Fatores associados à incidência de excesso de peso corporal: um estudo longitudinal com adultos de uma cidade de pequeno porte do centro-oeste do Brasil

• Ano de defesa: 2016
• Autor(a) principal: Souza, Ludimila Garcia
• Orientador(a): Jardim, Paulo César Brandão Veiga
• Banca de defesa: Vitorino, Priscila Valverde de Oliveira, Botelho, Patrícia Borges, Jardim, Paulo César Brandão Veiga, Silva, Nilce Maria da, Martins, Karine Anusca
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Goiás
• Programa de Pós-Graduação: Programa de Pós-graduação em Nutrição e Saúde (FANUT)
• Departamento: Faculdade de Nutrição - FANUT (RG)
• País: Brasil
• Palavras-chave em Português: Índice de massa corporal; Circunferência da cintura; Ganho de peso; Obesidade
• Palavras-chave em Inglês: Body mass index; Waist circumference; Weight gain; Obesity
• Área do conhecimento CNPq: CIENCIAS DA SAUDE::NUTRICAO
• Link de acesso: http://repositorio.bc.ufg.br/tede/handle/tede/5742

Obesity in adults is a major public health problem in Brazil and in the world and is related to several comorbidities, such as cardiovascular disease, diabetes and cancer. The aim of this study was to identify factors associated with the risk of incidence of overweight adults in the city of Firminópolis, Goiás. This is a longitudinal study occurred in 2002 (phase 1) and 2015/2016 (phase 2). The sample of this study consisted of 685 individuals of both sexes, aged over 18 years, 33.7% male and 66.3 % female. After 13 years of follow-up, the same individuals were reevaluated in demographics, socio-demographic, dietary intake and lifestyle. We evaluated the weight gain by the di fference between the measurements in phase 1 and phase 2, the nutritional status by body mass index and abdominal obesity by waist circumference. The average weight gain was 5.9 kg in 13 years. In the total sample, the eutrophic rate rose from 50.9% to 30.2% (p<0.001), 34.6% overweight to 38.4% (p=0.067) and obesity of 14.5% to 31.4% (p<0.001). The cumulative incidence of overweight in 13 years was 19.7% and total obesity was 19.4%. Individuals of the age groups 50-64 years and ≥65 years had reduced risk of being overweight by 60% and 85%, respectively, compared to individuals aged between 18 and 33 years. Those of the second quartile of fat intake had reduced the risk by 41% when compared to the lowest quartile. Individuals who did not consume alcohol in phase 1 had reduced risk by 42% when compared to those who consumed and those who were smokers in 2002 had 41% lower risk compared with those who never smoked. It was concluded that the factors associated with the risk of incidence of excess weight were the variables age, fat intake, alcohol consumption and smoking. Given the complexity of the origin of obesity and the results of yet conflicting studies are needed more longitudinal studies on the subject. The obesity prevention public health actions should occur early and need to sensitize the population to adopt healthy behaviors that long-term modify the incidence of overweight, avoiding its epidemic character as currently occurs.