Malta Deborah Carvalho, Silva Alanna Gomes da, Tonaco Luis Antônio Batista, Freitas Maria Imaculada de Fátima, Velasquez-Melendez Gustavo
Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil.
Cad Saude Publica. 2019 Sep 16;35(9):e00223518. doi: 10.1590/0102-311X00223518.
This study was an assessment of time trends in morbid obesity prevalence in the adult population in Brazil's state capitals from 2006 to 2017. A cross-sectional study was performed with data from the Risk and Protective Factors Surveillance System for Chronic Noncommunicable Diseases Through Telephone Interview (Vigitel), analyzed by simple linear regression. The results showed an upward trend in morbid obesity prevalence in Brazil. Women showed higher prevalence rates (1.3% in 2006 and 1.9% in 2017) when compared to men (0.9% and 1.4%). The 25-44-year age bracket showed an upward trend from 0.9% to 2.1% (p < 0.001). There was an increase in morbid obesity in all levels of schooling and all regions of Brazil. The state capitals with upward trends in males were Campo Grande, Curitiba, Fortaleza, Macapá, Manaus, Palmas, Porto Velho, Rio Branco, and Teresina. In females, they were Belo Horizonte, Campo Grande, Rio de Janeiro, and Teresina. The growth in morbid obesity in Brazil sounds a warning on the urgent need to adopt measures to detain it, such as regulation of ultra-processed foods and health education measures for the entire population.
本研究评估了2006年至2017年巴西各首府城市成年人口中病态肥胖患病率的时间趋势。通过电话访谈对慢性非传染性疾病风险与保护因素监测系统（Vigitel）的数据进行横断面研究，并采用简单线性回归分析。结果显示巴西病态肥胖患病率呈上升趋势。与男性（2006年为0.9%，2017年为1.4%）相比，女性患病率更高（2006年为1.3%，2017年为1.9%）。25至44岁年龄组患病率从0.9%上升至2.1%（p<0.001），呈上升趋势。巴西所有教育水平和所有地区的病态肥胖率均有所上升。男性患病率呈上升趋势的首府城市有大坎普、库里蒂巴、福塔莱萨、马卡帕、马瑙斯、帕尔马斯、波多韦柳、里奥布兰科和特雷西纳。女性方面，有贝洛奥里藏特、大坎普、里约热内卢和特雷西纳。巴西病态肥胖率的增长敲响了警钟，迫切需要采取措施加以遏制，如对超加工食品进行监管以及对全体民众开展健康教育措施。
