Meller Fernanda de Oliveira, Ciochetto Carla Ribeiro, dos Santos Leonardo Pozza, Duval Patrícia Abrantes, Vieira Maria de Fátima Alves, Schäfer Antônio Augusto
Cien Saude Colet. 2014 Jan;19(1):75-81. doi: 10.1590/1413-81232014191.2000.
The scope of this study was to evaluate the association between waist circumference (WC) and body mass index (BMI) of Brazilian women of childbearing age studied in the most recent National Demographic and Health Survey (NDHS), in 2006. This study is an excerpt of the NDHS, which is a home-based cross-sectional study. The nutritional status of women was assessed by WC and BMI, considering excess weight to be BMI = 25 Kg/m2 and WC risk to be = 80 cm. To evaluate the statistical significance, Poisson Regression was applied to identify factors associated with WC risk in women with or without excess weight, presenting the p-value corresponding to the Wald test for heterogeneity or linear trend. Of the 14,101 women studied, 45.8% were overweight and 55.5% at WC risk. Regarding the association between BMI and WC, it was found that 23.5% of women who were not overweight showed WC risk. After a stratified analysis by BMI, the prevalence of WC risk among women without excess weight was greatest in the Northeast, 26.0%, and the Southeast, 24.5%, while the South region presented the lowest prevalence at 18.5%. It follows that the anthropometric WC and BMI measures should be used concomitantly since the use of only one of these measures may overlook individuals at risk for various diseases.
本研究的范围是评估在2006年最新的全国人口与健康调查(NDHS)中所研究的巴西育龄妇女的腰围(WC)与体重指数(BMI)之间的关联。本研究是NDHS的一个节选,NDHS是一项基于家庭的横断面研究。通过WC和BMI评估妇女的营养状况,将超重定义为BMI = 25 Kg/m²,将WC风险定义为≥80 cm。为了评估统计学显著性,应用泊松回归来确定体重正常或超重的女性中与WC风险相关的因素,给出对应于异质性或线性趋势的Wald检验的p值。在14,101名被研究的女性中,45.8%超重,55.5%存在WC风险。关于BMI与WC之间的关联,发现23.5%体重正常的女性存在WC风险。按BMI进行分层分析后,体重正常的女性中WC风险的患病率在东北部最高,为26.0%,在东南部为24.5%,而南部地区的患病率最低,为18.5%。因此,人体测量的WC和BMI指标应同时使用,因为仅使用其中一项指标可能会忽略有患各种疾病风险的个体。