Brum Marcos, Sturm Roland
Pontifícia Universidade Católica do Rio Grande do Sul - Porto Alegre (RS), Brazil.
RAND, Santa Monica, California, United States.
Rev Bras Epidemiol. 2025 Mar 21;28:e250011. doi: 10.1590/1980-549720250011. eCollection 2025.
This study analyzes how the rates of increase in Brazil differ by obesity class. The paper estimates time trends for extreme weight categories from 2006 to 2021 and extrapolates through 2025 using Vigitel. Comparing 2021 to 2006 rates, the prevalence of BMI≥45 increased by 152%, BMI≥40 by 120%, and BMI≥35 by 104%. In contrast, BMI≥30 increased by 66%. Results are adjusted for demographic changes. Severe obesity is increasing far more rapidly than what commonly reported obesity statistics indicate. These groups have higher health burdens and healthcare needs, and the health system needs to be prepared to see such individuals regularly.
本研究分析了巴西肥胖等级的增长率差异情况。该论文使用Vigitel估计了2006年至2021年极端体重类别的时间趋势，并推算至2025年。将2021年与2006年的比率进行比较，BMI≥45的患病率增加了152%，BMI≥40的患病率增加了120%，BMI≥35的患病率增加了104%。相比之下，BMI≥30的患病率增加了66%。研究结果针对人口结构变化进行了调整。重度肥胖的增长速度远远超过了通常报告的肥胖统计数据所显示的速度。这些群体的健康负担和医疗需求更高，卫生系统需要做好准备，以便定期接待这类患者。
