Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil.
Universidade Federal de Santa Catarina, Florianópolis, SC, Brasil,
Arch Endocrinol Metab. 2021 Nov 3;65(3):386-391. doi: 10.20945/2359-3997000000351. Epub 2021 Apr 12.
To evaluate the correlation between the prevalence of overweight condition and obesity with mortality rates due to COVID-19 in Brazil's state capitals.
This is an ecological study, whose units of analysis were the 26 state capitals and the Federal District of Brazil. Prevalence was estimated by the results of the 2019 (VIGITEL). The general mortality rates due to COVID-19 were collected on the official website of the Brazilian Ministry of Health (MH) and stratified by the same Brazilian capitals evaluated in the VIGITEL survey. The rates included the period between the 1st and 29th Epidemiological Weeks of 2020. The Partial Correlation Test (r) was used, controlled for confounding factors, to evaluate the correlation between the prevalence of overweight/obesity and the overall mortality rates due to COVID-19.
The mean mortality rate for COVID-19 in the period was 65.1 deaths per 100,000 inhabitants. Regarding the prevalence of obesity and overweight, 20.2% and 54.7% were the mean values observed in the state capitals, respectively. The prevalence of obesity was positively correlated with the overall mortality rate due to COVID-19, with mean positive correlation (r=0.380) and statistically significant correlation (p=0.034).
This study pointed out that, at the aggregate level, there is a concomitant and correlated increase in mortality rates due to COVID-19 and prevalence of obesity in Brazilian capitals. The data found may contribute to actions to cope with the pandemic aimed at this population.
评估巴西各州首府超重和肥胖流行率与 COVID-19 死亡率之间的相关性。
这是一项生态研究，其分析单位为 26 个州首府和巴西联邦区。流行率由 2019 年 VIGITEL 调查结果估算。COVID-19 的总死亡率由巴西卫生部（MH）官方网站收集，并按 VIGITEL 调查评估的相同巴西首府进行分层。该数据包括 2020 年第 1 至 29 个流行病学周期间的数据。采用偏相关检验（r），在控制混杂因素的情况下，评估超重/肥胖流行率与 COVID-19 总死亡率之间的相关性。
该期间 COVID-19 的平均死亡率为每 10 万人 65.1 例死亡。关于肥胖和超重的流行率，州首府的平均值分别为 20.2%和 54.7%。肥胖流行率与 COVID-19 总死亡率呈正相关，平均正相关（r=0.380）且具有统计学意义（p=0.034）。
本研究表明，在总体水平上，巴西各州首府 COVID-19 死亡率和肥胖流行率同时呈上升趋势且相关。研究结果可能有助于针对该人群的大流行应对行动。
