Skip to main content

Table 3 Gross and adjusted multilevel logistic regression analysis of factors associated with overweight in children of municipal public schools in Northern Brazil, 2018

From: Multilevel analysis of factors that influence overweight in children: research in schools enrolled in northern Brazil School Health Program

Variables

Gross Analysis

Adjusted Analysis

OR (95%CI)

Model I

OR (95%CI)

Model II

OR (95%CI)

Model III

OR (95%CI)

Specific Individual Average Effects

Socio-demographic characteristics

  Gender

   Female

1

   

   Male

0.89 (0.69–1.17)

   

   Age

0.996 (0.88–1.12)

   

  Grade

   Second

1

   

   Fourth

1.08 (0.83–1.42)

   

Physical aptitude

 Distance covered in 6 min/height (m)

0.996 (0.99–1.00)*

   

 Non-sedentary activities classification

  < 2 activities

1

   

  > 2 activities

0.83 (0.63–1.10)

   

Sedentary activities classification

  < 2 activities

1

 

1

1

  > 2 activities

1.49 (1.13–1.98)*

 

1.48 (0.22–0.43)*

1.46 (1.09–1.95)*

Food Consumption Adequacy

 Meals

  Insufficient (< 5 meals)

1

 

1

1

  Adequate (> 5 meals)

0.88 (0.67–1.16)

 

0.78 (0.57–1.05)

0.80 (0.59–1.08)

 Cereals group

  Insufficient (< 6 portions)

1

   

  Adequate (> 6 portions)

0.73 (0.38–1.41)

   

 Vegetables group

  Insufficient (< 3 portions)

1

   

  Adequate (> 3 portions)

1.04 (0.55–1.97)

   

 Fruits group

  Insufficient (< 3 portions)

1

   

  Adequate (> 3 portions)

1.21 (0.80–1.81)

   

 Meats and eggs group

  Insufficient (< 1 portion)

1

   

  Adequate (1–2 portions)

1.43 (0.94–2.16)

   

  Excessive (> 2 portions)

1.30 (0.79–2.15)

   

 Dairy group

    

 Insufficient (< 3 portions)

1

  

 Adequate (3 portions)

1.18 (0.67–2.09)

   

 Legume group

  Insufficient (< 1 portion)

1

   

  Adequate (1–2 portions)

0.90 (0.65–1.23)

   

  Excessive (> 2 portions)

0.66 (0.33–1.32)

   

Fat group

 Adequate (< 1 portion)

1

   

 Excessive (> 1 portions)

1.24 (0.91–1.69)

   

 Sugar group

 Adequate (< 1 portion)

1

 

1

1

 Excessive (> 1 portions)

1.35 (1.02–1.78)*

 

1.36 (1.00–1.84)*

1.26 (0.93–1.70)

Specific Contextual Average Effects

School’s characteristics

  Administrative region

   North

1

  

1

   Center-South

0.72 (0.52–1.02)

  

0.82 (0.51–1.31)

   South

0.47 (0.34–0.66)*

  

0.52 (0.33–0.83)*

   School shift

   Part-time

1

   

   Full-time

0.64 (0.49–0.84)*

   

Physical activity practice at school

 Dance

  No

1

  

1

  Yes

0.63 (0.48–0.83)*

  

0.63 (0.43–0.92)*

 Body practices

  No

1

   

  Yes

0.69 (0.52–0.90)*

   

 Weekly physical activity classes

   < 3 weekly classes

1

   

   > 3 weekly classes

0.64 (0.49–0.84)*

   

School feeding

 Number of offered meals

  1 meal

1

   

  3 meals

0.62 (0.47–0.81)*

   

 The school has a garden

  No

1

   

  Yes

0.73 (0.56–0.96)*

   

Foods Sale in School Surroundings

 Food sale in school surroundings

  No

1

   

  Yes

1.45 (0.97–2.17)

   

 Fried snacks sale

  No

1

   

  Yes

1.38 (1.05–1.81)*

   

 Candy sale

  No

1

  

1

  Yes

1.58 (1.11–2.27)*

  

1.67 (1.01–2.75)*

 Sweetened beverage sale

  No

1

   

  Yes

0.77 (0.59–1.01)

   

SHP actions performed at school

 Healthy eating promotion activities

  No

1

   

  Yes

1.72 (0.79–3.75)

   

 Nutritional state assessment in the school

  No

1

   

  Yes

0.66 (0.45–0.96)*

   

 Childhood obesity prevention activities

  No

1

   

  Yes

0.42 (0.16–1.01)

   

 Nutritional state assessment in the PHC

  No

1

   

  Yes

1.46 (1.10–1.95)*

   

General Contextual Effects - Measuring the variation between the nutritional status classification

σ2 (SE)

 

0.411

0.386 (0.110)

0.102 (0.161)

PCV

 

(0.114)

2.36%

23.68%

ICC

  

4.32%

0.03%

MOR

 

4.88%

1.44

1.10

AUC

 

1.48

0.652 (0.615–0.690)

0.637 (0.599–0.675)

AUC change*

 

1.0 (1.0–1.0)

−0.348

−0.015

Model evaluation

Log likelihood

 

− 606.44045

−600.10343

− 589.59713

LR Test

  

0.0054

0.0003

AIC

 

1216.881

1210.207

1197.194

  1. Note: *p < 0.05, PHC Primare Health Care, σ2 Contextual level variance, SE Standard Error, PCV Proportional Change of Variance, ICC Interclass Correlation Coefficient, MOR Odds Ratio median, AUC Area under the receiver operating characteristic curve, LR test Likelihood ratio test, AIC Akaike Information Criterion. * Change in relation to the previous model
Back to article page

BMC Pediatrics

ISSN: 1471-2431

Contact us