Abstract

ABSTRACT Objective To analyze the time trend of sociodemographic characteristics and the prevalence of food consumption, overweight, and obesity variables among adults in the city of Belo Horizonte, Brazil, between 2006 and 2018. Methods A time series study involving data from the Sistema de Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (Vigitel, Surveillance System of Risk and Protective Factors for Chronic Diseases by Telephone Survey), between 2006 and 2018 in Belo Horizonte (n=25,443). The annual prevalence of the population’s sociodemographic characteristics (sex, age groups, and years of schooling), and risk and protective factors for chronic diseases related to food consumption and nutritional status were estimated. Prais-Winsten regression models were used to investigate the temporal variation of each variable. Results From 2006 to 2018, there was a significant increase in the age and educational level of the adult population of Belo Horizonte. In the same period, the prevalence of recommended consumption of fruits and vegetables increased (from 23.0% to 29.2%), while that of consumption of fat-rich meat and regular consumption of soft drinks decreased (respectively, from 41.9% to 38.0%; from 35.3% to 15.2%). In parallel, the prevalence of overweight and obesity increased (respectively, from 38.5% to 53.3%; from 9.8% to 17.2%). Conclusions An important change in the population’s sociodemographic profile was noted. There are also favorable changes regarding the investigated aspects of food consumption, without these being sufficient to prevent the significant increase in the prevalence of overweight and obesity in the population.

Highlights

  • From 2006 to 2018, there was a significant increase in the age and educational level of the adult population of Belo Horizonte

  • There are favorable changes regarding the investigated aspects of food consumption, without these being sufficient to prevent the significant increase in the prevalence of overweight and obesity in the population

  • The percentage of adults in Belo Horizonte who consumed fruits and vegetables as recommended in 2018 (29.2%) already reached a percentage higher than the goal proposed for Brazil until 2022, in the Plano de Ações Estratégicas para o Enfrentamento das Doenças Crônicas não Transmissíveis (Strategic Action Plan to Tackle Noncommunicable Diseases), of 24.3% [5]

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Summary

Introduction

Evidence indicates that NCD-related morbidity and mortality can be reduced through public policies to control the main behavioral risk factors, such as unhealthy diets, physical inactivity, smoking, alcohol abuse, and overweight [2]. In this perspective, it is essential to identify the frequency and distribution of these factors among the population, since continuous monitoring allows the direction of appropriate public policies and actions [3]. The general results of this strategy are routinely published by the MH for the population as a whole, without any deeper approaches to geographic regions being carried out

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