Sobrepeso e obesidade abdominal em adultos quilombolas, Bahia, Brasil

Abstract

This study analyzes nutritional status, estimates the prevalence of overweight and abdominal obesity, and investigates factors associated with these outcomes in a two-stage random sample of adults (> 20 years) in quilombos (communities that descend from African slaves) in Vitória da Conquista, Bahia State, Brazil, in 2011. Among 739 participants, prevalence rates were 31.8% and 10.2% for overweight and obesity, respectively, and 55.7% for increased waist-to-height ratio (> 0.50). Prevalence of overweight was higher among 30-39-year-olds, while abdominal obesity was more frequent among older individuals. Female sex, eating chicken or beef with untrimmed fat, and hypertension were associated with higher odds of overweight and abdominal obesity, while smoking and single marital status were associated with lower odds. The results show high prevalence rates for overweight and abdominal obesity in these very poor and socially isolated communities. Specific preventive and control measures are urgently needed.

Domínios de atividade física em comunidades quilombolas do sudoeste da Bahia, Brasil: estudo de base populacional

“…As situações de vulnerabilidade social nessas populações podem ser historicamente explicadas tanto pelo perío-do de escravidão no Brasil no século XIX, quanto pelas baixas condições socioeconômicas 11 e elevadas prevalências de DCNT 12,13 .…”

Excesso ponderal e marcadores de vulnerabilidade sociodemográfica em adultos jovens escolares

“…(7) In this context, the marriage or stable union can positively affect the health, but can also affect it negatively After establishment of a stable relationship, weight gain can be observed, which increases the proportions of men and women with excessive weight. (11) The marital status, "with partner", identified in this study showed a statistically significant association with excessive weight in both bivariate (OR=1.79;[1.19;2.68];p= 0.005) as well as in the multivariate analysis (OR=1.54;[1.01;2.37];p=0.047). Corroborating these findings, a survey conducted in the metropolitan area of Fortaleza, Ceará, Brazil (7) identified factors for overweight in young adults.…”

<b>(In) Segurança alimentar de comunidade quilombola no norte de Minas Gerais/Food (in) security of quilombola community in the north of Minas Gerais<b>

“…Observa-se que o estado nutricional da comunidade quilombola acompanha as tendências atuais, com aumento do sobrepeso e obesidade na população (20) . Em estudo com adultos residentes em comunidades quilombolas na cidade de Vitória da Conquista, Bahia, ao descrever o perfil antropométrico da população, observou-se também altas prevalências de sobrepeso e obesidade, de 31,8% e 10,2%, respectivamente (21) . Considera-se uma situação de risco à saúde quilombola uma vez que o sobrepeso é um fator contribuinte no aumento das taxas de morbidade e mortalidade.…”