Higher central fat and poor self-body image in short-stature overweight/obese women living in Brazilian shantytowns

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dc.citation.volume4
dc.contributor.authorBueno, Nassib Bezerra
dc.contributor.authorFlorencio, Telma Toledo
dc.contributor.authorCavalcante, Fabiana Albuquerque
dc.contributor.authorLins, Isabela Lopes
dc.contributor.authorClement, Ana Grotti
dc.contributor.authorSawaya, Ana Lydia [UNIFESP]
dc.coverageLondon
dc.date.accessioned2020-07-31T12:47:34Z
dc.date.available2020-07-31T12:47:34Z
dc.date.issued2016
dc.description.abstractBackground: Short stature in adult life, a possible consequence of poor perinatal conditions, is associated with higher risk of mortality and social disabilities. We aimed to determine whether low-income, overweight/obese, short-stature (SS) women show alterations in body composition, self-body-image perception, and biochemical profile compared to their non-short (NS) counterparts. Methods: A cross-sectional study was conducted with women living in shantytowns and mother or relatives to undernourished children treated in a center for recuperation and nutritional education. Inclusion criteria were: (1) age, 19-45 yearsen
dc.description.abstract(2) stature < 152.3 cm or > 158.7 cmen
dc.description.abstractand (3) body mass index > 25 kg/m(2). Socioeconomic, anthropometric, biochemical, and body image data were collected. We analyzed 56 SS and 57 NS women. Results: The SS group showed a higher waist-to-height ratio (WHtR) (mean: 0.63en
dc.description.abstractstandard deviation: 0.06 for SS and mean: 0.60en
dc.description.abstractstandard deviation: 0.07 for the NS groupen
dc.description.abstractp = 0.02), and, in the adjusted analysis, showed lower fat-free mass (Estimated Marginal Mean for the SS group: 45.7 kg 95% confidence intervals (CI) (45.2-46.2) and for the NS group: 46.9 kg 95% CI (46.4-47.4)en
dc.description.abstractp < 0.01) and higher fat mass (Estimated Marginal Mean for the SS group: 32.5 95% CI (31.9-33.0) and for the NS group: 31.4 kg 95% CI (30.9-31.9)en
dc.description.abstractp < 0.01). Body mass index was a better predictor of current self-body-image perception for NS women. The SS coefficient values were beta = 0.141, SE = 0.059, and R-2-Nagelkerke = 0.107, and the NS coefficients values were beta = 0.307, SE = 0.058, and R-2 -Nagelkerke = 0.491 (Z = 2.006en
dc.description.abstractp < 0.05). Considering the obese subgroup, six out of 32 (18.8%) SS women and 14 out of 33 (42.4%) NS women perceived themselves as obese (chi(2) = 4.27en
dc.description.abstractp = 0.03). This difference remained significant even after adjustment by age, schooling, and number of children (p = 0.04). Only the total thyroxin showed significant differences between groups, lower in SS women (p = 0.04). Discussion: Overweight/obese, low-income SS women have more central adiposity and impaired self-body image perception, and the body mass index is a weaker predictor of it, compared to NS women. Misperception about body size may be linked with an overestimation of health and underestimation of risk, which may lead to a lower utilization of the health care system and inadequate physician counseling. These features may account, at least partially, for the higher mortality risk seen in SS adults.en
dc.description.affiliationUniv Fed Alagoas, Fac Nutr, Maceio, AI, Brazil
dc.description.affiliationUniv Fed Sao Paulo, Dept Fisiol, Sao Paulo, SP, Brazil
dc.description.affiliationUnifespDepartamento de Fisiologia, Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil
dc.description.sourceWeb of Science
dc.format.extent-
dc.identifierhttp://dx.doi.org/10.7717/peerj.2547
dc.identifier.citationPeerj. London, v. 4, p. -, 2016.
dc.identifier.doi10.7717/peerj.2547
dc.identifier.fileWOS000385578600008.pdf
dc.identifier.issn2167-8359
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/56909
dc.identifier.wosWOS:000385578600008
dc.language.isoeng
dc.publisherPeerj Inc
dc.relation.ispartofPeerj
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectStuntingen
dc.subjectObesityen
dc.subjectBody imageen
dc.subjectWomenen
dc.subjectSocial vulnerabilityen
dc.subjectDoHaDen
dc.titleHigher central fat and poor self-body image in short-stature overweight/obese women living in Brazilian shantytownsen
dc.typeinfo:eu-repo/semantics/article
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