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Journal ArticleDOI

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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Citations
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Journal ArticleDOI
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

Journal ArticleDOI
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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Journal ArticleDOI
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

Journal ArticleDOI
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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Journal ArticleDOI
Jeffery Sobal1
TL;DR: A framework recognizing the difference between variables on the physical and social level of analysis needs to be used to examine the relationship between fatness and SES.
Abstract: Fatness and obesity are body characteristics which are both ascribed and achieved for adults. Socioeconomic status (SES) is the ranking of individuals within complex societies. In traditional societies a direct relationship between SES and fatness exists, while in modern societies there is an inverse association between SES and obesity for adult women but mixed patterns for other age/sex groups. A framework recognizing the difference between variables on the physical and social level of analysis needs to be used to examine the relationship between fatness (a physical variable) and SES (a social variable). Different mechanisms are involved in the causal pathways where SES influences obesity and obesity influences SES. SES influences obesity by education, income, and occupation causing variations in behaviors which change energy consumption, energy expenditure and metabolism. Obesity influences SES when the perception of obesity is interpreted through prejudiced beliefs, with subsequent stigmatization and discrimination limiting access to higher SES roles.

285 citations

Journal ArticleDOI
TL;DR: A healthy body weight appears to be a BMI < 25, and weight gain should be kept to < 5 kg throughout a lifetime, with respect to economic and social indexes.

166 citations


"Perfil antropométrico de funcionári..." refers background in this paper

  • ...Wolf & Colditz (1996) estimaram que, dado à extrema relevância da associação do sobrepeso/ obesidade com o acréscimo da incidência de doenças cardiovasculares, diabetes mellitus, hipercolesterolemia e algumas formas de câncer, aproximadamente 6,8% do gasto com estas doenças poderiam ter sido…...

    [...]

Journal ArticleDOI
TL;DR: Obesity in Brazil was positively associated with income and was much more prevalent among women than among men, and the overall prevalence of overweight was nearly as high as that among women in the United States.
Abstract: OBJECTIVES. Population-based data on body mass index for developing countries are scarce. Body mass index data from two Brazilian surveys were examined to determine regional and temporal variations in the prevalences of underweight, overweight, and obesity. METHODS. Nationwide surveys in 1974/75 and 1989 collected anthropometric data in Brazil from 55,000 and 14,455 households, respectively. Trained interviewers used the same methods to measure weight and stature in both surveys, and survey designs were identical. Prevalences of underweight, overweight, and obesity were determined for persons 18 years of age and older. RESULTS. In the 1989 survey, body mass index varied greatly according to region of the country, urbanization, and income. In the wealthier South, the prevalence of overweight/obesity was the highest and the prevalence of underweight was the lowest; in the poorer rural Northeast, these patterns were reversed. For both surveys, overweight/obesity was more common among women than among men and...

160 citations