Soares Daniela Arruda, Barreto Sandhi Maria
Instituto Multidisciplinar em Saúde, Universidade Federal da Bahia, Salvador, Brasil, Instituto Multidisciplinar em Saúde, Universidade Federal da Bahia, Salvador, Brasil.
Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
Cad Saude Publica. 2014 Feb;30(2):341-54. doi: 10.1590/0102-311X00004613.
This study analyzes nutritional status, estimates the prevalence of overweight and abdominal obesity, and investigates factors associated with these outcomes in a two-stage random sample of adults (> 20 years) in quilombos (communities that descend from African slaves) in Vitória da Conquista, Bahia State, Brazil, in 2011. Among 739 participants, prevalence rates were 31.8% and 10.2% for overweight and obesity, respectively, and 55.7% for increased waist-to-height ratio (> 0.50). Prevalence of overweight was higher among 30-39-year-olds, while abdominal obesity was more frequent among older individuals. Female sex, eating chicken or beef with untrimmed fat, and hypertension were associated with higher odds of overweight and abdominal obesity, while smoking and single marital status were associated with lower odds. The results show high prevalence rates for overweight and abdominal obesity in these very poor and socially isolated communities. Specific preventive and control measures are urgently needed.
本研究于2011年对巴西巴伊亚州维多利亚达孔基斯塔市逃亡黑奴社区（quilombos，即非洲奴隶后裔社区）中20岁以上成年人的两阶段随机样本进行了分析，以了解其营养状况，估算超重和腹型肥胖的患病率，并调查与这些结果相关的因素。在739名参与者中，超重和肥胖的患病率分别为31.8%和10.2%，腰高比增加（>0.50）的患病率为55.7%。超重患病率在30至39岁人群中较高，而腹型肥胖在老年人中更为常见。女性、食用带未修剪脂肪的鸡肉或牛肉以及高血压与超重和腹型肥胖的较高几率相关，而吸烟和单身婚姻状况则与较低几率相关。结果显示，在这些非常贫困且社会孤立的社区中，超重和腹型肥胖的患病率很高。迫切需要采取具体的预防和控制措施。
