Faculdade de Enfermagem, Universidade Federal de Pelotas, Pelotas, RS, Brasil.
Epidemiol Serv Saude. 2020;29(4):e2019447. doi: 10.5123/s1679-49742020000400013. Epub 2020 Aug 24.
Objective To analyze overweight and obesity prevalence among community health agents in southern Rio Grande do Sul, Brazil, according to sociodemographic, behavioral and health variables. Methods A cross-sectional study was conducted using data collected in 21 municipalities between March 2016 and May 2017. Weight and height data were self-reported by participants. Multinomial logistic regression was used. Results Data from 564 community health agents were analyzed, 0.5% were classified as underweight, 29.8% as having normal weight, 39.2% were overweight and 30.5% were obese. Presence of obesity was negatively associated with working in rural area health centers (OR=0.58 - 95%CI 0.34;0.98) and doing physical activity (OR=0.57 - 95%CI 0.36;0.90); presence of obesity was positively associated with anxiety (OR=1.97 - 95%CI 1.12;3.45), hypertension (OR=2.91 - 95%CI 1.63;5.18), and diabetes (OR=6.25 - 95%CI 2.15;18.21). Conclusion Overweight and obesity prevalence was high and associated with chronic diseases, anxiety, physical inactivity and working in urban areas.
目的 根据社会人口学、行为和健康变量,分析巴西南里奥格兰德州社区卫生工作者超重和肥胖的流行情况。
方法 这是一项横断面研究,使用了 2016 年 3 月至 2017 年 5 月期间在 21 个城市收集的数据。参与者自行报告体重和身高数据。使用多项逻辑回归进行分析。
结果 共分析了 564 名社区卫生工作者的数据,0.5%被归类为体重不足,29.8%为体重正常,39.2%为超重,30.5%为肥胖。肥胖的存在与在农村地区卫生中心工作(OR=0.58-95%CI 0.34;0.98)和进行体力活动(OR=0.57-95%CI 0.36;0.90)呈负相关;肥胖的存在与焦虑(OR=1.97-95%CI 1.12;3.45)、高血压(OR=2.91-95%CI 1.63;5.18)和糖尿病(OR=6.25-95%CI 2.15;18.21)呈正相关。
结论 超重和肥胖的流行率较高,并与慢性病、焦虑、身体活动不足和在城市地区工作有关。