Environmental Determinants of Obesity in Children and Adolescents Attending Two Primary Health Care Centers in the City of Cordoba, Argentina, 2019-2022

Introduction: Health is perceived as a dynamic process that considers the holistic well-being of individuals, wherein various conditions operate at multiple organizational levels. The World Health Organization (WHO) recognizes Children's Environmental Health as a significant health challenge in...

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Autores principales: Scruzzi, Graciela Fabiana, Rodriguez Junyent, Constanza, Villafañe, Hugo
Formato: Artículo revista
Lenguaje:Español
Publicado: Escuela de Salud Pública y Ambiente. Fac. Cs. Médicas UNC 2023
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Acceso en línea:https://revistas.unc.edu.ar/index.php/RSD/article/view/41813
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Sumario:Introduction: Health is perceived as a dynamic process that considers the holistic well-being of individuals, wherein various conditions operate at multiple organizational levels. The World Health Organization (WHO) recognizes Children's Environmental Health as a significant health challenge in the 21st century. Objetives: to assess the environmental factors that contribute to obesity in children and adolescents who receive medical care at two primary healthcare centers (HC) at Córdoba, Argentina, during 2019 to 2022. Methods: Observational, descriptive and transversal study. The physical, social and food environment, and nutritional status were assessed in 382 children and adolescents who attend two HC in the city of Córdoba, Argentina. Univariate analysis and multiple correspondence analysis were performed. The aim was to identify and characterize clusters based on response modalities to selected variables of nutritional status (prevalence of obesity in children and adolescents) and environmental (possession of sewers, type of dwelling, type of cooking fuel, migrant population, neighborhood of residence, parents' work, consumption of fruits and vegetables), with significant association (test value>2). Results: Obesity was characterized by a population that does not have access to sewer systems, lives in ceded or occupied homes, has male and female parents who are unemployed or informal workers, and do not consume fruits and vegetables frequently. Conclusions: Differential characteristics of the environment were observed in relation to the occurrence of obesity. The present study introduces a novel perspective that enhances the comprehension of health in children and adolescents.