Reproductive characteristics and obesity in middle-aged women seen at an outpatient clinic in southern Brazil

Theodoro, Heloísa; Rodrigues, Alice Dalpicolli; Mendes, Karina Giane; Liane, Ruth Henn; Paniz, Vera Maria Vieira; Olinto, Maria Teresa Anselmo

doi:10.1097/gme.0b013e3182503834

Cited by 20 publications

(23 citation statements)

References 22 publications

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“…In addition, the prevalence rates of excess weight (69.2%) and abdominal obesity (62.3%) were shown to be high among women studied in 2015 who exhibited this characteristic, corroborating the studies by Pinheiro et al [40] and Trikudanathan et al [41]. A study conducted in the South of Brazil showed that women who had their menarche before age 11 had a 25% higher risk of having abdominal obesity and a 75% higher risk of being obese [42]. In the semiarid region of Brazil, this risk was increased by 59% [14].…”

Section: Discussionsupporting

confidence: 80%

Prevalence, temporal trend and associated factors with excess body weight in mothers of children under five years

et al. 2018

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Objective This study aims to evaluate the prevalence, temporal trends and associated factors with excess weight in mothers of children under five years of age. Methods This is a time-series study using data from two household surveys conducted in 2005 and 2015. A total of 1,436 mothers were evaluated in 2005, and 690 were evaluated in 2015. The dependent variables were excess body weight (Body Mass Index [BMI] ≥25.0kg/m2), high percentage of Body Fat (%BF ≥33%) and abdominal obesity (waist circumference >80cm). The independent variables were the socioeconomic and demographic factors. The changes that occurred between the two surveys were expressed in percentages, and the measure of association was the Prevalence Ratio, calculated by Poisson regression, in both the crude and multivariate analyses. Results There were increases of 33.2%, 59.2% and 31.0%, respectively, for the prevalence of excess weight (PR=1.33, 95% Confidence Interval [CI]:1.21-1.46), abdominal obesity (PR=1.59, 95% CI:1.43-1.77) and high %BF (PR=1.31, 95% CI:1.07-1.60). The factors independently associated with excess weight and abdominal obesity were the highest age group (>30 years), menarche ≤12 years and higher parity (>2 children). The same was observed for high %BF, except for the loss of significance in the adjusted analysis for the variable menarche ≤12 years. Conclusion The prevalence of high body adiposity is a problem of relevant importance in the studied population and has presented an upward trend in the last 10 years. Women over 30 years and with more than two children should be given priority in prevention and control.

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Section: Discussionsupporting

confidence: 80%

Prevalence, temporal trend and associated factors with excess body weight in mothers of children under five years

et al. 2018

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“…Early menarche, before the age of 12, has been associated with a higher prevalence of AO [30][31][32][33]. Both early menarche and early menopause can be considered as increased risk factors for cardiovascular disease.…”

Section: Prevalence Of Abdominal Obesitymentioning

confidence: 99%

“…For example, a cross-sectional study with a sample of 617 women from southern Brazil observed that women with a history of three or more pregnancies and menarche at the age of 11 or earlier had a 25% higher prevalence of AO compared to nulliparous or primiparous women with menarche at 14 years or older [31]. Studies show that the number of parturitions leads to a tendency of decreased hip circumference and increased WC [37][38][39].…”

Section: Prevalence Of Abdominal Obesitymentioning

confidence: 99%

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Epidemiology of Abdominal Obesity

Olinto¹,

Theodoro²,

Canuto³

2017

Adiposity - Epidemiology and Treatment Modalities

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Abdominal obesity (AO) is associated with endothelial dysfunction, inflammation, insulin resistance, diabetes mellitus, hypercholesterolemia, metabolic syndrome, and cancer. AO is a multifactorial disorder arising from genetic, environmental, socioeconomic, and behavioral factors. Thus, in this chapter, we devote ourselves to the exercise of trying to explain the epidemiology of AO in adults. We showed the increasing prevalence of AO around the world, and a gender difference in this determination was observed. Among women, the population group who is the most affected by AO, a higher prevalence of AO is observed in individuals living in low-or middle-income countries (LMIC), who are older, multiparous, and in the menopausal transition, and who belong to the poorest strata and have lower educational level. While among men, the risk of AO is positively associated with socioeconomic status, particularly in LMIC. Regarding behavioral factors (eating frequency, sleep duration, physical activity, and smoking), gender differences are difficult to be detected due to the lack of studies investigating their association with AO according to sex. However, the current evidence suggests that men benefit more from consuming a greater number of meals a day and women are more affected by the harmful effects of physical inactivity. We argued AO, despite biological conditions associated with behavior factors, should be examined as an important issue of gender inequality in health, possibly mediated by socioeconomic and behavioral differences between men and women.

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“…Entre as reações fisiológicas provocadas pelo excesso de peso, estão a sintetização da angiotensina II pelo tecido adiposo e alojamento em sua membrana da subunidade AT1 do receptor da angiotensina, com probabilidades de os componentes do sistema renina-angiotensina dos adipócitos compartilharem da fisiopatologia da hipertensão e doença cardiovascular. Além disso, o tecido adiposo sintetiza e secreta vários outros mediadores e citocinas próinflamatórias, que participam de mecanismos que induzem a dislipidemia, resistência à insulina, hipertensão arterial e aterosclerose (17) .…”

Section: Discussionunclassified

Atividade física e estado nutricional: fator de proteção para Doenças Crônicas Não Transmissíveis (DCNT) em idosas?

Paulo¹,

Gomes²,

Santos³

et al. 2014

RBPS

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influence in the rise of chronic noncommunicable diseases in old women? Actividad física y el estado nutricional: factor de protección para las enfermedades crónicas no transmisibles (ECNT) en mujeres mayores? RESUMO Objetivo: Analisar a relação da prática de atividade física e do estado nutricional com as doenças crônicas não transmissíveis (DCNT) em mulheres idosas. Métodos: Estudo observacional, analítico, transversal, amostra por conveniência, amostra de 367 mulheres idosas (60 anos ou mais) das cidades de Presidente Prudente-SP e Uberaba-MG, entre outubro/2010 e agosto/2012. Para identificação das DCNT, utilizou-se um questionário baseado no Standard Health Questionnaire (SHQ), o Questionário Internacional de Atividade Física (IPAQ), para avaliar o nível de atividade física e as variáveis antropométricas para o estado nutricional. Na análise estatística, utilizou-se o teste qui-quadrado para verificar a associação entre o nível de atividade física, segundo estado nutricional e presença de doenças cardiometabólicas, e regressão logística binária para testar a magnitude dessas associações. Resultados: Houve fator de proteção contra a hipertensão para as mulheres consideradas eutróficas ativas (p=0,024) e eutróficas sedentárias (p=0,032) quando comparadas ao grupo de risco (sedentárias e com sobrepeso/obesidade), porém o mesmo não foi observado nas com excesso de peso e consideradas ativas fisicamente (p=0,734). Houve associação positiva entre as idosas eutróficas sedentárias (p=0,047) em relação ao risco para colesterol. Quando observado, o diabetes não obteve associação em nenhum dos grupos. Conclusão: A atividade física não foi considerada como fator de proteção para hipercolesterolemia, diabetes e hipertensão, possivelmente por causa da causalidade reversa, pois, a partir do diagnóstico da doença, essas mulheres, antes sedentárias, iniciaram a prática de atividade física, contribuindo para esses resultados.

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Reproductive characteristics and obesity in middle-aged women seen at an outpatient clinic in southern Brazil

Abstract: Characteristics of reproductive life may have a strong influence on body fat buildup in women during the menopausal transition.

Cited by 20 publications

References 22 publications

Prevalence, temporal trend and associated factors with excess body weight in mothers of children under five years

Prevalence, temporal trend and associated factors with excess body weight in mothers of children under five years

Epidemiology of Abdominal Obesity

Atividade física e estado nutricional: fator de proteção para Doenças Crônicas Não Transmissíveis (DCNT) em idosas?

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