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Um retrato do estado nutricional de crian?as menores de 5 anos e idosos: diferenciais regionais sociais e demogr?ficos, Brasil, 2009

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Previous issue date: 2014-07-29 / Este estudo teve por objetivo diagnosticar o estado nutricional de crian?as menores de 5 anos
e idosos no Brasil no ano de 2009, bem como caracterizar este perfil nutricional segundo
poss?veis diferenciais sociais, demogr?ficos e regionais. Realizou-se um estudo transversal
descritivo de base populacional a partir de dados da Pesquisa de Or?amento Familiar (POF-
2008/2009) avaliando crian?as menores de 5 anos de idade (n=14.569), foco do primeiro
artigo, e indiv?duos com idade igual ou superior a 60 anos (n=20.114), no segundo artigo.
Para as crian?as, o estado nutricional foi classificado segundo os ?ndices Peso-para-idade,
Estatura-para-idade e Peso-para-estatura e para os idosos, segundo o ?ndice de Massa
Corporal (IMC). Para verificar a associa??o entre vari?veis sociais e demogr?ficas com o
estado nutricional das crian?as utilizou-se o teste de associa??o de Pearson, regress?es
log?sticas e an?lises de correspond?ncia. As associa??es entre o estado nutricional dos idosos
e as vari?veis sociais e demogr?ficas foram testadas a partir do teste de associa??o de Pearson
e de modelos lineares multin?veis. Realizou-se ainda uma an?lise de compara??o das m?dias
de IMC entre as Unidades da Federa??o a partir de testes de ANOVA e Tukey. Considerou-se
o n?vel de signific?ncia de 5% para todos os testes. Os resultados mostraram maiores
preval?ncias de d?ficit nutricionais em crian?as oriundas das regi?es Norte e Nordeste,
pertencentes ?s fam?lias com menores n?veis de renda per capita (at? ? de sal?rio m?nimo e de
? a ? sal?rio m?nimo) e de cor/ra?a preta e ind?gena. J? o sobrepeso demonstrou maior
associa??o ?s crian?as das regi?es Sul, Sudeste e Centro-Oeste, do sexo masculino, residentes
no estrato urbano do pa?s, de cor/ra?a branca e pertencentes ?s fam?lias com faixas de renda
per capita intermedi?rias (1/2 a 1 sal?rio m?nino e de 1 a 5 sal?rios m?nimos). Observaram-se
maiores preval?ncias de d?ficit ponderal em idosos do sexo masculino, cor/ra?a amarela e
preta, longevos (80 anos e mais), com renda per capita de at? ? de sal?rio m?nimo, com
menores n?veis de instru??o, residentes no estrato rural e nas regi?es Nordeste e Centro-Oeste
e em idosos que declararam morar sozinhos. Com rela??o ? ocorr?ncia de obesidade, esta se
mostrou mais prevalente em idosos do sexo feminino, mais jovens (60 a 69 anos), com as
maiores faixas de renda per capita, residentes nas regi?es Sul e Sudeste, nos estratos urbanos e
naqueles que residiam sozinhos. Sugere-se a continuidade do monitoramento e do estudo dos
condicionantes do estado nutricional de crian?as e idosos visando estabelecer estrat?gias de
interven??o adequadas e espec?ficas aos grupos populacionais mais vulner?veis ao risco
nutricional / This study aimed to diagnose the nutritional status of children under the age of 5 and elderly
in Brazil in 2009, as well as to characterize these nutritional profiles according to social,
demographic and regional differences. A cross-sectional population-based study was
conducted by using data from the Brazilian Household Budget Survey (POF-2008/2009)
which assessed children under 5 years old (n = 14,569), as the focus for the first article; and
individuals aged equal of above 60 years old (n = 20,114), as for the second article. The
nutritional status of children was classified in consonance with weight-for-age, height-for-age
and weight-for-height indexes; and according to Body Mass Index (BMI) as for the elderly.
The Pearson?s association test, logistic regression and correspondence analysis were used in
order to determine the association between social and demographic variables with the
nutritional status of children. The associations between the elderly nutritional status and the
social and demographic variables were assessed by using Pearson?s association test and
multilevel linear models. A comparison analysis regarding mean BMI between administrative
units of the country was also conducted through ANOVA and Tukey tests. The significance
level of 5% was considered for all tests. The results showed higher prevalence of nutritional
deficits in children from the North and Northeast regions, belonging to families with lower
per capita income (up to ? of the minimum wage and ? to ? of it) and black and indigenous
children populations. When it comes to overweight, it was noticed a greater association with
white male children from the South, Southeast and Centre-west regions, who reside in the
urban stratum of the country and belong to families with intermediate per capita income levels
(? to 1 of the minimum wage and 1 to 5 of it).A higher prevalence of underweight was
noticed among black and yellow elderly male, the oldest old (80 and over), with per capita
income of up to ? of the minimum wage, with lower levels of education, living in rural
stratum, from the Northeast and Centre-west regions and those who reported residing alone.
The occurrence of obesity was more prevalent among female elderly, younger (60-69 years
old), with the highest rates of per capita income, living in the South and Southeast regions, in
urban stratum and those who reported residing alone. The continuity of monitoring and
studying the determinants of nutritional status of children and the elderly is suggested in
contemplation of establishing appropriate strategies of intervention to the most vulnerable
population groups at nutritional risk

Identiferoai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/19626
Date29 July 2014
CreatorsSilva, Ingrid Freitas da
Contributors79203183434, http://lattes.cnpq.br/5023632543506327, Lyra, Cl?lia de Oliveira, 70406030472, http://lattes.cnpq.br/4264395963141865, Kac, Gilberto, 91203341768, http://lattes.cnpq.br/3138999292930429, Andrade, L?ra de Melo Barbosa, Spyrides, Maria Helena Constantino
PublisherUniversidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM DEMOGRAFIA, UFRN, Brasil
Source SetsIBICT Brazilian ETDs
LanguagePortuguese
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis
Sourcereponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN
Rightsinfo:eu-repo/semantics/openAccess

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