{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T03:23:59Z","timestamp":1760239439225,"version":"build-2065373602"},"reference-count":57,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2020,10,28]],"date-time":"2020-10-28T00:00:00Z","timestamp":1603843200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100004326","name":"Bayer","doi-asserted-by":"publisher","award":["no number"],"award-info":[{"award-number":["no number"]}],"id":[{"id":"10.13039\/100004326","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Funda\u00e7\u00e3o para a Ci\u00eancia e Tecnologia, Portugal","award":["UID\/MAT\/00006\/2013, UID\/MAT\/00006\/2020, UID\/Multi\/04413\/2013, and UID\/Muli\/04413\/2020"],"award-info":[{"award-number":["UID\/MAT\/00006\/2013, UID\/MAT\/00006\/2020, UID\/Multi\/04413\/2013, and UID\/Muli\/04413\/2020"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>In Portugal, the majority of immigrants come from Portuguese-speaking countries. Among children, overweight and obesity are serious public health concerns, but a few studies include children with immigrant background. This study aimed to estimate the prevalence of overweight and obesity and risk of abdominal obesity in school-age children and to explore potential determinants, considering the origin of the children\u2019s parents (both mother and father are non-Portuguese, only one Portuguese, and both are Portuguese). A cross-sectional study included a random sample of 789 children (5\u201311 years old, 49.2% of males and 50.8% female) attending public primary schools in Barreiro, district of Setubal, Portugal. Fieldwork occurred from 20th April to 3rd July 2009. Data concerning socioeconomic, eating habits, and sports outside school were obtained through a questionnaire applied to the children\u2019s person in charge. Anthropometric measures were collected by certified technicians. One-third of the children presented overweight and obesity (33.7%, 95% CI [30.0; 37.7]) and risk of abdominal obesity (16.4%, 95% CI [13.6; 19.7]) without differences according to parents\u2019 origin. Children with immigrant background presented higher consumption of low-priced, high-sugar, and high-fat foods, with a worse situation for girls. Females from both non-Portuguese parents also practiced less sports outside school than those where one or two parents are Portuguese. Thus, promoting and monitoring a healthy diet and physical activity in this group should be prioritized in this local setting.<\/jats:p>","DOI":"10.3390\/ijerph17217897","type":"journal-article","created":{"date-parts":[[2020,10,28]],"date-time":"2020-10-28T11:43:06Z","timestamp":1603885386000},"page":"7897","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Overweight and Obesity in Children of Immigrant Versus Native Parents: Exploring a Local Setting in Portugal"],"prefix":"10.3390","volume":"17","author":[{"given":"Susana","family":"Moreira","sequence":"first","affiliation":[{"name":"InHealth Consulting, Maputo 1100, Mozambique"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9710-1945","authenticated-orcid":false,"given":"Luzia","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Global Health and Tropical Medicine (GHTM), Instituto de Higiene e Medicina Tropical, Universidade Nova de Lisboa, 1349-008 Lisboa, Portugal"},{"name":"Centro de Estat\u00edstica e Aplica\u00e7\u00f5es da Universidade de Lisboa (CEAUL), 1749-016 Lisboa, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2020,10,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1175","DOI":"10.1542\/peds.103.6.1175","article-title":"The relation of overweight to cardiovascular risk factors among children and adolescents: The Bogalusa Heart Study","volume":"103","author":"Freedman","year":"1999","journal-title":"Pediatrics"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"159","DOI":"10.20344\/amp.9000","article-title":"Prevalence of Abdominal Obesity and Excess Weight among Portuguese Children and Why Abdominal Obesity Should Be Included in Clinical Practice","volume":"31","author":"Rodrigues","year":"2018","journal-title":"Acta Med. Port."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"13","DOI":"10.4103\/2230-8210.91176","article-title":"Obesity and cardiovascular risk in children and adolescents","volume":"16","author":"Raj","year":"2012","journal-title":"Indian J. Endocrinol. Metab."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1111\/apa.14551","article-title":"Hypertension in childhood obesity","volume":"108","year":"2019","journal-title":"Acta Paediatr."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1002\/ajhb.22440","article-title":"Socio-demographic and behavioral risk factors associated with the high prevalence of overweight and obesity in Portuguese children: Overweight and Obesity in Portuguese Children","volume":"25","author":"Bingham","year":"2013","journal-title":"Am. J. Hum. Biol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1007\/s00431-017-2931-y","article-title":"The psychosocial burden of childhood overweight and obesity: Evidence for persisting difficulties in boys and girls","volume":"176","author":"Gibson","year":"2017","journal-title":"Eur. J. Pediatr."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1159\/000455952","article-title":"Variations in the Prevalence of Obesity Among European Countries, and a Consideration of Possible Causes","volume":"10","author":"Blundell","year":"2017","journal-title":"Obes. Facts"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1038\/s41366-018-0286-8","article-title":"Time trends in prevalence and incidence rates of childhood overweight and obesity in Portugal: Generation XXI birth cohort","volume":"43","author":"Freitas","year":"2019","journal-title":"Int. J. Obes."},{"key":"ref_9","unstructured":"Greg\u00f3rio, M.J., Guedes, L., and Sousa, S.M. (2019). Programa Nacional para a Promo\u00e7\u00e3o da Alimenta\u00e7\u00e3o Saud\u00e1vel 2019, Minist\u00e9rio da Sa\u00fade. Dire\u00e7\u00e3o Geral da Sa\u00fade."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1017\/S0021932016000699","article-title":"Growing up in Portugal: Cape Verdean Ancestry Children Exhibit low overweight and obesity compared with Portuguese in urban Lisbon","volume":"49","author":"Padez","year":"2017","journal-title":"J. Biosoc. Sci."},{"key":"ref_11","unstructured":"Rito, A., Sousa, R.C., Mendes, S., and Gra\u00e7a, P. (2017). Childhood Obesity Surveillance Initiative: COSI Portugal 2016, Instituto Nacional de Sa\u00fade Doutor Ricardo Jorge, IP."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Pereira, C., and Azevedo, J. (2019). Portuguese Emigration Today. New and Old Routes of Portuguese Emigration, Springer.","DOI":"10.1007\/978-3-030-15134-8"},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Labree, W., van de Mheen, D., Rutten, F., Rodenburg, G., Koopmans, G., and Foets, M. (2015). Differences in Overweight and Obesity among Children from Migrant and Native Origin: The Role of Physical Activity, Dietary Intake, and Sleep Duration. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0123672"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1542\/peds.2009-2100","article-title":"Racial\/Ethnic Differences in Early-Life Risk Factors for Childhood Obesity","volume":"125","author":"Taveras","year":"2010","journal-title":"Pediatrics"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1593","DOI":"10.1017\/S1368980009992801","article-title":"Length of residence and obesity among immigrants in Spain","volume":"13","author":"Regidor","year":"2010","journal-title":"Public Health Nutr."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1177\/0022146510372347","article-title":"Big Boys and Little Girls: Gender, Acculturation, and Weight among Young Children of Immigrants","volume":"51","author":"Hook","year":"2010","journal-title":"J. Health Soc. Behav."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1093\/eurpub\/cku111","article-title":"Obesity and physical activity in children of immigrants","volume":"24","author":"Zaccagni","year":"2014","journal-title":"Eur. J. Public Health"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1186\/1475-2891-8-3","article-title":"Dietary patterns and quality in West-African immigrants in Madrid","volume":"8","author":"Delisle","year":"2009","journal-title":"Nutr. J."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1111\/j.1467-789X.2011.00959.x","article-title":"Weight status of European preschool children and associations with family demographics and energy balance-related behaviours: A pooled analysis of six European studies: Overweight in European preschoolers","volume":"13","author":"Brug","year":"2012","journal-title":"Obes. Rev."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"176","DOI":"10.3109\/09540261.2012.688195","article-title":"The global childhood obesity epidemic and the association between socio-economic status and childhood obesity","volume":"24","author":"Wang","year":"2012","journal-title":"Int. Rev. Psychiatry"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1038\/pr.2013.108","article-title":"Socioeconomic and early-life factors and risk of being overweight or obese in children of Swedish- and foreign-born parents","volume":"74","author":"Khanolkar","year":"2013","journal-title":"Pediatr. Res."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Foets, M., Labree, W., van de Mheen, D., Rutten, F., Rodenburg, G., and Koopmans, G. (2015). Differences in overweight among children from migrant and native origin in the Netherlands. Eur. J. Public Health, 25.","DOI":"10.1093\/eurpub\/ckv176.045"},{"key":"ref_23","first-page":"1","article-title":"Are inequalities in child obesity widening? Findings from the National Child Measurement Programm","volume":"6","author":"Hancock","year":"2013","journal-title":"Obes. Facts"},{"key":"ref_24","unstructured":"(2019, June 27). SEF and GEPF Relat\u00f3rio de Imigra\u00e7\u00e3o, Fronteiras e Asilo; Servi\u00e7o de Estrangeiros e Fronteiras: Lisboa, Portugal. Available online: https:\/\/sefstat.sef.pt\/Docs\/Rifa2018.pdf."},{"key":"ref_25","unstructured":"(2020, June 23). SEF and GEPF Relat\u00f3rio de Imigra\u00e7\u00e3o, Fronteiras e Asilo; Servi\u00e7o de Estrangeiros e Fronteiras: Lisboa, Portugal. Available online: https:\/\/sefstat.sef.pt\/Docs\/Rifa2019.pdf."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"2453","DOI":"10.1080\/02664763.2012.713919","article-title":"Sample size for estimating a binomial proportion: Comparison of different methods","volume":"39","author":"Pascoal","year":"2012","journal-title":"J. Appl. Stat."},{"key":"ref_27","unstructured":"Stewart, A., and Marfell-Jones, M. (2011). International Society for Advancement of Kinanthropometry. International Standards for Anthropometric Assessment, International Society for the Advancement of Kinanthropometry."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1017\/S1368980009991789","article-title":"Prevalence of overweight and obesity among 7\u20139-year-old children in Aveiro, Portugal: Comparison between IOTF and CDC references","volume":"14","author":"Pedrosa","year":"2011","journal-title":"Public Health Nutr."},{"key":"ref_29","unstructured":"(2013, May 31). DGS Consultas de Vigil\u00e2ncia de Sa\u00fade Infantil e Juvenil-Actualiza\u00e7\u00e3o das Curvas de Crescimento. No: 05\/DSMIA. Available online: https:\/\/www.dgs.pt\/directrizes-da-dgs\/normas-e-circulares-normativas\/circular-normativa-n-05dsmia-de-21022006-pdf.aspx."},{"key":"ref_30","unstructured":"UNICEF (2019). The State of the World\u2019s Children 2019.Children, Food and Nutrition: Growing Well in a Changing World, UNICEF."},{"key":"ref_31","unstructured":"(2020, August 01). Sergeant, ESG Epitools Epidemiological Calculators. Available online: http:\/\/epitools.ausvet.com.au."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1214\/ss\/1009213285","article-title":"Interval Estimation for a Binomial Proportion","volume":"16","author":"DasGupta","year":"2001","journal-title":"Stat. Sci."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"11398","DOI":"10.3390\/ijerph111111398","article-title":"Overweight and Obesity in Portuguese Children: Prevalence and Correlates","volume":"11","author":"Gomes","year":"2011","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1007\/s10389-007-0109-1","article-title":"Overweight and obesity in Portuguese children and adolescents","volume":"15","author":"Moreira","year":"2007","journal-title":"J. Public Health"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.3390\/ijerph7031121","article-title":"Food Patterns According to Sociodemographics, Physical Activity, Sleeping and Obesity in Portuguese Children","volume":"7","author":"Moreira","year":"2010","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.apgeog.2018.01.005","article-title":"Association between childhood obesity and environmental characteristics: Testing a multidimensional environment index using census data","volume":"92","author":"Pereira","year":"2018","journal-title":"Appl. Geogr."},{"key":"ref_37","first-page":"30","article-title":"Sobrepeso e obesidade pedi\u00e1trica: A realidade portuguesa","volume":"34","author":"Viveiro","year":"2016","journal-title":"Rev. Port. de Saude Publica"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"e23126","DOI":"10.1002\/ajhb.23126","article-title":"The association of irregular sleep habits with the risk of being overweight\/obese in a sample of Portuguese children aged 6\u20139 years","volume":"30","author":"Fernandes","year":"2018","journal-title":"Am. J. Hum. Biol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1093\/bmb\/ldx022","article-title":"The contribution of genetics and environment to obesity","volume":"123","author":"Albuquerque","year":"2017","journal-title":"Br. Med. Bull."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"31","DOI":"10.20344\/amp.6688","article-title":"Prevalence of Pre-Obesity\/Obesity in Pre and Basic School Children at Vila Nova de Gaia, Portugal","volume":"29","author":"Camarinha","year":"2016","journal-title":"Acta M\u00e9dica Port."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1177\/156482651403500210","article-title":"Childhood dual burden of under- and overnutrition in low- and middle-income countries: A critical review","volume":"35","author":"Tzioumis","year":"2014","journal-title":"Food Nutr. Bull."},{"key":"ref_42","unstructured":"Gasparinho, C. (2019). Malnutrition and Enteric Infections in Children in Bengo Province, Angola\u2014A Four-Arm Experimental Study. Disserta\u00e7\u00e3o para Obten\u00e7\u00e3o de Grau de Doutor, Instituto de Higiene e Medicina Tropical-Universidade Nova de Lisboa."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1590\/0102-311X00211913","article-title":"The impact of migration on body weight: A review","volume":"31","author":"Santos","year":"2015","journal-title":"Cad. Saude Publica"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"2211","DOI":"10.2337\/dc08-9024","article-title":"Influence of Race, Ethnicity, and Culture on Childhood Obesity: Implications for Prevention and Treatment: A consensus statement of Shaping America\u2019s Health and the Obesity Society","volume":"31","author":"Caprio","year":"2008","journal-title":"Diabetes Care"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"726","DOI":"10.1007\/s10903-009-9287-y","article-title":"Barriers to Outdoor Physical Activity in Wintertime among Somali Youth","volume":"12","author":"Rothe","year":"2010","journal-title":"J. Immigr. Minor. Health"},{"key":"ref_46","doi-asserted-by":"crossref","unstructured":"Cohen, E., Bernard, J.Y., Ponty, A., Ndao, A., Amougou, N., Sa\u00efd-Mohamed, R., and Pasquet, P. (2015). Development and Validation of the Body Size Scale for Assessing Body Weight Perception in African Populations. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0138983"},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1080\/03670244.2016.1200038","article-title":"Dietary Patterns and Their Socioeconomic and Behavioral Determinants in 6- to 8-Year-Old Portuguese Children","volume":"55","author":"Rodrigues","year":"2016","journal-title":"Ecol. Food Nutr."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1186\/s41110-017-0039-9","article-title":"Patterns of lifestyle-related behaviors and parents\u2019 overweight are associated with increased body adiposity in schoolchildren: A cross-sectional study in Portugal","volume":"42","author":"Rodrigues","year":"2017","journal-title":"Nutrire"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"E96","DOI":"10.1002\/oby.20665","article-title":"Relationship between raised BMI and sugar sweetened beverage and high fat food consumption among children: Sweet Drinks and High Fat Food and BMI","volume":"22","author":"Millar","year":"2014","journal-title":"Obesity"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1475-2891-7-1","article-title":"Gendered dimensions of obesity in childhood and adolescence","volume":"7","author":"Sweeting","year":"2008","journal-title":"Nutr. J."},{"key":"ref_51","first-page":"18891","article-title":"Changes in dietary habits after migration and consequences for health: A focus on South Asians in Europe","volume":"56","author":"Wandel","year":"2016","journal-title":"Food Nutr. Res."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1080\/03670244.2013.817402","article-title":"Migration as a Turning Point in Food Habits: The Early Phase of Dietary Acculturation among Women from South Asian, African, and Middle Eastern Countries Living in Norway","volume":"53","author":"Terragni","year":"2014","journal-title":"Ecol. Food Nutr."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"e535","DOI":"10.1111\/j.1467-789X.2010.00839.x","article-title":"Differences in overweight and obesity among children from migrant and native origin: A systematic review of the European literature: Differences in overweight and obesity among children","volume":"12","author":"Labree","year":"2011","journal-title":"Obes. Rev."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1111\/j.1747-0080.2006.00055.x","article-title":"Post-migration food habits of sub-Saharan African migrants in Victoria: A cross-sectional study","volume":"63","author":"Renzaho","year":"2006","journal-title":"Nutr. Diet."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1177\/1359105315577301","article-title":"Promoting health behaviour in Portuguese children via Short Message Service: The efficacy of a text-messaging programme","volume":"20","author":"Silva","year":"2015","journal-title":"J. Health Psychol."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1002\/osp4.160","article-title":"Growing up in Australia: Paradox of overweight\/obesity in children of immigrants from low-and-middle -income countries: Obesity in children of Australian Immigrants","volume":"4","author":"Zulfiqar","year":"2018","journal-title":"Obes. Sci. Pract."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"325","DOI":"10.3109\/17477166.2011.607458","article-title":"Childhood obesity: Current definitions and recommendations for their use","volume":"6","year":"2011","journal-title":"Int. J. Pediatr. Obes."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/21\/7897\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T10:29:47Z","timestamp":1760178587000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/21\/7897"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,28]]},"references-count":57,"journal-issue":{"issue":"21","published-online":{"date-parts":[[2020,11]]}},"alternative-id":["ijerph17217897"],"URL":"https:\/\/doi.org\/10.3390\/ijerph17217897","relation":{},"ISSN":["1660-4601"],"issn-type":[{"type":"electronic","value":"1660-4601"}],"subject":[],"published":{"date-parts":[[2020,10,28]]}}}