Correlation between mean body mass index in the population and prevalence of obesity in Brazilian capitals: empirical evidence for a population-based approach of obesity

Lobato, Jackeline Christiane Pinto; Kale, Pauline Lorena; Velarde, Luís Guillermo Coca; Szklo, Moysés; Costa, Antônio José Leal

doi:10.1186/s12889-015-1637-1

Cited by 9 publications

(6 citation statements)

References 12 publications

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“…Since Khaw and Marmot’s commentary, authors citing Rose and Day’s work have continued to show the empirical association between mean and right sided deviance for outcomes such as gambling, 23 substance abuse, 24 and BMI. 25 Although some studies examined outcomes at the left side of the curve (such as whether more fractures occur with decreasing bone density), 26 they did not statistically examine and interpret the strength of correlations between mean and deviants. The relation of mean to right sided deviance has also been used in statistical modelling to impute prevalence of hypertension based on mean blood pressure 27 and to explore population strategies of prevention assuming the strong relation of mean to right sided deviance continues to hold, for example.…”

Section: Discussionmentioning

confidence: 99%

Association between population mean and distribution of deviance in demographic surveys from 65 countries: cross sectional study

Razak

Subramanian

Sarma

et al. 2018

BMJ

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ObjectivesTo examine whether conditions related to scarcity at the left side of the distribution (anaemia, severe chronic energy deficiency, and underweight) are as strongly related to population means as conditions of excess at the right side of the distribution (overweight and obesity).DesignObservational study.Setting65 countries, with nationally representative cross sectional data from 1994 to 2014 obtained from the Demographic Health Surveys.ParticipantsNon-pregnant women aged 20-49. Sample of 65 countries and n=524 380 for analysis of BMI; sample of 44 countries and n=316 465 for analysis of haemoglobin.Main outcome measuresThe association between mean and prevalence of each category. For BMI, prevalence of severe chronic energy deficiency (SCED, BMI <16.0), underweight (BMI <18.5), overweight (BMI >25) and obese (BMI >30.) were measured; for haemoglobin, prevalence of anaemia (haemoglobin <12.0 g/dL) and severe anaemia (haemoglobin <8.0 g/dL) were examined.ResultsThere was a strong association between mean BMI and prevalence of overweight (r2=0.98; r=0.99; β=8.3 (8.0 to 8.6)) and obesity (r2=0.93; r=0.97; β=4.2 (3.9 to 4.5)). For left sided conditions, a moderate to strong association was found between mean BMI and prevalence of underweight (r2=0.67; r=−0.82; β=−2.7 (−3.1 to −2.2)), and a weaker association for SCED (r2=0.38; r=−0.61; β=−0.32 (−0.43 to −0.22)). There was a moderate association between mean haemoglobin and prevalence of anaemia (r2=0.46; r=−0.68; β=−10.8 (−14.5 to −7.1)) and a weaker association with severe anaemia (r2=0.30; r=-0.55; β=−0.55 (−0.81 to −0.29)).ConclusionsThe associations between population means and prevalence of conditions of scarcity such as low BMI and anaemia were substantially weaker than the associations of mean BMI with conditions of excesses such as overweight and obesity.

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Section: Discussionmentioning

confidence: 99%

Association between population mean and distribution of deviance in demographic surveys from 65 countries: cross sectional study

Razak

Subramanian

Sarma

et al. 2018

BMJ

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“…The variations observed in HR, peripheral BP and SatO 2 are in accordance with the expected physiological behavior. An example of this was the increase in HR, probably caused by the degree of exertion expended during the test 32 . However, in the first post-test minute, there was a reduction in HR, suggesting that the first postexercise minute is enough to recover a level close to that of the pre-test.…”

Section: Discussionmentioning

confidence: 99%

Valores médios percorridos no teste de caminhada de seis minutos em crianças saudáveis de Coari (AM)

Moraes

Silva

et al. 2020

Fisioter. Pesqui.

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RESUMO O objetivo desta pesquisa foi estabelecer valores médios percorridos para o teste de caminhada de seis minutos em crianças saudáveis no Norte do Brasil. Este foi um estudo experimental, randomizado, cego e transversal que avaliou 63 crianças saudáveis do sexo masculino e feminino, de 10 a 12 anos, que após terem seus dados antropométricos registrados foram treinadas e instruídas para a realização do teste conforme recomendações da American Thoracic Society, após avaliação-padrão. O teste foi realizado numa pista reta de 30 metros, com marcações a cada 3 metros e cones indicando onde o retorno deveria ser feito para a continuidade do teste. Ao final, foi refeita a avaliação pré-teste. Foi observado índice de massa corporal muito baixo nos meninos de 11 anos, e normal nas outras faixas. A frequência cardíaca imediata pós-teste apresentou-se significativamente elevada em todos os grupos (p<0,001), enquanto todos os outros dados cardiovasculares colhidos não apresentaram alterações. As distâncias percorridas foram significativamente inferiores às previstas por equação-padrão para todos os grupos e sexos (p<0,0001). O valor médio percorrido encontrado em meninas foi de 436,30±56,74m e 460,80±63,90m em meninos, enquanto a média geral foi de 445,70±54,10m, abaixo dos valores esperados para a amostra. O resultado obtido pelo grupo estudado, menor que a média esperada, pode ser creditado ao fenótipo regional, mas o Índice de Desenvolvimento muito mais baixo que a média brasileira deve ter sua influência mais bem estudada. Espera-se que os achados contribuam no apontamento de valores de referência do teste em crianças do Norte brasileiro.

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“…The environment which promotes high-calorie diet and low physical activity will increase the population's obesity prevalence. Thus, a population-based intervention is an effective way to mitigate this health problem [10]. Meanwhile, PROLANIS intervention only focuses on participants' education without any more widespread policy such as changing the content of processed food.…”

Section: Discussionmentioning

confidence: 99%

Effectivity of Indonesia Chronic Disease Management Program (PROLANIS) to Control Hypertension and its Comorbidities at Primary Health Care

Alkaff

Sukmajaya

Intan

et al. 2020

Open Access Maced J Med Sci

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BACKGROUND: National prevalence of hypertension in Indonesia is increasing in the past few years. One of the reasons is because of the weaknesses in health systems, particularly at the primary care level. To resolve this issue, Indonesian government launched a chronic disease care program (PROLANIS) designed to be done at primary health care with the aim to control hypertension. Wates primary health care routinely conducts the program from April 2018. AIM: This study aims to evaluate the effectivity of PROLANIS in controlling hypertension and its comorbidities at Wates primary health care. METHODS: This study was an observational retrospective cohort study using secondary data from PROLANIS report at Wates primary health care in Mojokerto city, Indonesia. The study population was hypertensive patients that voluntarily joined the program on April 2018 and routinely attend evaluation follow-up every 6 months. Follow-up evaluation including blood pressure (BP), body mass index (BMI), total cholesterol (TC), high-density lipid (HDL), low-density lipid (LDL), triglyceride, and estimated glomerular filtration rate (eGFR). RESULTS: There were 44 participants included for the analysis. Median systolic and diastolic BP were always within normal range. Triglyceride serum level showed an improvement in every follow-up evaluation. BMI and LDL showed an improvement in the first follow-up but deteriorated afterward. TC only showed a remarkable improvement in the last follow-up evaluation, while HDL and eGFR result were fluctuate. CONCLUSION: PROLANIS was effective to control BP at Wates primary health care, but not effective to control all comorbidities. Future study needs to be done to elucidate the effectivity of this program countrywide.

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Correlation between mean body mass index in the population and prevalence of obesity in Brazilian capitals: empirical evidence for a population-based approach of obesity

Cited by 9 publications

References 12 publications

Association between population mean and distribution of deviance in demographic surveys from 65 countries: cross sectional study

Association between population mean and distribution of deviance in demographic surveys from 65 countries: cross sectional study

Valores médios percorridos no teste de caminhada de seis minutos em crianças saudáveis de Coari (AM)

Effectivity of Indonesia Chronic Disease Management Program (PROLANIS) to Control Hypertension and its Comorbidities at Primary Health Care

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