title: Predictors of body mass index change from 11 to 15 years of age: the 1993 Pelotas (Brazil) birth cohort study.
abstract: OBJECTIVE
  We explored predictors of nutritional status change from 11 to 15 years of age by analyzing prospective data.
  
  
  METHODS
  We collected data at 11 and 15 years of age from individuals born in 1993 in Pelotas, Brazil. We assessed nutritional status using body mass index (BMI) for age in z-score according to the World Health Organization 2007 standards. Independent variables collected at 11 years of age were socioeconomic position, adolescent's perception of own weight, body dissatisfaction, and weight loss dieting.
  
  
  RESULTS
  Of the 4,032 adolescents whose nutritional status could be evaluated in the two follow-ups, 93% maintained their nutritional status classification from 11 to 15 years. A total of 102 (2.8%) became obese and 181 (4.5%) ceased to be obese in the 4-year period. The prevalence of obesity decreased from 11 to 15 years of age in both boys and girls. Low-income girls were more likely to become obese from 11 to 15 years of age compared with high-income ones. Among boys, those with high income were more likely to cease being obese compared those with low income. Those who perceived themselves to be obese, who wished to have a smaller silhouette, and who were on diets to lose weight were more likely to become obese or to achieve a normal BMI category at 15 years of age.
  
  
  CONCLUSIONS
  BMI tracks strongly in early adolescence. This finding suggests that interventions to more effectively change nutritional status should be implemented in childhood and should consider emotional aspects as well as social and biological ones.
authors.affiliation: Postgraduate Program in Epidemiology, Federal University of Pelotas, Brazil. cecilia.epi@gmail.com
authors.forename: Maria Cecília F
authors.initials: MC
authors.lastname: Assunção
authors.forename: Ludmila C
authors.initials: LC
authors.lastname: Muniz
authors.forename: Samuel C
authors.initials: SC
authors.lastname: Dumith
authors.forename: Valerie L
authors.initials: VL
authors.lastname: Clark
authors.forename: Cora L P
authors.initials: CL
authors.lastname: Araújo
authors.forename: Helen
authors.initials: H
authors.lastname: Gonçalves
authors.forename: Ana M B
authors.initials: AM
authors.lastname: Menezes
authors.forename: Pedro C
authors.initials: PC
authors.lastname: Hallal
mesh_terms: D000293:Adolescent; D001828:Body Image; D015992:Body Mass Index; D001938:Brazil / Q000453:epidemiology; D002648:Child; D015331:Cohort Studies; D004038:Diet, Reducing; D004644:Emotions; D005260:Female; D005544:Forecasting; D006801:Humans; D008297:Male; D009752:Nutritional Status; D009765:Obesity / Q000453:epidemiology*; D012923:Social Class; D015431:Weight Loss