02894nas a2200361   4500008004100000020005100041245010400092210006900196250001300265260000800278300001000286490000800296520168900304653002401993653003602017653002002053653001002073653002202083653002802105653002702133653001102160653003902171653003002210653002602240100002302266700002102289700001302310700002602323700002302349700001802372700002002390856012202410       2021                        eng d  a1476-5616 (Electronic)<br/>0033-3506 (Linking)00aThe economic crisis impact on the body mass index of children living in distinct urban environments0 aThe economic crisis impact on the body mass index of children li  a20210616  cJul  a29-340 v1963 aOBJECTIVES: Little is known about the impact of the 2008 global economic recession on childhood obesity in Portugal. Thus, this study's goals were to compare weight status of children during and after the economic crisis according to their neighbourhood environment features and to assess changes in specific dietary habits during the economic crisis. STUDY DESIGN: Cross-sectional study. METHODS: Data including weight, height, residence address to allow its geocoding and dietary habits changes during the crisis from children living in Lisbon municipality were collected in 2009 (N = 929) and in 2016 (N = 1751). A multidimensional environment index, with data of both built and socioeconomic nature collected at the statistical section level (areas comprised 300 dwellers) in the 2011 census, was used to characterize neighbourhoods. RESULTS: Overall, the proportion of children who are overweight or obese living in the socioeconomically vulnerable areas decreased in 2016. Families living in the latter areas stopped buying some food items, started to buy cheaper food items, cooked more meals at home and ate less in restaurants. In 2016, the risk for overweight and obesity increased in children who lived in the least advantageous areas. Living in areas with high socioeconomic status or most advantageous areas no longer represented a decreased risk of being overweight or obese in children in 2016 as it did in 2009. CONCLUSIONS: This study suggests that the economic crisis enhanced the social inequalities regarding childhood obesity. These results aid the development of evidence-based strategies to lessen the social inequities in health outcomes created by the crisis.10a*Economic Recession10a*Pediatric Obesity/epidemiology10aBody Mass Index10aChild10aChildhood obesity10aCross-Sectional Studies10aGlobal economic crisis10aHumans10aMultidimensional environment index10aResidence Characteristics10aSocioeconomic Factors1 aPereira, Margarida1 aNogueira, Helena1 aGama, A.1 aMachado-Rodrigues, A.1 aRosado-Marques, V.1 aSilva, M., R.1 aPadez, Cristina  uhttps://www.cipes.pt/economic-crisis-impact-body-mass-index-children-living-distinct-urban-environments-0?language=en