Journal of Obesity & Metabolic Syndrome | |
The Risk of Multimorbidity Associated with Overweight and Obesity: Data from the Brazilian National Health Survey 2013 | |
Deborah Carvalho Malta1  Erika Aparecida da Silveira2  Sandro Rodrigues Batista2  Bruno Pereira Nunes3  Thaynã Ramos Flores3  Ana Paula dos Santos Rodrigues4  Doralice Severo da Cruz Teixeira5  Rosália Garcia Neves6  | |
[1] Department of Maternal and Child Nursing and Public Health, School of Nursing, Federal University of Minas Gerais, Belo Horizonte, Brazil;Faculty of Medicine, Goiás Federal University, Goiânia, Brazil;Postgraduate Program in Epidemiology, Federal University of Pelotas, Pelotas, Brazil;Superintendence of Health Surveillance, Goiás State Health Department, Goiás, Brazil;São Paulo Municipal Health Department, Sao Paulo, Brazil;The Third Regional Health Coordination, Pelotas, Brazil; | |
关键词: multimorbidity; overweight; obesity; body mass index; prevalence; | |
DOI : 10.7570/jomes20110 | |
来源: DOAJ |
【 摘 要 】
Background : An increase in body mass index (BMI) is strongly associated with the occurrence of multimorbidity, and overweight and obesity are contributing factors for the increase in morbidities. Thus, the present study aimed to evaluate the occurrence of multimorbidity and associated factors in Brazilian adults with and without overweight or obesity. Methods : This was a cross-sectional population-based study with data from the National Health Survey (2013) including individuals aged 18 years or older. Multimorbidity was defined as having ≥2 diseases from the list of 15 morbidities on the self-reported questionnaire (self-reported medical diagnosis in life). BMI was categorized as: ≤24.9 kg/m2 (low weight and eutrophy), 25.0-29.9 kg/m2 (overweight), and ≥30.0 kg/m2 (obesity). Sex, age, and schooling were the covariates. Poisson regression was used for crude and adjusted analyses for the variables representing access to health services estimating the prevalence ratio (PR) and 95% confidence interval (CI). Results : The total sample consisted of 59,402 individuals. The prevalence of multimorbidity was 25% overall and was higher among overweight (25.8%) and obese (32.5%) individuals. Obese women 60 years or older had a higher occurrence of multimorbidity (80%). In the adjusted analysis, a lower prevalence of multimorbidity was observed among those with higher educational levels in all BMI classifications: low weight/eutrophy, PR=0.66 (95% CI, 0.58-0.75); overweight, PR=0.62 (95% CI, 0.56-0.70); and obesity, PR=0.75 (95% CI, 0.67-0.85). Conclusion : A higher prevalence of multimorbidity was found among obese women who were 60 years of age or older. Schooling was an associated factor regardless of BMI.
【 授权许可】
Unknown