Palabras clave:Obesidad abdominal. Análisis factorial. Factores de protección. Factores de riesgo. ResumenIntroducción: la identificación de los riesgos o los patrones de comportamiento de protección asociados con la adiposidad abdominal puede ayudar en las medidas de prevención y promoción de la salud. Objetivo: identificar y establecer la asociación entre los patrones de comportamiento de riesgo y de protección y la adiposidad abdominal en adultos en una ciudad brasileña. Material y métodos: se llevó a cabo un estudio transversal basado en la población en Viçosa, Brasil, con 1.226 adultos de ambos sexos. Se recogió información sobre las características sociodemográficas, la ingesta de alimentos, el nivel de actividad física, el consumo de bebidas alcohólicas y el hábito tabáquico mediante un cuestionario. La medición antropométrica de la circunferencia de la cintura y de los índices antropométricos cintura/cadera y cintura/altura fueron los indicadores de adiposidad abdominal. Para identificar los patrones de comportamiento, se aplicó un análisis factorial exploratorio de las variables de riesgo o factores de protección considerados. La asociación de los patrones identificados con la adiposidad abdominal se estimó por regresión lineal múltiple, ajustada por género, edad y nivel socioeconómico. Resultados: se establecieron dos patrones, "sano" y "riesgo". El patrón "sano", compuesto por la agrupación de las variables consumo de alimentos, frutas, zumos de fruta fresca, verdura cruda y cocida y el nivel apropiado de actividad física, se asoció negativamente con la adiposidad abdominal identificada por la circunferencia de la cintura (p = 0,048) y los índices cintura/cadera (p = 0,013) y cintura/altura (p = 0,018). El patrón de "riesgo", compuesto por hábito tabáquico, abuso de alcohol y consumo de grasa visible en carnes rojas ricas en grasa o piel de las aves, se asoció positivamente con la adiposidad abdominal identificada por la circunferencia de la cintura (p = 0,002) y las ratios cintura/cadera (p = 0,007) y cintura/altura (p = 0,006). Conclusiones: fueron identificados dos patrones de comportamiento, el patrón de riesgo y el patrón de protección, relacionados con la adiposidad abdominal en la población estudiada. El estudio muestra la importancia de agrupar múltiples factores de riesgo y de protección para explicar mejor las condiciones de salud de un grupo. Key words:Abdominal obesity. Factorial analysis. Protective factors. Risk factors. AbstractIntroduction: The identification of risk or protective behavioral patterns associated with abdominal adiposity may aid in prevention and health promotion measures. Objective: To identify and to associate behavioral patterns of risk and protection to abdominal adiposity in adults in a Brazilian city. Material and methods: A population-based cross-sectional study was carried out in Viçosa, Brazil, with 1,226 adults of both sexes. Information on social-demographic characteristics, food intake, level of physical activity, alcohol consumption and smoking were collecte...
The article describes the relative frequency ok of risk and protective behaviors for chronic non-communicable diseases (NCDs) in adults residing in Viçosa, Brazil. A cross-section-al population-based study including 1,226 adults living in the municipality. We used a structured questionnaire containing questions sociodemographic and behavioral The risk and protection factors evaluated were: smoking, physical activity, excessive consumption of alcohol and food consumption. The proportion of risk and protection factors was calculated in the total population, according to gender, education and socioeconomic status. The studied population has a high frequency of risk factors for NCDs, such as excessive consumption of alcoholic beverages, habit of consuming whole milk, habit of eating meat with visible fat, regular consumption of soft drinks and 78.5% did not achieve the minimum recommendation for physical activity in leisure time. With regard to protective factors, 86.2% of the population reported regular consumption of fruits and vegetables, and 73%, of beans. It was found the highest frequency of risk factors in among males, in younger people and middle socioeconomic status. This population has an urgent need for public policy of municipal planning to change this current scenario.
Evidências mostram que o consumo excessivo de açúcares, pode comprometer a qualidade da alimentação impactando negativamente na saúde. Assim, o objetivo do presente estudo foi avaliar o consumo de macronutrientes e adequação do consumo de açúcar por estudantes da área da saúde da Universidade Federal de Viçosa, Brasil. Participaram deste estudo 157 mulheres e 30 homens, com faixa etária de 21,3 ± 3,4 anos, apresentando IMC e CC médios de 22,03 ± 4,03 kg.m-2 e 72,95 ± 8,96 cm, respectivamente. Foram aplicados questionários semiestruturados e procedeu-se às avaliações antropométricas e dietéticas dos indivíduos. Os resultados revelaram alta ingestão média diária de açúcar de adição (69,21 ± 5,25 g) que, consequentemente, aumentou o teor de frutose da alimentação (36,22 ± 29,78 g), além de uma baixa ingestão de fibras (15,51 ± 7,30 g). Verificou-se que a ingestão média de açúcar de adição esteve significativamente (p<0,05) associada ao peso corporal (0,172; p=0,041), IMC (0,181; p=0,031) e consumo dos macronutrientes e cálcio (0,247; p=0,003). Deve-se considerar a necessidade de implementação de medidas que visem promover mudanças comportamentais importantes no que diz respeito à alimentação de graduandos dos cursos de saúde. Palavras-chave: Açúcar. Estudantes. Consumo alimentar.Evidence shows that excessive sugar consumption may impair the quality of feeding affecting negatively on health. The objective of this study was evaluated the intake of macronutrients and adequacy of sugar consumption by healthcare students of Federal University of Viçosa, Brazil. The study included 157 women and 30 men, aged 21.3 ± 3.4 years, with mean body mass index (BMI) of 22.03 ± 4.03 kg m-2 and waist circumference (WC) of 72.95 ± 8.96 cm. Semistructured questionnaires were administered and proceeded to anthropometric and dietary assessments of individuals. The results revealed high average daily intake of added sugar (69.21 ± 5.25 g) which consequently increased the fructose content of feeding (36.22 ± 29.78 g), and a low intake of fiber (15.51 ± 7.30 g). It was found that the average intake of added sugar was significantly (p <0.05) associated to body weight (0.172, p = 0.041), BMI (0.181, p = 0.031) and consumption of macronutrients and calcium (0.247; p = 0.003). Should consider the need to implement measures to promote significant behavioral changes with regard to the supply of undergraduate health courses.
Women and individuals who were older, overweight and performing heavy work had a higher risk of CJS in this adult population residing in Viçosa, MG, Brazil.
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