[Assessment of the nutritional state of a 10-14 year-old adolescent population in primary care. Evolution study (1994-2000)].
OBJECTIVE: To analyse the evolution over the last six years of the nutritional state of the current adolescent population (10-14 years old) of our health area in order to identify risk groups and to draw up specific therapeutic strategies. DESIGN: Observational, retrospective and longitudinal study. Systematic and stratified sampling. SETTING: Rural primary care. PATIENTS: Sample of 360 healthy adolescents, aged between 10 and 14 (176 boys and 184 girls) out of a sample frame of 811. Interventions. During the 1999-2000 school year (year 2000), weight, height, Quetelet index (QI) and Body Mass Index (BMI) of one in every three young people at their routine health check-up were recorded. Those with acute and/or chronic pathology that might affect their nutritional state or with dietary restrictions of any sort were excluded. The weight, height, QI and BMI of the check-ups 2, 4 and 6 years previously (1998, 1996 and 1994) were also recorded. RESULTS: In the year 2000, 17.5% and 16.4% of the young people evaluated had excess weight and obesity, respectively. Between 1994 and 2000 there was an increase (p < 0.05) in obesity (5.9% against 16.4%). 31.8% of the obese young people in the year 2000 were already obese 6 years previously, 18.2% were normal then, but 50% of them were already overweight in 1994. There were no significant differences between sexes. CONCLUSIONS: In the year 2000, 33% of adolescents between 10 and 14 in our health area had a BMI that suggested excess body fat. As excess weight in school students supposes a situation of risk of obesity in adolescence, this demands follow-up and preventive activity.