Obesidade da genética ao ambiente
Resumen
A obesidade é reconhecida pela Organização Mundial de Saúde (OMS) como um importante problema de saúde pública, afectando crianças, adolescentes e adultos (WHO, 1998). Os dados do International Obesity Task Force (2000) mostraram que, nos últimos anos, a prevalência de obesidade tem aumentado significativamente em várias regiões do mundo, sendo responsável, em grande parte, pelo aumento da mortalidade e morbilidade com implicações significativas no indivíduo, na família e na comunidade (Dietz et al, 1999; Cole et al, 2000).
O impacto no indivíduo pode ser quantificado pela influência na qualidade de vida, no recurso aos serviços de saúde, no absentismo escolar, na limitação nas actividades de vida diária, nomeadamente na prática de desporto e alterações nas relações interpessoais, marginalização, depressão e isolamento. Ao nível da família, as repercussões podem traduzir-se no absentismo profissional, nas alterações dos estilos de vida e na necessidade de acompanhamento dos familiares.
O aumento da prevalência de obesidade e consequente aumento do risco de desenvolvimento de doenças crónicas na idade adulta, que lhe está associado, deve ser rigorosamente monitorizado (Cole et al, 2000; WHO, 1995). Essa monitorização DEVE permitir avaliar a evolução do problema, proceder a comparações entre várias regiões e ou países e determinar a eficácia das intervenções introduzidas para minimizar o problema. Para que tal aconteça, torna-se necessário uniformizar os conceitos de excesso de peso e obesidade para que possam ser amplamente utilizados.
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ALLIED, D. - National Fitness Survey: A report on Activity Patterns and Fitness Levels. Commissioned by the Sports Council and Health Education Authority, London. (1992).
ANDERSEN, R.E.; CRESPO, C.J.; BARTLETT S.J.; CHESKIN, L.J.; PRATT, M. - Relationship of physical activity and television watching with body weight and level of fatness among children: results from the Third National Health and Nutrition Examination Survey. JAMA. 279 (1998) 938-42.
ANDERSEN RE. - Obesity: etiology, assessment, treatment and prevention. EUA (2003).
BIRCH, L.L. - Development of food preferences. Annu Rev Nutr. 19 (1999) 41-62.
BIRCH, L.L. - Childhood overweight: family environmental factors. In: Chen C, DIETZ, W.H. - Obesity in childhood and adolescence. Nestle Nutrition Workshop Series, Pediatric Program. 49 (2002) 161-176.
BOLEN, J.C.; RHODES, L.; POWELL-GRINER, E.E.; BLAND, S.D.; HOLTZMAN, D. - State-specific prevalence of selected health behaviors, by race and ethnicity - Behavioral Risk Factor Surveillance System, 1997. MMWR CDC Surveill Summ 2000. 1-60.
CHARNEY, E.; GOODMAN, H.C.; MCBRIDE, M.; LYON, B.; PRATT, R. - Childhood antecedents of adult obesity. Do chubby infants become obese adults? N Engl J Med. 295 (1976) 6-9.
CHUMLEA, W.C.; BAUMGARTNER, R.N. - Bioelectric impedance methods for the estimation of body composition. Can J Sport Sci. 15 (1990) 172-9.
COLE, T.J.; BELLIZZI, M.C.; FLEGAL, K.M.; DIETZ, W.H. - Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ. 320 (2000)1-6.
CRESPO, C.J.; SMIT, E.; TROIANO, R.P.; BARTLETT, S.J.; MACERA, C.A.;
ANDERSEN, R.E. - Television watching, energy intake, and obesity in US children: results from the third National Health and Nutrition Examination Survey, 1988-1994. Arch Pediatr Adolesc Med. 155 (2001) 360-5.
DENNISON, B.A. ; ERB, T.A.; JENKINS, P.L. - Television viewing and television in bedroom associated with overweight risk among low-income preschool children. Pediatrics. 109 (2002) 1028-35.
DIETZ, W.H.; GORTMAKER, S.L. - Do we fatten our children at the television set? Obesity and television viewing in children and adolescents. Pediatrics. 75 (1985) 807-12.
DIETZ, W.H. - Health consequences of obesity in youth: childhood predictors of adult disease. Pediatrics. 101 (1998) 518-25.
DIETZ, W.H.; BELLIZZI, M.C. - Introduction: the use of body mass index to assess obesity in children. Am J Clin Nutr. 70 (1999) 123S-5S.
DIGUISEPPI, C.; ROBERTS, I.; LI, L. - Influence of changing travel patterns on child death rates from injury: trend analysis. BMJ. 314 (1997) 710-3.
DONMA, M.M.; DONMA, O. - Low birth weight: a possible risk factor also for liver diseases in adult life? Med Hypotheses. 61 (2003) 435-8.
FAITH, M.S.; PIETROBELLI, A.; NUNEZ, C.; HEO, M.; HEYMSFIELD, S.B.;
ALLISON, D.B. - Evidence for independent genetic influences on fat mass and body mass index in a pediatric twin sample. Pediatrics. 104 (1999) 61-7.
FAITH, M.S.; BERMAN, N.; HEO, M.; PIETROBELLI, A.; GALLAGHER, D.;
EPSTEIN, L.H.; et al. - Effects of contingent television on physical activity and television viewing in obese children. Pediatrics. 107 (2001) 1043-8.
FLEGAL, K.M.; OGDEN, C.L.; WEI, R.; KUCZMARSKI, R.L.; JOHNSON, C.L. - Prevalence of overweight in US children: comparison of US growth charts from the Centers for disease Control and Prevention with other reference values for body mass index. Am J Clin Nutr. 73 (2001) 1086-93.
FONSECA, V.M.; SICHIERI, R.; VEIGA, G.V. - Factores associados à obesidade em adolescentes. Rev. Saúde Pública; 1998.
FREEDMAN, D.S.; SRINIVASAN, S.R.; VALDEZ, R.A.; WILLIAMSON, D.F.;
BERENSON, G.S. - Secular increases in relative weight and adiposity among children over two decades: the Bogalusa Heart Study. Pediatrics. 99 (1997) 420-6.
FREEDMAN, D.S.; KHAN, L.K.; MEI, Z.; DIETZ, W.H.; SRINIVASAN, S.R.;
BERENSON, G.S. - Relation of childhood height to obesity among adults: the Bogalusa Heart Study. Pediatrics. 109 (2002) 1-7.
GORTMAKER, S.L.; MUST, A.; SOBOL, A.M.; PETERSON, K.; COLDITZ, G.A.;DIETZ, W.H. - Television viewing as a cause of increasing obesity among children in the United States, 1986-1990. Arch Pediatr Adolesc Med. 150 (1996) 356-62.
GUTHRIE, H.A.; PICCIANO, M.F.; et al. - Nutrition from childhood through
adolescence. Human Nutrition; Missouri: Mosby-Year Book. (1995).
HERNANDEZ, B.; GORTMAKER, S.L.; COLDITZ, G.A.; PETERSON, K.E.;
LAIRD, N.M.; PARRA-CABRERA, S. - Association of obesity with physical activity, television programs and other forms of video viewing among children in Mexico city. Int J Obes Relat Metab Disord. 23 (1999) 845-54.
HURSON, M.; CORISH, C. - Evaluation of lifestyle, food consumption and nutrient patterns among Irish teenagers. Ir J Med Sci. 166 (1997) 225-30.
JACOBSON, K.C.; ROWE, D.C. - Genetic and shared environmental influences on adolescent BMI: interactions with race and sex. Behav Genet. 28 (1998) 265-78.
KAIN, J.; UAUY, R.; VIO, F.; ALBALA, C. - Trends in overweight and obesity prevalence in Chilean children: comparison of three definitions. Eur J Clin Nutr. 56 (2002) 200-4.
KAIN, J.; BURROWS, R.; UAUY, R. - Obesity trends in chilean children and adolescents: basic determinants. Eur J Clin Nutr. 56 (2002a) 200-4.
KANT, A.K. - Consumption of energy-dense, nutrient-poor foods by adult Americans: nutritional and health implications. The Third National Health and Nutrition Examination Survey, 1988-1994. Am J Clin Nut. 72 (2000) 929-36.
KANT, A.K.; GRAUBARD, B.I. - Eating out in America, 1987-2000: trends and nutritional correlates. Prev Med. 38 (2004) 243-9.
KOPLAN, J.P.; DIETZ, W.H. - Caloric imbalance and public health policy. Jama. 282 (1999) 1579-81.
LISSENER, L.; HEITMANN, B.L. - Dietary fat and obesity: evidence from
epidemiology. Eur. J. Clin. Nutr. (1995).
LUKASKI, H.C. - Requirements for clinical use of bioelectrical impedance analysis (BIA). Ann N Y Acad Sci. 873 (1999) 72-6.
National Task Force on the Prevention and treatment of Obesity. Overweight, obesity, and health risk. Arch Intern Med. 160 (2000) 898-904.
OGDEN, C.L.; FLEGAL, K.M.; CARROLL, M.D.; JOHNSON, C.L. - Prevalence and trends in overweight among US children and adolescents, 1999-2000. Jama. 288 (2002) 1728:32.
ONIS, M.; HABITCH, J.P. - Anthropometric reference data for international use:recommendations from a World Health Organization Expert Committee. Am J Clin Nutr. 64 (1996) 650-8.
Organização Mundial de Saúde. Obesidade: prevenindo e controlando a epidemia global. Relatório da Consultadoria da OMS, Genebra, (2004).
PADEZ, C. - Actividade física, obesidade e saúde: uma perspectiva evolutiva. Revista de Saúde Pública. 20 (2002) 11-20.
PARSONS, T.J.; POWER, C.; LOGAN, S.; SUMMERBELL, C.D. - Childhood
predictors of adult obesity: a systematic review. Int J Obes Relat Metab Disord. 23 (1999) 1-107.
PI-SUNYER, F.X. - Obesity: criteria and classification. Proc Nutr Soc. 59 (2000) 505-9
TROIANO, R.P.; FLEGAL, K.M. - Overweight children and adolescents: description, epidemiology, and demographics. Pediatrics. 101 (1998) 497-504.
RIEBE, D.; GREENE, G.W.; RUGGIERO, L.; et al. - Evaluation of a Healthy-lifestyle approach to weight management. American Health Foundation and Elsevier Science. (2002) 45-53.
SORENSEN, T.I.; HOLST, C.; STUNKARD, A.J. - Childhood body mass index-genetic and familial environmental influences assessed in a longitudinal adoption study. Int J Obes Relat Metab Disord. 16 (1992) 705-14.
STEINBECK, K.S. The importance of physical activity in the prevention of overweight and obesity in childhood: a review and an opinion. The International Association for the Study of Obesity. 2 (2001) 117-30.
US National Institutes of Health (NIH). National Heart, Lung, and Blood Institute (NHLBI). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity: the evidence report. Washington DC: US Government Press, (1998).
WHITAKER, R.C.; WRIGHT, J.A.; PEPE, M.S.; SEIDEL, K.D.; DIETZ, W.H. - Predicting obesity in young adulthood from childhood and parental obesity. N Engl J Med. 333 (1997) 869-73.
World Health Organization. Phisycal status: the use and interpretation of
anthropometry. Geneva, Technical Report Series 854, (1995).
WHO. Obesity: preventing and managing the global epidemic: report of a WHO consultation on obesity. Geneva, Switzerland; World Health Organization, (1998).
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