Excess weight in children living in rural areas related to the nutritional profile and to maternal habits.
Erika Barbosa Lagares, Paulo Henrique Alves Sousa, Karolyne Araujo Resende and 4 others
PMID 33687807WHAT IT FOUND
In rural Brazilian children, excess weight was associated with maternal waist circumference, child protein intake, irregular natural juice drinking, and socioeconomic level C1 versus D-E.
This cross-sectional study cannot show cause.
Key findings
01Among the 156 children assessed, 27.5% had excess weight.
02In the multivariate model, child excess weight was associated with maternal waist circumference (OR 1.04), child protein consumption (OR 1.02), irregular natural juice consumption less than 5 times a week (OR 5.05), and socioeconomic level C1 compared with D-E (OR 3.54).
03Children's and mothers' dietary intakes were weak to moderately correlated without stratification (r=0.185 to 0.496).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The design was cross-sectional, so it cannot show that any habit caused excess weight. Diet was measured with a 24-hour recall, which may not represent usual intake. The study was done in one rural municipality in Brazil, so it may not apply elsewhere. Children with illness, genetic disease, or syndrome were excluded, so results do not apply to those children. Some children were siblings, so 138 mothers were assessed for 156 children.
Declared interests
The paper reports help and grants from the Foundation for Research Support of Minas Gerais (FAPEMIG). No other conflict of interest statement is provided.
The easy way to misread this
Do not read the 5.05 odds ratio for irregular natural juice as proof that adding natural juice will prevent excess weight. The study measured habits at one point in time, so it cannot show cause or effect.