INTERNATIONAL ARCHIVES OF MEDICINE
SECTION: EPIDEMIOLOGY
ISSN: 1755-7682
1
2015
Vol. 8 No. 234
doi: 10.3823/1833
iMedPub Journals
http://journals.imed.pub
© Under License of Creative Commons Attribution 3.0 License This article is available at: www.intarchmed.com and www.medbrary.com
Abstract
Background: To describe and analyze growth curves of body mass
index (BMI) and height according to sexual maturation status in chil-
dren and adolescents aged 8-14 years old in the city of Florianópolis,
Santa Catarina, Brazil.
Methods: Cross-sectional study conducted in 2007 with a random
sample of 2,339 students from public and private elementary school.
Excess weight was determined by BMI curves of the World Health
Organization according to sex and age. Sexual maturation was self-
assessed and classified according to Tanner stages of sexual develo-
pment. Tertiles of age in each sexual maturation stage were used to
classify individuals in early, normal or late sexual maturation. Growth
curves of BMI and height were estimated using median values for each
sex, using six degree polynomial to smooth the curve.
Results: We observed different growth curves of BMI and height
according to sexual maturation status for both boys and girls. Early
sexual maturation is associated with increased BMI z score to boys
until 11 years of age and to girls in all groups age, and with increased
height z score to boys in all age groups and in girls of 9-12.5 years
of age. Late sexual maturation is associated with lower values of BMI
Z score in boys between 10 to 12 years of age and slower evolution
of BMI Z score in girls.
Body Mass Index and Height Growth Curves are
Influenced by Sexual Maturation Status in Brazil:
Cross-Sectional Study
ORIGINAL
Fernando Adami
1, 3, 4, 6
, Jucemar Benedet
2
,
Adair da Silva Lopes
2
, Maria Gabriela Matias de Pinho
5
,
Francisco Winter dos Santos Figueiredo
4, 6
,
Laércio da Silva Paiva
4, 6
, Luiz Carlos de Abreu
4,7
,
Francisco de Assis Guedes de Vasconcelos
5
1 Bolsista do Conselho Nacional
de Desenvolvimento Científico e
Desenvolvimento Tecnológico – CNPq.
2 Departamento de Educação Física.
Programa de Pós-Graduação em
Educação Física – Centro de Desportos
– Universidade Federal de Santa
Catarina, Florianópolis – SC, Brazil.
3 Programa de Pós-Graduação em Saúde
Coletiva, Universidade do Extremo Sul
Catarinense. Criciúma-SC, Brazil.
4 Departamento de Saúde da
Coletividade. Laboratório de
Epidemiologia e Análise de dados,
Laboratório de Delineamento de
Estudos e Escrita Científica, Faculdade
de Medicina do ABC, Santo André – SP,
Brazil.
5 Departamento de Nutrição. Programa
de Pós-graduação em Nutrição
do Centro de Ciências da Saúde –
Universidade Federal de Santa Catarina
– UFSC. Centro de Ciências da Saúde.,
Florianópolis – SC, Brazil.
6 Instituto Brasileiro de Ensino e Pesquisa
– IBESPA.
7 Harvard T.H. CHAN School of Public
Health. Department of Environmental
Health, 665 Huntington Avenue,
Boston, MA 02115.
Contact information:
Fernando Adami.
Address: Av., Príncipe de Gales, CEP
09060650, Santo André, São Paulo,
Brasil.
Tel: +55 (11) 96062-0133.
fernando.adami@fmabc.br