Nutritional status and living conditions of adults and older people in quilombola communities, municipality of Santarem, Para - Amazon, Brazil

Abstract

SUS, sistema único de saúde; WHO, world health organization; VIGITEL, vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico; POF, pesquisa de orçamentos familiares; INSAN, insegurança alimentar e nutricional.The nutritional status of adults, especially in rural populations, is a complex phenomenon that involves socioeconomic, climatic, environmental, health status, lack of health care and lack of access to specialized services, among others. 3 The precarious living conditions are usually expressed in the low income of the family unit, in the limited purchasing power, especially of food, in the precarious conditions of household and environmental sanitation and in the limited and unequal access to health services with resolutive capacity. 4,5 Several studies have shown that developing countries, like Brazil, live with the nutritional and epidemiological transition. 2,6,7 However, the analysis of studies carried out in quilombola areas in Brazil found, with regard to this transition, quite the opposite, an overlap of these diseases, where chronic non-communicable diseases, coexist with infectious and nutritional conditions, characterized by high prevalence of hypertension, diabetes, obesity, overweight, infectious diseases, infant mortality and nutritional disorders that, in addition to the difficulties with regard to the