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巴西传统民族和社区的人体测量指标:2019 年食品和营养监测系统个体记录分析。

Anthropometric indicators in traditional peoples and communities in Brazil: analysis of individual records from the Food and Nutrition Surveillance System, 2019.

机构信息

Universidade Federal do Ceará, Programa de Pós-Graduação em Saúde Pública, Fortaleza, CE, Brazil.

Universidade de Fortaleza, Pós-Graduação em Saúde Coletiva, Fortaleza, CE, Brazil.

出版信息

Epidemiol Serv Saude. 2023 Dec 18;32(4):e2023543. doi: 10.1590/S2237-96222023000400005.EN. eCollection 2023.

Abstract

OBJECTIVE

To describe the prevalence of underweight and obesity indicators among individuals registered as traditional peoples and communities in the Food and Nutrition Surveillance System, across Brazil, in 2019.

METHODS

This was a descriptive study using individual secondary data from participants receiving care in the Primary Health Care within the Brazilian National Health System.

RESULTS

In the study population (N = 13,944), there was a higher prevalence of short stature among male children and adolescents (14.2%), when compared to their female counterparts (11.8%); in the adult female population, there was a higher prevalence of obesity (23.0%), when compared to the male population (11.3%); the prevalence of low height-for-age in riverine communities (18.5%) and obesity in the adult faxinalense population (75.1%) stood out.

CONCLUSION

Anthropometric disparities between different communities require tailored responses, emphasizing targeted primary health care and programs to ensure food and nutrition security.

MAIN RESULTS

It was possible to identify a higher prevalence of low weight and height-for-age in the child population of riverine communities, while faxinalense communities showed a higher prevalence of obesity in adults.

IMPLICATIONS FOR SERVICES

Continuous improvement in the implementation of SISVAN protocols is recommended, as well as strengthening the assistance provided to communities with the worst indicators.

PERSPECTIVES

Studies assessing the potential impact of interventions to mitigate the effects of malnutrition in communities, through in-depth qualitative research or probabilistic quantitative studies using primary data.

摘要

目的

描述 2019 年巴西食品和营养监测系统中登记的传统民族和社区个体的消瘦和肥胖指标的流行情况。

方法

这是一项使用巴西国家卫生系统初级卫生保健中接受治疗的参与者的个体二级数据的描述性研究。

结果

在研究人群(N=13944)中,男性儿童和青少年的身材矮小患病率(14.2%)高于女性(11.8%);在成年女性人群中,肥胖患病率(23.0%)高于男性(11.3%);河川社区的身高不足患病率(18.5%)和成年 Faxinalense 社区的肥胖患病率(75.1%)尤为突出。

结论

不同社区之间的人体测量差异需要有针对性的应对措施,强调有针对性的初级卫生保健和方案,以确保粮食和营养安全。

主要结果

可以发现河川社区儿童人群的低体重和身高不足患病率较高,而 Faxinalense 社区成年人的肥胖患病率较高。

对服务的影响

建议持续改进 SISVAN 协议的实施,并加强对指标最差社区的援助。

展望

通过深入的定性研究或使用初级数据的概率定量研究,评估干预措施减轻社区营养不良影响的潜在影响的研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57a1/10727127/68218bc5d5ee/2237-9622-ress-32-04-e2023543-gf1.jpg

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