Excesso de peso e fatores associados em quilomboras do médio São Francisco baiano, Brasil

Abstract

The aim of this article was to analyze the prevalence of overweight and associated factors in adult quilombolas (inhabitants of black communities) from the Middle San Francisco, Bahia. Cross-sectional study with a sample of 112 adults. Overweight was evaluated by body mass index (BMI). Linear regression was used to test associations. The mean age of the participants was 42.1 (standard deviation 18.5) years and there was a predominance of females (55.4%). The prevalence of overweight was 27.7% (95% confidence interval: 19.3;36.1), with a mean BMI of 23.1 (± 3.8) kg/m2. Factors that remained associated in multiple linear regression analysis (p < 0.05) were female gender, negative self-assessment of health, and increased mean arterial pressure (adjusted R2 0.326). The increase in BMI among quilombolas was associated with female gender, negative self-assessment of health and higher mean blood pressure levels.

Factors associated with blood pressure disorders in Afro-descendant children and adolescents

“…The divergence between the results suggests the need for monitoring these variables during life. In this research, BP disorders in adolescents are associated to obesity and indicates that the social gradient grows toward socially disadvantaged segments, a scenario observed in populations with low economic and schooling levels, corroborating with environmental inequities [42, 43] and health services [44], sine qua nom gears for health promotion and prevention of cardiovascular diseases (CVD).…”

Fatores associados ao desenvolvimento de hipertensão arterial em uma comunidade quilombola

“…Estes dados corroboram com o estudo transversal realizado na Comunidade Quilombola de Tomé Nunes-Bahia, que ao analisar a prevalência do excesso de peso e os fatores associados em 112 adultos membros de uma comunidade quilombola identificaram 66,1% de eutrófico e 27,7% com excesso de peso. 9 Todavia, esses resultados diferem dos demais achados literários os quais obtiveram em seus estudos alto índice de sobrepeso/obesidade, autoconsumo de alimentos gordurosos e de sal. 3,12,14 Embora o cálculo do IMC seja a ferramenta mais utilizada em pesquisas para classificar a obesidade, não é capaz de distinguir massa magra de massa adiposa, diferenciar a distribuição de gordura corporal ou detectar o aumento de gordura, podendo ser menos preciso em indivíduos mais idosos, em decorrência da perda de massa magra e diminuição do peso, e superestimado em indivíduos musculosos.…”

Indicadores de obesidade: capacidade preditiva para síndrome metabólica em adultos quilombolas

“…Despite the limited number of studies, a high prevalence of MetS among quilombolas has been reported [33][34][35][36] . Furthermore, anthropometric studies have shown high rates of overweight and obesity in this population 37,38 . However, we found no studies involving the quilombo population that investigated the accuracy of OIs and established cutoff points for the identification of individuals at increased risk and their immediate referral to specialized health services for diagnostic confirmation and treatment of MetS.…”