Comportamento Sedentário e Participação Na Educação Física Em Estudantes Do Ensino Médio Em Santa Catarina, Brasil. Cad Saude Publica 2009, 25, 2187–2200, doi:10.1590/S0102-311X2009001000010.
Su, D.L.Y.; Tang, T.C.W.; Chung, J.S.K.; Lee, A.S.Y.; Capio, C.M.; Chan, D.K.C. Parental Influence on Child and Adolescent Physical Activity Level: A Meta-Analysis. Int. J. Environ. Res. Public Health 2022, 19, 16861. https://doi.org/10.3390/ijerph192416861
Georgeson, A.R.; Highlander, A.; Loiselle, R.; Zachary, C.; Jones, D.J. Engagement in Technology-Enhanced In-terventions for Children and Adolescents: Current Status and Recommendations for Moving Forward. Clin Psy-chol Rev 2020, 78, 101858, doi: 10.1016/j.cpr.2020.101858.
Aschbrenner, K.A.; Naslund, J.A.; Tomlinson, E.F.; Kinney, A.; Pratt, S.I.; Brunette, M.F. Adolescents’ Use of Digi-tal Technologies and Preferences for Mobile Health Coaching in Public Mental Health Settings. Front Public Health 2019, 7, doi:10.3389/fpubh.2019.00178.
Pechansky, F.; Szobot, C.M.; Scivoletto, S. Uso de Álcool Entre Adolescentes: Conceitos, Características Epidemi-ológicas e Fatores Etiopatogênicos. Revista Brasileira de Psiquiatria 2004, 26, 14–17, doi:10.1590/S1516-44462004000500005.
Bolstad I, Alakokkare AE, Bramness JG, Rognli EB, Levola J, Mustonen A, et al. The relationships between use of alcohol, tobacco and coffee in adolescence and mood disorders in adulthood. Acta Psychiatr Scand 2022, 146:594–603, doi: 10.1111/acps.13506.
Carvalho, A.P. de; Silva, T.C. da; Valença, P.A. de M.; Ferreira Santos, C. da F.B.; Colares, V.; Menezes, V.A. de Consumo de Álcool e Violência Física Entre Adolescentes: Quem é o Preditor? Cien Saude Colet 2017, 22, 4013–4020, doi:10.1590/1413-812320172212.06172016.
Javors, M.A.; Hatch, J.P.; Lamb, R.J. Cut-off Levels for Breath Carbon Monoxide as a Marker for Cigarette Smoking. Addiction 2005, 100, 159–167, doi:10.1111/j.1360-0443.2004.00957.x.
Feng, Z.; Hu, W.; Hu, Y.; Tang, M. Acrolein Is a Major Cigarette-Related Lung Cancer Agent: Preferential Binding at P53 Mutational Hotspots and Inhibition of DNA Repair. Proceedings of the National Academy of Sciences 2006, 103, 15404–15409, doi:10.1073/pnas.0607031103.
Seo, D.C.; Huang, Y. Systematic Review of Social Network Analysis in Adolescent Cigarette Smoking Behavior. Journal of School Health 2012, 82, 21–27, doi:10.1111/j.1746-1561.2011.00663.x.
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