Abstract

The changes that occurred in the health/disease process, especially in the field of nutrition, corroborate the replacement of nutritional deficiencies with the pandemic emergency of overweight (overweight/obesity). To analyze the prevalence and factors associated with overweight in adults living in a poor urban area in Recife, Northeast Brazil. This is a cross-sectional study with a sample of 644 adults aged 20-59 years. Possible associations of overweight with demographic, socioeconomic, behavioral and morbidity factors were analyzed through Poisson Regression, considering as statistically significant those with p < 0.05. The prevalence of overweight was 70.3%, being lower in the age range of 20-29 years, greater in the range of 30-39 years and stabilizing in the others. In the final multivariate model, it was observed that the age group, economic class, diabetes mellitus and high blood pressure were directly associated with overweight, while bean consumption showed an inverse association. The high prevalence of overweight found indicates that poor communities are already included in the nutritional transition process that is in course in country. The significant result of overweight found at this poor urban area imposes the need to include this problem as a public health priority in these communities.

Highlights

  • The changes that occurred in the health/disease process, especially in the field of nutrition, corroborate the replacement of nutritional deficiencies with the pandemic emergency of overweight

  • This research revealed that 41.2% of adults were overweight/obese, while our study found a prevalence of 70.3%, well above the value found in Brazil in 2013 (56.9%)[5]

  • The 70% prevalence of overweight/obesity in a poor area of Recife is well above the results identified in other urban populations with similar characteristics and even much higher in representative samples from Brazil

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Summary

Introduction

The changes that occurred in the health/disease process, especially in the field of nutrition, corroborate the replacement of nutritional deficiencies with the pandemic emergency of overweight (overweight/obesity). The great changes that occurred in the health/disease process from the second half of the twentieth century began to present a very peculiar configuration in the field of nutrition, typified by the overlapping of global and specific nutritional deficiencies due to the epidemic or pandemic emergence of overweight and obesity[1]. Overweight and obesity are characterized by the accumulation of body fat, exceeding the acceptable standards of anthropometric normality in different degrees and belonging to the group of chronic non-communicable diseases (CNCDs)[2]. They act as important risk factors for the morbidity and mortality of adult populations, being associated with 63% of the global total of deaths caused by the CNCD. It should be noted that, from 1980 to 2013, overweight increased by 27.5% among adults[4]

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