Ferreira Arthur Pate de Souza, Szwarcwald Célia Landmann, Damacena Giseli Nogueira
Programa de Pós-Graduação em Epidemiologia em Saúde Pública, Escola Nacional de Saúde Sérgio Arouca, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brasil.
Laboratório de Informação em Saúde do Instituto de Comunicação e Informação em Saúde, Fundação Oswaldo Cruz - Rio de Janeiro (RJ), Brasil.
Rev Bras Epidemiol. 2019 Apr 1;22:e190024. doi: 10.1590/1980-549720190024.
The prevalence of obesity is increasing at an alarming rate in many countries. Unhealthy eating and sedentary lifestyle are the main risk factors for obesity. The objective of this study was to determine the prevalence of obesity and identify the associated factors in the Brazilian adult population on the basis of data collected in the 2013 National Health Survey.
We analyzed the data from a sample of 59,402 adult subjects, excluding pregnant women. Body mass index (BMI) was calculated by means of weight and height measurements. Obesity was defined as BMI ≥30 kg/m2. Logistic regression models were used to identify the factors associated with obesity.
The prevalence of obesity was 16.8% for men and 24.4% for women. Advanced age (over 50 years), low education level (no schooling or incomplete elementary school), African Brazilian and living with partner were risk factors for obesity. Leisure time physical activity and the habit of watching more than 4 hours of television per day showed significant effects for both sexes. Regarding the referred morbidity, in obese people, the chances of having a diagnosis of hypertension, diabetes, or some non-communicable chronic disease were higher. Obese men and women had significantly increased systolic blood pressure.
Our findings emphasize the importance of public policies for the prevention of obesity and for the promotion of healthy habits in Brazilian society.
在许多国家,肥胖症的患病率正以惊人的速度上升。不健康的饮食和久坐不动的生活方式是肥胖的主要风险因素。本研究的目的是根据2013年全国健康调查收集的数据,确定巴西成年人群中肥胖症的患病率,并找出相关因素。
我们分析了59402名成年受试者(不包括孕妇)的样本数据。通过测量体重和身高计算体重指数(BMI)。肥胖定义为BMI≥30kg/m²。采用逻辑回归模型来确定与肥胖相关的因素。
男性肥胖患病率为16.8%,女性为24.4%。高龄(50岁以上)、低教育水平(未上学或小学未毕业)、非裔巴西人以及与伴侣同住是肥胖的风险因素。休闲时间进行体育活动以及每天看电视超过4小时的习惯对男女都有显著影响。关于所述的发病率,肥胖者被诊断患有高血压、糖尿病或某些非传染性慢性病的几率更高。肥胖男性和女性的收缩压显著升高。
我们的研究结果强调了公共政策在巴西社会预防肥胖和促进健康习惯方面的重要性。