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      Excesso de peso e fatores associados entre profissionais de saúde da Estratégia Saúde da Família Translated title: Overweight and factors associated in health professionals of the Family Health Strategy

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          Abstract

          Resumo Introdução Há aumento global na prevalência da obesidade, importante fator de risco para as doenças crônicas não transmissíveis. Objetivo Avaliar a prevalência de excesso de peso e os fatores associados entre profissionais de saúde da Estratégia Saúde da Família. Método Estudo transversal, com 215 profissionais de saúde de Montes Claros, MG, em 2015. Investigaram-se informações demográficas, laborais, comportamentais e de hábitos alimentares. Os profissionais foram classificados quanto à presença de um perfil de saúde - concomitância de índice de massa corporal normal, não fumar, consumir frutas e verduras diariamente, praticar atividade física e não adicionar sal às refeições. Análise estatística com modelo de regressão logística para identificar os fatores associados ao excesso de peso. Resultados Participaram agentes comunitários de saúde (58,0%), enfermeiros (27,0%), técnicos de enfermagem (9,0%) e médicos (6,0%). A maioria do sexo feminino (87%) e idade média de 35,92 (±8,98). Possuíam excesso de peso 53,5% (36,7% com sobrepeso; 16,8% com obesidade). A idade avançada, outro vínculo de trabalho, consumo de frutas e verduras irregular e ausência do perfil de saúde apresentaram associação com excesso de peso. Conclusão Houve alta prevalência de excesso de peso entre os profissionais de saúde, associado ao estilo de vida e trabalho.

          Translated abstract

          Abstract Background There is an overall increase in the prevalence of obesity, an important risk factor for chronic noncommunicable diseases. Objective To evaluate the prevalence of overweight and associated factors in health professionals in the Family Health Strategy. Method This is a cross-sectional study carried out with 215 health professionals from Montes Claros, MG, in 2015. Demographic, labor, behavioral and eating habits were investigated. Professionals were classified as having a health profile - concomitance with normal body mass index, not smoking, consuming fruits and vegetables daily, practicing physical activity and not adding salt to meals. Statistical analysis with a logistic regression model was used to identify factors associated with overweight. Results Community health agents (58.0%), nurses (27.0%), nursing technicians (9.0%) and physicians (6.0%) participated. Most of them were females (87%) with a mean age of 35.92 (±8.98). 53.5% and were overweight (36.7% overweight, 16.8% obese). Old age, other work relationship, irregular fruit, and vegetable consumption, and absence of health profile were associated with overweight. Conclusion There was a high prevalence of overweight in the health professionals, associated with lifestyle and work.

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          Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013.

          In 2010, overweight and obesity were estimated to cause 3·4 million deaths, 3·9% of years of life lost, and 3·8% of disability-adjusted life-years (DALYs) worldwide. The rise in obesity has led to widespread calls for regular monitoring of changes in overweight and obesity prevalence in all populations. Comparable, up-to-date information about levels and trends is essential to quantify population health effects and to prompt decision makers to prioritise action. We estimate the global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013. We systematically identified surveys, reports, and published studies (n=1769) that included data for height and weight, both through physical measurements and self-reports. We used mixed effects linear regression to correct for bias in self-reports. We obtained data for prevalence of obesity and overweight by age, sex, country, and year (n=19,244) with a spatiotemporal Gaussian process regression model to estimate prevalence with 95% uncertainty intervals (UIs). Worldwide, the proportion of adults with a body-mass index (BMI) of 25 kg/m(2) or greater increased between 1980 and 2013 from 28·8% (95% UI 28·4-29·3) to 36·9% (36·3-37·4) in men, and from 29·8% (29·3-30·2) to 38·0% (37·5-38·5) in women. Prevalence has increased substantially in children and adolescents in developed countries; 23·8% (22·9-24·7) of boys and 22·6% (21·7-23·6) of girls were overweight or obese in 2013. The prevalence of overweight and obesity has also increased in children and adolescents in developing countries, from 8·1% (7·7-8·6) to 12·9% (12·3-13·5) in 2013 for boys and from 8·4% (8·1-8·8) to 13·4% (13·0-13·9) in girls. In adults, estimated prevalence of obesity exceeded 50% in men in Tonga and in women in Kuwait, Kiribati, Federated States of Micronesia, Libya, Qatar, Tonga, and Samoa. Since 2006, the increase in adult obesity in developed countries has slowed down. Because of the established health risks and substantial increases in prevalence, obesity has become a major global health challenge. Not only is obesity increasing, but no national success stories have been reported in the past 33 years. Urgent global action and leadership is needed to help countries to more effectively intervene. Bill & Melinda Gates Foundation. Copyright © 2014 Elsevier Ltd. All rights reserved.
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            Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19·2 million participants

            Summary Background Underweight and severe and morbid obesity are associated with highly elevated risks of adverse health outcomes. We estimated trends in mean body-mass index (BMI), which characterises its population distribution, and in the prevalences of a complete set of BMI categories for adults in all countries. Methods We analysed, with use of a consistent protocol, population-based studies that had measured height and weight in adults aged 18 years and older. We applied a Bayesian hierarchical model to these data to estimate trends from 1975 to 2014 in mean BMI and in the prevalences of BMI categories (<18·5 kg/m2 [underweight], 18·5 kg/m2 to <20 kg/m2, 20 kg/m2 to <25 kg/m2, 25 kg/m2 to <30 kg/m2, 30 kg/m2 to <35 kg/m2, 35 kg/m2 to <40 kg/m2, ≥40 kg/m2 [morbid obesity]), by sex in 200 countries and territories, organised in 21 regions. We calculated the posterior probability of meeting the target of halting by 2025 the rise in obesity at its 2010 levels, if post-2000 trends continue. Findings We used 1698 population-based data sources, with more than 19·2 million adult participants (9·9 million men and 9·3 million women) in 186 of 200 countries for which estimates were made. Global age-standardised mean BMI increased from 21·7 kg/m2 (95% credible interval 21·3–22·1) in 1975 to 24·2 kg/m2 (24·0–24·4) in 2014 in men, and from 22·1 kg/m2 (21·7–22·5) in 1975 to 24·4 kg/m2 (24·2–24·6) in 2014 in women. Regional mean BMIs in 2014 for men ranged from 21·4 kg/m2 in central Africa and south Asia to 29·2 kg/m2 (28·6–29·8) in Polynesia and Micronesia; for women the range was from 21·8 kg/m2 (21·4–22·3) in south Asia to 32·2 kg/m2 (31·5–32·8) in Polynesia and Micronesia. Over these four decades, age-standardised global prevalence of underweight decreased from 13·8% (10·5–17·4) to 8·8% (7·4–10·3) in men and from 14·6% (11·6–17·9) to 9·7% (8·3–11·1) in women. South Asia had the highest prevalence of underweight in 2014, 23·4% (17·8–29·2) in men and 24·0% (18·9–29·3) in women. Age-standardised prevalence of obesity increased from 3·2% (2·4–4·1) in 1975 to 10·8% (9·7–12·0) in 2014 in men, and from 6·4% (5·1–7·8) to 14·9% (13·6–16·1) in women. 2·3% (2·0–2·7) of the world’s men and 5·0% (4·4–5·6) of women were severely obese (ie, have BMI ≥35 kg/m2). Globally, prevalence of morbid obesity was 0·64% (0·46–0·86) in men and 1·6% (1·3–1·9) in women. Interpretation If post-2000 trends continue, the probability of meeting the global obesity target is virtually zero. Rather, if these trends continue, by 2025, global obesity prevalence will reach 18% in men and surpass 21% in women; severe obesity will surpass 6% in men and 9% in women. Nonetheless, underweight remains prevalent in the world’s poorest regions, especially in south Asia. Funding Wellcome Trust, Grand Challenges Canada.
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              Nutrition transition and double burden of undernutrition and excess of weight in Brazil.

              Brazil, a unique Latin American country recognized as 1 of the 8 major economies of the world, is experiencing a significant deterioration in health equality in the past decade, despite its universal and free-of-charge health service that is governed by its national constitution.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                cadsc
                Cadernos Saúde Coletiva
                Cad. saúde colet.
                Instituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de Janeiro (Rio de Janeiro, RJ, Brazil )
                1414-462X
                2358-291X
                June 2019
                : 27
                : 2
                : 138-145
                Affiliations
                [04] Montes Claros Minas Gerais orgnameUniversidade Estadual de Montes Claros orgdiv1Programa de Pós-graduação em Cuidados Primários em Saúde Brazil
                [01] Montes Claros MG orgnameFaculdades Unidas do Norte de Minas Gerais Brasil
                [03] Montes Claros MG orgnameFaculdades Santo Agostinho Brasil
                [02] Montes Claros Minas Gerais orgnameFaculdades Integradas Pitágoras Brazil
                Article
                S1414-462X2019000200138
                10.1590/1414-462x201900020167
                39455cdd-c9b6-43e9-a82c-cc7b17d70f29

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 18 April 2018
                : 13 December 2018
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 38, Pages: 8
                Product

                SciELO Brazil

                Categories
                Artigo Original

                obesidade,occupational health,health personnel,obesity,saúde do trabalhador,pessoal de saúde

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