RESUMO
Aim: This study aimed to characterise the consumption and type of breakfast associated with overweight and obesity in students of the Quito Metropolitan area in the academic year 2010-2011. Study Design: Cross sectional study. Place and Duration of Study: Quito municipal schools during the academic year 2010- 2011. Methodology: We surveyed 6964 students (3254 males, 3710 females; age range 9 -17 years), previously classified by their body mass index. The self-administered questionnaire, completed in class time asked about breakfast habits, physical activity, type and stage of family. Results: 6939 students (99.6%) answered the question about usually eating breakfast. Of these, 5.4% (CI95% 4.87-5.94) reported not eating breakfast, this response being given by 6.8% of the girls (CI95% 6.0-7.6) and 3.7% of the boys (CI95% 3.1-4.4). Not eating breakfast was more common among the students aged 15 years (11.9% CI95% 8.2-15.7), 16 years (19.5% CI95% 12.8-26.3) and 17 years (17.9% CI95% 10.3-26.9). The crude OR for weight excess and not breakfasting 1.44 (CI95% 1.16-1.80) was strengthened after adjustment by age, sex, family type, family stage, sedentarism and health zone: OR 1.54 (CI95% 1.16-2.05). There was no significant association between eating a non-recommended breakfast and weight excess when adjusted by the mentioned variables. Conclusion: Not eating breakfast is associated with overweight and obesity, this problem being enhanced in girls who skipped breakfast twice as much as boys. Also, students living in launch pad families eat breakfast more often and suffer less from excess weight.
RESUMO
En este artículo presentamos una forma de trabajo sobre prevención grupal con un enfoque psicoanalítico, dirigida a niños y niñas trabajadores y a sus familias, que propone a la población un espacio no guiado de encuentro y de circulación e intercambio de la palabra. La problemática a tratar se presenta espontáneamente por los participantes, y son ellos mismos quienes, gracias a la presencia no directiva del acompañante o de la acompañante, buscan y proponen posibles respuestas a sus preguntas y cuestionamientos. Este trabajo se basa en datos obtenidos en el Proyecto de Atención Psicológica, llevado a cabo en seis ciudades del Ecuador, durante cuatro años, con más de tres mil participantes.
Neste artículo apresentamos uma forma de trabalho sobre prevenção em grupo com uma abordagem psicanalítica, dirigida a crianças trabalhadoras e suas famílias. Propõe-se oferecer ás pessoas um espaço de encontro livre para reunião e troca de palavra. O problema se apresenta espontaneamente pelos sujeitos envolvidos, e eles próprios, sem a imposição de o acompanhante, procuram e propõem possíveis respostas ás suas perguntas e dúvidas. Este trabalho é baseado em dados do Projeto de Assistência Psicológica, realizado em cinco cidades no Equador, por quatro anos, com mais de três mil participantes.
The article presents a psychoanalytical approach for a prevention group work, aimed at child workers and their families. The group work approach offer to the participants a non-directive meeting space based on the flow and interchange of the spoken word. The participants themselves spontaneously introduce the topics to the conversation. Thanks to the unobtrusive presence of an accompanying psychologist, the participants look for and propose possible answers to their questions and doubts. This work is based on data obtained from The Psychological Care Project, conducted in five cities in Ecuador, during four years, with over three thousand participants.