Capilheira Marcelo Fernandes, Santos Iná S, Azevedo Mario Renato, Reichert Felipe Fossati
Programa de Pós-graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Brasil.
Cad Saude Publica. 2008 Dec;24(12):2767-74. doi: 10.1590/s0102-311x2008001200005.
The CARMEN Initiative is a strategy of the Pan American Health Organization and the World Health Organization that proposes population-based interventions to reduce risk factors for chronic non-communicable diseases (CNCD) by approaching them simultaneously. The present study aims to provide a baseline for further interventions by the CARMEN Initiative based on a cross-sectional population-based study of 3,100 adults (>20 years old) in Pelotas, a city in the South of Brazil. Prevalence of smoking, physical inactivity, diabetes mellitus, hypertension, and excess weight were studied and presented separately and aggregated in various combinations. The most frequent risk factor was physical inactivity (73.2%), followed by excess weight (48.1%). Women were less active and thinner than men. More than half of the sample showed two or three risk factors (53.4%). The combination of physical inactivity and excess weight was observed in 34.7% of the sample, while 10.8% presented physical inactivity, excess weight, and hypertension concurrently. The accumulation of risk factors for CNCD is frequent in the study population and the identification of the most common combinations is essential for planning future interventions.
“卡门倡议”是泛美卫生组织和世界卫生组织提出的一项战略，该战略建议通过同时采取措施，实施以人群为基础的干预措施，以降低慢性非传染性疾病（CNCD）的风险因素。本研究旨在通过对巴西南部城市佩洛塔斯的3100名成年人（>20岁）进行基于人群的横断面研究，为“卡门倡议”的进一步干预提供基线数据。对吸烟、缺乏身体活动、糖尿病、高血压和超重的患病率进行了研究，并分别呈现，并以各种组合形式汇总。最常见的风险因素是缺乏身体活动（73.2%），其次是超重（48.1%）。女性比男性活动更少且更瘦。超过一半的样本显示出两种或三种风险因素（53.4%）。34.7%的样本同时存在缺乏身体活动和超重的情况，而10.8%的样本同时存在缺乏身体活动、超重和高血压。在研究人群中，慢性非传染性疾病风险因素的聚集很常见，识别最常见的组合对于规划未来的干预措施至关重要。
