Socioeconomic inequalities in obesity in Brazil

Triaca, Lívia Madeira; Santos, Anderson Moreira Aristides dos; Tejada, Cesar Augusto Oviedo

doi:10.1016/j.ehb.2020.100906

Cited by 10 publications

(6 citation statements)

References 39 publications

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“…Furthermore, it was thought that BED prevalence in low-and middle-income Latin America countries could be higher than that observed in Western regions [4]. As BED occurs more frequently in individuals with elevated BMI, this could be a concomitant phenomenon of the high rates of overweight and obesity observed in countries like Brazil [18] and potentially associated with some socioeconomic inequalities [19].…”

Section: Introductionmentioning

confidence: 99%

Correlates and impact of DSM-5 binge eating disorder, bulimia nervosa and recurrent binge eating: a representative population survey in a middle-income country

Appolinário

Sichieri

Lopes

et al. 2022

Soc Psychiatry Psychiatr Epidemiol

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Purpose Binge eating disorder (BED), bulimia nervosa (BN) and recurrent binge eating (RBE) are binge eating spectrum conditions causing a significant impact in individual’s health and functioning. Information regarding those conditions came mostly from high-income countries. The objective of this study was to assess the prevalence of DSM-5 BED, BN and RBE and correlates in a representative sample from a metropolitan area of a middle-income country. Methods The data were obtained from a cross-sectional population-based household survey in two stages in Rio de Janeiro, Brazil. Noninstitutionalized residents aged 18–60 years were assessed by lay interviewers using the Questionnaire of Eating and Weight Patterns-5 (QEWP-5). Positive cases and a paired sample screen-negative cases were reassessed by phone with the Eating Disorders Section of SCID-I-P (adapted for DSM-5). The data were collected from September 2019 to February 2020. Results Overall, 2297 individuals were interviewed. Prevalence of BED was 1.4%, BN 0.7%, RBE 6.2%. Psychiatric comorbidities, such as depression, anxiety and ADHD were significantly more prevalent in people with BED, BN and RBE than in people without these eating problems. Several medical conditions, when controlling for body mass index, were significantly more prevalent in people with BED, BN and RBE. People with BED and BN had marked impairments in work/school, social and family life, reduced mental and physical HRQoL and under half had sought treatment. Conclusion As in high income countries, in Rio de Janeiro, Brazil, BED, BN and RBE are prevalent conditions and are associated with elevated BMI, functional impairment, psychiatric and medical comorbidity and poorer HRQoL.

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Section: Introductionmentioning

confidence: 99%

Correlates and impact of DSM-5 binge eating disorder, bulimia nervosa and recurrent binge eating: a representative population survey in a middle-income country

Appolinário

Sichieri

Lopes

et al. 2022

Soc Psychiatry Psychiatr Epidemiol

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show abstract

“…In the most developed regions in the country (south, southeast and center-west) excess weight is prevalent in poorer women. For men, the highest frequencies of this disease were found among richer individuals 7 . A study that examined differences between rural and urban populations found a higher prevalence of abdominal obesity in women living in the center-western rural areas 8 .…”

Section: Introductionmentioning

confidence: 96%

Excesso de peso e fatores associados entre adultos de uma comunidade rural do Pantanal Sul-mato-grossense

et al. 2022

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OBJETIVOS: Descrever a prevalência de excesso de peso entre adultos atendidos no ambulatório da Base de Estudos do Pantanal em uma comunidade rural pantaneira, e identificar os fatores associados. MÉTODOS: Estudo transversal, realizado com pacientes atendidos no ambulatório da Base de Estudos do Pantanal da Universidade Federal de Mato Grosso do Sul, localizado na área rural do município de Corumbá, Mato Grosso do Sul. Foram coletadas variáveis sociodemográficas, antropométricas, clínicas e de consumo alimentar. Considerou-se como desfecho o excesso de peso (índice de massa corporal ≥25 Kg/m²), e as análises foram realizadas através de regressão de Poisson. RESULTADOS: Participaram do estudo 70 pacientes, com idade média de 38,6±13,1 anos, 57,9% estudaram formalmente por até 8 anos e 57,1% eram do sexo feminino. A prevalência de excesso de peso foi de 79,7%, sendo maior no sexo feminino (p=0,03). A obesidade atingiu 55,1% dos avaliados. Os indivíduos com circunferência da cintura elevada, apresentaram prevalência de excesso de peso 4,56 vezes maior quando comparados àqueles com circunferência da cintura dentro dos padrões normais (97,7% versus 21,4%; p<0,01). O excesso de peso foi maior entre os indivíduos que tinham como motivo para o atendimento nutricional a perda de peso quando comparados àqueles que buscaram o atendimento para reeducação alimentar (95,8% versus 66,7%; p=0,02). CONCLUSÕES: Os dados apresentados ressaltam a importância da efetiva execução das políticas públicas de saúde voltadas para grupos vulneráveis, como as populações do campo e da floresta, visando reduzir as desigualdades presentes e promover melhorias na qualidade de vida.

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“…In Brazil, overweight and obesity are important health concerns. Overweight was reported at 43% in 2006, 53.8% in 2016 [ 10 ] and has increased in prevalence to 57.5% in 2020 [ 11 ]. Obesity was reported at 11.8% in 2006, increased to 18.9% in 2016 [ 10 ] and increased in prevalence to 21.5% in 2020 in the Brazilian population [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…Overweight was reported at 43% in 2006, 53.8% in 2016 [ 10 ] and has increased in prevalence to 57.5% in 2020 [ 11 ]. Obesity was reported at 11.8% in 2006, increased to 18.9% in 2016 [ 10 ] and increased in prevalence to 21.5% in 2020 in the Brazilian population [ 11 ]. The concern over the increased frequency of overweight and obesity is due to their poor health consequence and being a key risk factor to several chronic diseases such as diabetes, cardiovascular disorders and some types of cancer [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Impact of Genetic Risk Score and Dietary Protein Intake on Vitamin D Status in Young Adults from Brazil

et al. 2022

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Given the relationship between vitamin D deficiency (VDD) and adverse outcomes of metabolic diseases, we investigated the interplay of dietary and genetic components on vitamin D levels and metabolic traits in young adults from Brazil. Genetic analysis, dietary intake, and anthropometric and biochemical measurements were performed in 187 healthy young adults (19–24 years). Genetic risk scores (GRS) from six genetic variants associated with vitamin D (vitamin D-GRS) and 10 genetic variants associated with metabolic disease (metabolic-GRS) were constructed. High vitamin D-GRS showed a significant association with low 25(OH)D concentrations (p = 0.001) and high metabolic-GRS showed a significant association with high fasting insulin concentrations (p = 0.045). A significant interaction was found between vitamin D-GRS and total protein intake (g/day) (adjusted for non-animal protein) on 25(OH)D (pinteraction = 0.006), where individuals consuming a high protein diet (≥73 g/d) and carrying >4 risk alleles for VDD had significantly lower 25(OH)D (p = 0.002) compared to individuals carrying ≤4 risk alleles. Even though our study did not support a link between metabolic-GRS and vitamin D status, our study has demonstrated a novel interaction, where participants with high vitamin D-GRS and consuming ≥73 g of protein/day had significantly lower 25(OH)D levels. Further research is necessary to evaluate the role of animal protein consumption on VDD in Brazilians.

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Socioeconomic inequalities in obesity in Brazil

Cited by 10 publications

References 39 publications

Correlates and impact of DSM-5 binge eating disorder, bulimia nervosa and recurrent binge eating: a representative population survey in a middle-income country

Correlates and impact of DSM-5 binge eating disorder, bulimia nervosa and recurrent binge eating: a representative population survey in a middle-income country

Excesso de peso e fatores associados entre adultos de uma comunidade rural do Pantanal Sul-mato-grossense

Impact of Genetic Risk Score and Dietary Protein Intake on Vitamin D Status in Young Adults from Brazil

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