Rodrigues L C, Canella D S, Claro R M
Curso de pós-graduação em Nutrição e Saúde, Universidade Federal de Minas Gerais, Belo Horizonte, MG Brasil.
Departamento de Nutrição Aplicada, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ Brasil.
Eur J Ageing. 2021 Oct 27;19(3):555-565. doi: 10.1007/s10433-021-00659-x. eCollection 2022 Sep.
Although the share of older people has been growing in Brazil in past decades, studies investigating trends in overweight and obesity prevalence in this population remain scarce. The objective of this study was to analyze the time trend of overweight and obesity prevalence in older adults in Brazilian State Capitals and the Federal District from 2006 to 2019. This is a time trend study based on data from the Surveillance System for Risk and Protective Factors for Chronic Diseases by Telephone Survey. The subsample used was composed of individuals aged 60 years or older ( = 202,049). Self-reported weight and height data were used to calculate Body Mass Index (BMI). Overweight (BMI ≥ 25 kg/m) and obesity (BMI ≥ 30 kg/m2) prevalence were estimated per year for the total population and according to sex, age, schooling, region, and NCD presence. Prais-Winsten regression models were used to identify significant trends in overweight and obesity prevalence over the years. Overweight prevalence increased ( < 0.05) from 53.7 to 61.4% (1.09% per year) within the assessed period, whereas obesity prevalence increased from 16.1 to 22.3% (2.28% per year). Greater increases were observed among men, those aged 70 years old and over, with more than 9-year of schooling, and from less developed regions. The highest increases were observed in groups with the lowest values at the beginning of the study period. Results evidenced the high and growing prevalence of overweight and obesity among older people in Brazilian.
尽管在过去几十年里,巴西老年人的比例一直在增长,但针对这一人群超重和肥胖患病率趋势的研究仍然很少。本研究的目的是分析2006年至2019年巴西州首府和联邦区老年人超重和肥胖患病率的时间趋势。这是一项基于电话调查慢性病风险和保护因素监测系统数据的时间趋势研究。所使用的子样本由60岁及以上的个体组成(n = 202,049)。自我报告的体重和身高数据用于计算体重指数(BMI)。按年份对总人口以及根据性别、年龄、受教育程度、地区和是否存在非传染性疾病估计超重(BMI≥25kg/m²)和肥胖(BMI≥30kg/m²)患病率。使用普赖斯-温斯坦回归模型来确定这些年来超重和肥胖患病率的显著趋势。在评估期内,超重患病率从53.7%上升至61.4%(每年上升1.09%)(P<0.05),而肥胖患病率从16.1%上升至22.3%(每年上升2.28%)。在男性、70岁及以上的人群、受教育年限超过9年的人群以及欠发达地区的人群中,观察到的增长幅度更大。在研究期开始时数值最低的组中观察到的增幅最大。结果表明巴西老年人中超重和肥胖的患病率很高且呈上升趋势。