Premium
School environment and its relationship with obesity in the state of Mexico
Author(s) -
Levy Teresa Shamah,
Carmen Morales-Ruan María,
Castellanos Claudia Amaya,
Coronel Aracelí Salazar,
Aguilar Alejandra Jiménez,
Humarán Ignacio Méndez Gómez
Publication year - 2012
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.26.1_supplement.629.9
Subject(s) - overweight , obesity , socioeconomic status , logistic regression , environmental health , rest (music) , consumption (sociology) , physical activity , cluster (spacecraft) , body mass index , psychology , demography , medicine , gerontology , mathematics , statistics , computer science , physical therapy , population , sociology , social science , pathology , programming language , cardiology
Objective To examine the role of individual‐level, school student composition, and school built environment on the overweight and obesity in schools, involved in the strategy “nutrition on the go”. Methods We built school environment classifications based on food availability representing six groups (milk; dairy products, juices and nectars, pastries and fried foods, oilseeds and pulses). We used averages per school from individual information: socioeconomic index, physical activity, television viewing time, and the ratings of knowledge and self‐efficacy of feeding and physical activity. The classification of school environment was made using Wardˈs cluster method; we choose 3 clusters. A logistic regression model was used to study the association between overweight and obesity with the school environment. Results The 3 school environments are: 1) Class 1: medium consumption and high in the rest. 2) Class 2: average consumption and low the rest; and 3) Class3: low consumption, knowledge and self efficacy of feeding and physical activity, intermediate the rest. The effect of school environment on the probability of overweight and obesity in children is protective when it was in class 2 and 3,and when the children are involved in the intervention group (p=0.01). Conclusions Our findings suggest that school composition highly influences obesity rates beyond individual‐level factors.