Risco nutricional na população urbana de Ouro Preto, sudeste do Brasil: estudo de corações de Ouro Preto

Abstract

SummaryObjective: To estimate the prevalence of combined nutritional risk [body mass index (BMI) and waist circumference (WC)] according to sociodemographic and sedentarism characteristics of the urban population of Ouro Preto, state of Minas Gerais, Brazil.Methods: This cross-sectional study was conducted with a probability sampling of 768 subjects aged 15 years or older. Nutritional risk (NR) was defined according to the BMI and WC classification criteria adopted by the National Institutes 2 . Binary logistic regression and the Hosmer & Lemeshow test were used to construct and adjust these models.Results: INR was observed in several BMI categories for both women and men, with the following results: 19.1% and 1.4% among those with normal weight, 91.7% and 56% in overweight patients, and 98.5% and 80% in obese patients, respectively. Age and level of education were independently associated with the CNR. Odds ratios (OR) for CNR in women and men over 60 years of age were 9.94 and 14.35, respectively, when compared to younger patients. For women with < 4 years of schooling, the OR was 1.83 compared to patients with more than 4 years of school attendance, while among men with an average number of years of school attendance, the OR was 2.55 relative to those with more years of schooling.Conclusion: These findings show that age and education have an independent effect on the probability of CNR occurrence, and also that a joint analysis of BMI and WC is important in screening groups for nutritional risk.

Educational inequality in the occurrence of abdominal obesity:Pró-Saúde Study

“… 5 , 21 , 23 In Brazil, time series analyses showed increased prevalence and incidence of obesity, which is associated with lower education only in the female population, 3 , 12 mainly in urban contexts and the most developed regions in the country. 22 , a A particularly consistent and inverse association between female socioeconomic position and abdominal obesity was found in population-based studies in Rio de Janeiro, 15 Minas Gerais, 10 Rio Grande do Sul, 20 and Maranhao, 27 especially regarding education, which thus reinforces the proposition of social determination of general and abdominal obesity.…”

“… 5 , 21 , 23 No Brasil, análises temporais evidenciaram aumento da prevalência e incidência de obesidade, associado à menor escolaridade apenas na população feminina, 3 , 12 principalmente em contextos urbanos e regiões mais desenvolvidas do País. 22 , a Associação consistente e inversa entre posição socioeconômica e obesidade abdominal feminina, em particular, foi encontrada em estudos de base populacional no Rio de Janeiro, 15 Minas Gerais, 10 Rio Grande do Sul 20 e Maranhão, 27 principalmente com relação à escolaridade, reforçando a proposição de determinação social da obesidade geral e abdominal.…”

Concordância entre cintura hipertrigliceridêmica e cintura estatura hipertrigliceridêmica em trabalhadores em turnos alternantes

“…12 Os participantes estão inseridos em uma região cuja população possui altas prevalências de excesso de peso, PC aumentados e sedentarismo. 34 Ainda, a organização do trabalho em turnos alternantes pode ser considerada um fator de risco adicional para o desenvolvimento de DCV, 12 por promover maior exposição aos fatores de risco modificáveis para DCV, principalmente a alimentação inadequada e prática de atividade física diminuída. 35 Da mesma forma, contribui com a privação do sono e consequentes alterações no ritmo circadiano, acarretando desequilíbrios hormonais (leptina, grelina, melatonina e cortisol).…”

High levels of chemerin associated with variants in the NOS3 and APOB genes in rural populations of Ouro Preto, Minas Gerais, Brazil

“…Its population is formed by the miscegenation of Europeans, Africans, and Amerindians, historically gathered by the economic activity based on gold extraction. In 2001, the study ''Hearts of Ouro Preto'' described a disturbingly high prevalence of classical CVRFs such as AH, hyperglycemia, dyslipidemia, obesity, and central obesity in the adult urban population of Ouro Preto (7,8), as well as in children and adolescents (9), emphasizing that prompt action was required.…”