Perfil antropométrico de funcionários de banco estatal no Estado do Rio de Janeiro/Brasil: I índice de massa corporal e fatores sócio-demográficos
01 Jan 1999-Cadernos De Saude Publica (Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz)-Vol. 15, Iss: 1, pp 113-122
TL;DR: High prevalence of overweight in the general population, as well as in specific groups like bank clerks, highlights the urgent need for definition and development of prevention and control policies capable of impacting risk factors and ultimately leading to a decrease in social cost due to mortality from chronic diseases.
Abstract: This study first describes the anthropometric profile of employees at Banco do Brasil and then compares these results to those of the Brazilian National Health and Nutritional Survey, PNSN/1989, for the Southeastern region of the country. It is a cross-sectional study with a sample comprising 647 bank clerks. Weight and height informed by respondents were used to compute the body mass index (BMI). Among bank clerks, 8.8% were underweight, 27.8% were overweight and 6.4% were obese. Overweight increased with age and was about 3 times greater in men than in women. Among social and demographic variables, sex, age, and schooling best explained BMI variance. For men, proportion of overweight was higher in bank clerks than in the PNSN population, while for women, PNSN showed higher frequencies of overweight as compared to female bank clerks. High prevalence of overweight in the general population, as well as in specific groups like bank clerks, highlights the urgent need for definition and development of prevention and control policies capable of impacting risk factors and ultimately leading to a decrease in social cost due to mortality from chronic diseases.
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TL;DR: The epidemiological aspects of adults overweight and obesity as a considerable problem of public health are emphasized to mediate the consequences and connections of economic policies within the populations.
Abstract: Obesity, a disease of the Noncommunicable Disease Group, is the excess of body fat accumulated to an extent that health may be adversely affected. The etiology of obesity is a multifarious process that involves environmental and genetic factors. Nowadays, obesity is a world-wide public health problem showing an increased prevalence in developing countries, as well as in developed ones. The nutritional transition is a process of sequential changes in the nutrition and consumption patterns, that follows economic, social and demographic changes, and changes in the health profile of populations. In this new profile, the urbanization led to a change in behavior patterns of eating, and a decrease in the populations physical activity, both becoming important trends nowadays. The increase of obesity prevalence in Brazil is considerable and proportionally higher in low-income families. The nutritional epidemiological picture of Brazil shows a situation that chaims for public health strategies, able to solve the malnutrition and obesity trends in the same attention-model in health, and to mediate the consequences and connections of economic policies within the populations, process of disease and death. The aim of the present literature revision is to emphasize the epidemiological aspects of adults overweight and obesity as a considerable problem of public health.
293 citations
TL;DR: Os resultados sugerem that o programa de alimentacao do trabalhador tem impacto negativo sobre o estado nutricional dos trabalhadores de baixa renda.
Abstract: Objetivos. O programa de alimentacao do trabalhador do Ministerio do Trabalho e Emprego do Brasil destina-se a garantir alimentacao adequada a trabalhadores de baixa renda. Neste estudo, avaliou-se o impacto nutricional do programa, que atende cerca de 10 milhoes de pessoas no pais. Metodos. Este e um estudo de coorte dinâmica retrospectiva com 8 454 trabalhadores residentes no Estado da Bahia, Brasil. Utilizaram-se dados de prontuarios medicos on-line pertencentes a uma organizacao que presta servicos de monitoramento da saude de trabalhadores a um grande numero de empresas em todo o Estado da Bahia. Foram utilizados dados demograficos e nutricionais (peso e pre-obesidade). Informacoes adicionais foram obtidas junto as empresas em entrevistas telefonicas. Resultados. Ser beneficiario do programa foi associado positivamente a aumento de peso (razao de densidade de incidencia ajustada por idade e sexo = 2,21; intervalo de confianca de 95% = 1,78-2,75). Nao houve associacao estatisticamente significativa entre participar no programa de alimentacao e pre-obesidade. O risco de aumento de peso foi maior entre os trabalhadores eutroficos, pre-obesos ou de baixo nivel socioeconomico no inicio do seguimento (P < 0,05). Conclusoes. Os resultados sugerem que o programa de alimentacao do trabalhador tem impacto negativo sobre o estado nutricional dos trabalhadores de baixa renda. Suas estrategias, restritas a recomendacoes energetico-proteicas, precisam ser reavaliadas para que efetivamente promovam a saude do trabalhador.
71 citations
Cites background from "Perfil antropométrico de funcionári..."
...Estudos (4, 5) mostram que, atualmente, a situação nutricional é diferente daquela observada na época em que surgiu o PAT, sendo a pré-obesidade elevada entre trabalhadores, com estimativas de prevalência variando entre 34 e 56%....
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...Triglicéridos elevados 356 (10,03) 314 (7,70) 48 (5,82)b...
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TL;DR: The nutritional epidemiological picture of Brazil shows a situation that chaims for public health strategies, able to solve the malnutrition and obesity trends in the same attention-model in health, and to mediate the consequences and connections of economic policies within the populations, process of disease and death as discussed by the authors.
Abstract: Obesity, a disease of the Noncommunicable Disease Group, is the excess of body fat accumulated to an extent that health may be adversely affected. The etiology of obesity is a multifarious process that involves environmental and genetic factors. Nowadays, obesity is a world-wide public health problem showing an increased prevalence in developing countries, as well as in developed ones. The nutritional transition is a process of sequential changes in the nutrition and consumption patterns, that follows economic, social and demographic changes, and changes in the health profile of populations. In this new profile, the urbanization led to a change in behavior patterns of eating, and a decrease in the populations physical activity, both becoming important trends nowadays. The increase of obesity prevalence in Brazil is considerable and proportionally higher in low-income families. The nutritional epidemiological picture of Brazil shows a situation that chaims for public health strategies, able to solve the malnutrition and obesity trends in the same attention-model in health, and to mediate the consequences and connections of economic policies within the populations, process of disease and death. The aim of the present literature revision is to emphasize the epidemiological aspects of adults overweight and obesity as a considerable problem of public health.
54 citations
01 Jan 2006
TL;DR: The present study aims to observe as the changes of alimentary habits, occurred in the last years, have relation with the increase of the worldwide epidemic obesity and, as modernity and its habits improve the obesity.
Abstract: The weight excess is a condition that has been showed interest since the Antiquity. Some therapeutically modalities have being implemented, however, few was advanced to the best obesity therapy. The present study aims to observe as the changes of alimentary habits, occurred in the last years, have relation with the increase of the worldwide epidemic obesity and, as modernity and its habits improve the obesity. The study was carried out through technical books, periodic and specialized magazine consultations. The prevalence of obesity is rising and a factor that contributes for that is the nutritional transition, with increase of the energy supply from the diet and physical activity reduction, called occidental contemporary life style. Industrialization and urbanization promote an increase of the caloric ingestion and physical activity reduction. Industrialization provoked important modifications in the workmanship hand distribution, with reduction in the extractives sectors and agriculture occupations. It must still be added that the television contributes for the determination of the occidental life style, and the marketing increases the consumption. The urbanization induced a change in the standards of living and alimentary habits of the populations. The nutritional intervention is necessary, because the obesity causes several damages to the health, beyond favoring the appearance of associated illnesses, as dyslipidemia and diabetes.
40 citations
TL;DR: Os trabalhadores do sexo masculino constituiram uma populacao de maior risco para ocorrencia de HA e EP e devem ser priorizados nos programas that visam a prevencao dessas doencas.
Abstract: OBJETIVO: Avaliar as prevalencias de excesso de peso (EP), hipertensao arterial (HA) e fatores associados em trabalhadores de empresas beneficiadas pelo Programa de Alimentacao do Trabalhador (PAT) da cidade de Sao Paulo. METODOS: Estudo transversal com 1.339 trabalhadores de 30 empresas. A coleta de dados envolveu a aplicacao de um questionario com dados de caracterizacao dos trabalhadores e peso e altura auto-referidos. Foi realizada a afericao da pressao arterial e o estado nutricional foi classificado segundo o Indice de Massa Corporal (IMC). Odds ratios foram estimadas na avaliacao dos fatores de risco associados a HA e EP. RESULTADOS: Os trabalhadores apresentaram, em media, 36,4 anos (dp = 10,3) e 9,9 anos de estudo (dp = 2,3), sendo 60% da amostra pertencente ao sexo masculino. Na comparacao com homens, mulheres apresentaram valores significativamente menores de idade, pressao arterial sistolica (PAS) e diastolica (PAD) e IMC e maior escolaridade. As prevalencias em homens de EP (25 kg/m2) (56%) e de HA (PAS > 140 mmHg e/ou PAD > 90 mmHg ou uso de medicacoes anti-hipertensivas) (38%), foram aproximadamente o dobro da registrada em mulheres (30% e 19%), respectivamente. Idade foi fator de risco para a ocorrencia de EP e HA em ambos os sexos, enquanto que a escolaridade foi fator de protecao para EP e HA em mulheres e fator de risco para o desenvolvimento de EP em homens. CONCLUSAO: Os trabalhadores do sexo masculino constituiram uma populacao de maior risco para ocorrencia de HA e EP e devem ser priorizados nos programas que visam a prevencao dessas doencas. Neste sentido, o PAT pode representar um lugar de destaque nas acoes de saude e nutricao no ambiente de trabalho.
40 citations
References
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18 Jan 1990
TL;DR: Assessment of nutrient intakes from food consumption data and the status of vitamins, A, D, and E, and niacin, and trace element status and nutritional assessment of hospital patients.
Abstract: PART 1: INTRODUCTION PART 2: FOOD CONSUMPTION AT THE NATIONAL AND HOUSEHOLD LEVELS PART 3: MEASURING FOOD CONSUMPTION OF INDIVIDUALS PART 4: ASSESSMENT OF NUTRIENT INTAKES FROM FOOD CONSUMPTION DATA PART 5: MEASUREMENT ERRORS IN DIETARY ASSESSMENT PART 6: REPRODUCIBILITY IN DIETARY ASSESSMENT PART 7: VALIDITY IN DIETARY ASSESSMENT METHODS PART 8: EVALUATION OF NUTRIENT INTAKES AND DIETS PART 9: ANTHROPOMETRIC ASSESSMENT PART 10: ANTHROPOMETRIC ASSESSMENT OF BODY SIZE PART 11: ANTHROPOMETRIC ASSESSMENT OF BODY COMPOSITION PART 12: ANTHROPOMETRIC REFERENCE DATA PART 13: EVALUATION OF ANTHROPOMETRIC INDICES PART 14: LABORATORY ASSESSMENT OF BODY COMPOSITION PART 15: LABORATORY ASSESSMENT PART 16: ASSESSMENT OF PROTEIN STATUS PART 17: ASSESSMENT OF IRON STATUS PART 18: ASSESSMENT OF THE STATUS OF VITAMINS A, D AND E PART 19: ASSESSMENT OF VITAMIN C STATUS PART 20: ASSESSMENT OF THE STATUS OF THIAMIN, RIBOFLAVIN, AND NIACIN PART 21: ASSESSMENT OF VITAMIN B6 STATUS PART 22: ASSESSMENT OF FOLATE AND VITAMIN B12 STATUS PART 23: ASSESSMENT OF CALCIUM, PHOSPHORUS AND MAGNESIUM STATUS PART 24: ASSESSMENT OF CHRONIUM, COPPER AND ZINC STATUS PART 25: ASSESSMENT OF IODINE AND SELENIUM STATUS PART 26: CLINICAL ASSESSMENT PART 27: NUTRITIONAL ASSESSMENT OF HOSPITAL PATIENTS
2,929 citations
"Perfil antropométrico de funcionári..." refers background in this paper
...…de avaliar o estado nutricional de populações ou de grupos populacionais, os estudos vêm utilizando largamente dados antropométricos que, conforme Gibson (1990), além de servirem de instrumento de avaliação nutricional, são úteis também para realizar comparações temporais em um mesmo grupo ou…...
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Book•
01 Jan 1993
TL;DR: In an ultrasonic alarm detector of the doppler detection type, the improvement comprising a second transmitter transducer disposed remote from the detector and driven from the master oscillator at the detector thereby extending the operating range of the detector to up to twice the range attainable without the second transmitter Transducer.
Abstract: SPSS for Windows: base system user's guide release 6.0 , SPSS for Windows: base system user's guide release 6.0 , مرکز فناوری اطلاعات و اطلاع رسانی کشاورزی
1,643 citations
"Perfil antropométrico de funcionári..." refers methods in this paper
...O banco de dados foi construído com o programa Dbase III (Ashton-Tate, 1988), e para a análise estatística utilizou-se o software SPSS for Windows – Statistical Package for Social Sciences – versão 6.2 (Norusis, 1992)....
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Book•
20 Jul 1989
TL;DR: Review of selected elementary statistics random sampling relative risk and odds ratio attributable risk adjustment of data without use of multivariate models and comparison of numerical results for various methods of adjustment the primacy of data collection.
Abstract: Review of selected elementary statistics random sampling relative risk and odds ratio attributable risk adjustment of data without use of multivariate models adjustment of data without use of multivariate models follow-up studies person years comparison of numerical results for various methods of adjustment the primacy of data collection.
1,213 citations
"Perfil antropométrico de funcionári..." refers background in this paper
...O critério adotado para a permanência da variável no modelo foi a probabilidade associada ao teste F com valor em torno de 0,05 (Kahn & Sempos, 1989)....
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TL;DR: In general, it is found that problems of under- and overnutrition often coexist, reflecting the trend in which an increasing proportion of people consume the types of diets associated with a number of chronic diseases.
Abstract: Scientists have long recognized the importance of the demographics and epidemiologic transitions in higher income countries. Only recently has it become understood that similar sets of broadly based changes are occurring in lower income countries. What has not been recognized is that concurrent changes in nutrition are also occurring, with equally important implications for resource allocation in many low-income countries. Several major changes seem to be emerging, leading to a marked shift in the structure of diet and the distribution of body composition in many regions of the world: a rapid reduction in fertility and aging of the population, rapid urbanization, the epidemiologic transition, and economic changes affecting populations in different and uneven ways. These changes vary significantly over time. In general, we find that problems of under- and overnutrition often coexist, reflecting the trend in which an increasing proportion of people consume the types of diets associated with a number of chronic diseases. This is occurring more rapidly than previously seen in higher income countries, or even in Japan and Korea. Examples from Thailand, China, and Brazil provide evidence of the changes and trends in dietary intake, physical activity, and body composition patterns.
963 citations
"Perfil antropométrico de funcionári..." refers background in this paper
...Tal processo vem acontecendo de maneira diferenciada em países, regiões e grupos sociais diversos (OMS, 1990; Popkin, 1994)....
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TL;DR: Screening data from the Hypertension Detection and Follow-up Program in Minneapolis, MN, 1973-1974 provided an opportunity to evaluate the accuracy of self-report of height and weight, and it was found that both were reported, on the average, with small but systematic errors.
Abstract: Screening data from the Hypertension Detection and Follow-up Program in Minneapolis, MN, 1973-1974, provided an opportunity to evaluate the accuracy of self-report of height and weight. It was found that both were reported, on the average, with small but systematic errors. Large errors were found in certain population subgroups. Also, men and women differed somewhat in their pattern of misreporting. Weight was understated by 1.6% by men and 3.1% by women, whereas height was overstated by 1.3% by men and 0.6% by women. As in previous studies, it was found that the most important correlates of the amount of error were the actual measurements of height and weight. An interesting finding was that misreporting of both height and weight in men was correlated with both aspects of body size, whereas for women, it was related mainly to the characteristic in question. Certain other demographic variables, such as age and educational level, were also found to have some importance as factors influencing misreporting.
620 citations
"Perfil antropométrico de funcionári..." refers background in this paper
...Outros estudos (Palta et al., 1982; Schmidt et al., 1993) também evidenciaram a validade da informação do peso e estatura, tanto no Brasil, como em outros países....
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