Indicadores antropométricos en pueblos y comunidades tradicionales en Brasil: análisis de registros individuales del Sistema de Vigilancia Alimentaria y Nutricional, 2019

Aguiar, Italo Wesley Oliveira; Carioca, Antônio Augusto Ferreira; Barbosa, Brena Barreto; Adriano, Lia Silveira; Barros, Anael Queirós Silva; Kendall, Carl; Kerr, Ligia Regina Franco Sansigolo

doi:10.1590/S2237-96222023000400005.EN

person Italo Wesley Oliveira Aguiar

planning and data collection · analysis and interpretation · drafting and interpretation · integrity

schoolUniversidade Federal do Ceará, Programa de Pós-Graduação em Saúde Pública, Fortaleza, CE, Brazil

0000-0002-7743-3109

person Antônio Augusto Ferreira Carioca

conception and design · analysis and interpretation · drafting and interpretation · integrity

schoolUniversidade de Fortaleza, Pós-Graduação em Saúde Coletiva, Fortaleza, CE, Brazil

0000-0002-1194-562X

person Brena Barreto Barbosa

schoolUniversidade Estadual do Ceará, Programa de Pós-Graduação em Nutrição e Saúde, Fortaleza, CE, Brazil

0000-0002-1536-614X

person Lia Silveira Adriano

reviewing · integrity

schoolUniversidade de Fortaleza, Curso de Nutrição, Fortaleza, CE, Brazil

0000-0002-7329-6178

person Anael Queirós Silva Barros

reviewing · integrity

schoolUniversidade Estadual do Ceará, Programa de Pós-Graduação em Saúde Coletiva, Fortaleza, CE, Brazil

0000-0002-1276-4759

person Carl Kendall

reviewing · integrity

schoolTulane University, Department of Global Community Health and Behavioral Sciences, New Orleans, LA, United States

0000-0002-0794-4333

person Ligia Regina Franco Sansigolo Kerr

approval · integrity

schoolUniversidade Federal do Ceará, Programa de Pós-Graduação em Saúde Pública, Fortaleza, CE, Brazil

0000-0003-4941-408X

personCorrespondence: Italo Wesley Oliveira Aguiar.
emailE-mail: aguiar.iwo@gmail.com

groupsAUTHOR CONTRIBUTIONS

Aguiar IWO collaborated with the study conception and design, data analysis and interpretation. Carioca AAF collaborated with supervision, planning and data collection. Aguiar IWO, Barbosa BB and Carioca AAF collaborated with the drafting and interpretation of the results. Adriano LS, Barros AQS, Kendall C and Kerr LRFS collaborated with the critical reviewing of the manuscript. Kerr LRFS collaborated with the final approval of the manuscript. All authors have approved the final version of the manuscript and declared themselves to be responsible for all aspects of the work, including ensuring its accuracy and integrity.

CONFLICTS OF INTEREST

The authors declare they have no conflicts of interest.

Associate editor:

Doroteia Aparecida Höfelmann - https://orcid.org/0000-0003-1046-3319

Characteristics	Female			Male
Characteristics	N	%	(95%CI^a)	N	%	(95%CI^a)
Macro-region (n = 13,944)
North	5,092	57.3	(56.2;58.3)	2,779	55.0	(53.6;56.4)
Northeast	1,965	22.1	(21.3;23.0)	937	18.5	(17.5;19.6)
Southeast	1,522	17.1	(16.4;17.9)	1,115	22.1	(20.9;23.2)
South	163	1.8	(1.6;2.1)	144	2.8	(2.4;3.3)
Midwest	148	1.7	(1.4;2.0)	79	1.6	(1.3;1.9)
Age group, in complete years (n = 13,944)
< 5	943	10.6	(10.0;11.3)	973	19.3	(18.2;20.4)
5-9	1,651	18.6	(17.8;19.4)	1,428	28.3	(27.0;29.5)
10-19	2,083	23.4	(22.6;24.3)	816	16.1	(15.2;17.2)
20-29	1,435	16.1	(15.4;16.9)	375	7.4	(6.7;8.2)
30-39	1,054	11.9	(11.2;12.5)	343	6.8	(6.1;7.5)
40-49	621	7.0	(6.5;7.5)	307	6.1	(5.4;6.8)
50-59	434	4.9	(4.5;5.3)	299	5.9	(5.3;6.6)
60-69	367	4.1	(3.7;4.6)	302	6.0	(5.4;6.7)
70-79	212	2.4	(2.1;2.7)	148	2.9	(2.5;3.4)
≥ 80	90	1.0	(0.8;1.2)	63	1.2	(1.0;1.6)
Race/skin color (n = 13,944)
Mixed-race	5,844	65.7	(64.7;66.7)	3,218	63.7	(62.3;65.0)
White	1,151	12.9	(12.3;13.7)	762	15.1	(14.1;16.1)
Asian	655	7.4	(6.8;7.9)	337	6.7	(6.0;7.4)
Black	445	5.0	(4.6;5.5)	249	4.9	(4.4;5.6)
Indigenous	369	4.2	(3.8;4.6)	225	4.5	(3.9;5.1)
Without information	426	4.8	(4.4;5.3)	263	5.2	(4.6;5.9)
Schooling, by level of education (n = 13,944)
Incomplete elementary education or less	4,940	55.6	(54.5;56.6)	3,189	63.1	(61.8;64.4)
Complete elementary education	1,791	20.1	(19.3;21.0)	715	14.1	(13.2;15.1)
Complete high school	706	7.9	(7.4;8.5)	271	5.4	(4.8;6.0)
Complete higher education	66	0.7	(0.6;0.9)	16	0.3	(0.2;0.5)
Without information	1,387	15.6	(14.9;16.4)	863	17.1	(16.1;18.1)
System of origin (n = 13,944)
e-SUS AB	4,466	50.2	(49.2;51.3)	3,443	68.1	(66.8;69.4)
Programa Bolsa Família	3,329	37.4	(36.4;38.5)	641	12.7	(11.8;13.6)
SISVAN^b	1,095	12.3	(11.7;13.0)	970	19.2	(18.1;20.3)
Traditional peoples or communities (n = 13,944)
Riverine dwellers	4,463	50.2	(49.2;51.2)	2,557	50.6	(49.2;52.0)
Geraizeiros	1,181	13.3	(12.6;14.0)	671	13.3	(12.4;14.2)
Quilombolas	883	9.9	(9.3;10.6)	503	10.0	(9.2;10.8)
Caiçaras	349	3.9	(3.5;4.4)	314	6.2	(5.6;6.9)
Vazanteiros	298	3.4	(3.0;3.7)	245	4.8	(4.3;5.5)
Caatingueiros	318	3.6	(3.2;4.0)	173	3.4	(3.0;4.0)
Agro-extrativist communities	330	3.7	(3.3;4.1)	143	2.8	(2.4;3.3)
Artisanal fishermen	212	2.4	(2.1;2.7)	56	1.1	(0.9;1.4)
Cerrado Communities	145	1.6	(1.4;1.9)	62	1.2	(1.0;1.6)
Extrativist communities	169	1.9	(1.6;2.2)	29	0.6	(0.4;0.8)
Pantanal dwellers	110	1.2	(1.0;1.5)	33	0.7	(0.5;0.9)
Shellfish gatherers	83	0.9	(0.8;1.2)	44	0.9	(0.6;1.2)
Retireiros	80	0.9	(0.7;1.1)	41	0.8	(0.6;1.1)
Fundo e fecho de pasto communities	77	0.9	(0.7;1.1)	38	0.8	(0.5;1.0)
Pomeranians	65	0.7	(0.6;0.9)	43	0.9	(0.6;1.1)
Terreiro communities	51	0.6	(0.4;0.8)	46	0.9	(0.7;1.2)
Rubber tappers	55	0.6	(0.5;0.8)	37	0.7	(0.5;1.0)
Roma people	9	0.1	(0.1;0.2)	8	0.2	(0.1;0.3)
Faxinalenses	8	0.1	(0.0;0.2)	8	0.2	(0.1;0.3)
Babassu coconut breakers	4	0.0	(0.0;0.1)	3	0.1	(0.0;0.2)
Indicator of low height-for-age (< 20 years) (n = 7,649)
No	3,944	88.2	(87.2;89.1)	2,725	85.8	(84.5;87.0)
Yes	529	11.8	(10.9;12.8)	451	14.2	(13.0;15.5)
Indicator of low weight-for-age (< 5 years) (n = 1,916)
No	908	96.3	(94.9;97.3)	941	96.7	(95.4;97.7)
Yes	35	3.7	(2.7;5.1)	32	3.3	(2.3;4.6)
Indicator of low weight and height-for-age (< 5 years) (n = 1,916)
No	924	98.0	(96.9;98.7)	952	97.8	(96.7;98.6)
Yes	19	2.0	(1.3;3.1)	21	2.2	(1.4;3.3)
Indicator of overweight (< 5 years) (n = 1,916)
No	892	94.6	(93.0;95.9)	927	95.3	(93.7;96.4)
Yes	51	5.4	(4.1;7.0)	46	4.7	(3.6;6.3)
Underweight (≥ 20 years) (n = 6,050)
No	3,996	94.8	(94.1;95.5)	1,732	94.3	(93.1;95.3)
Yes	217	5.2	(4.5;5.9)	105	5.7	(4.7;6.9)
Obesity (≥ 20 and ≤ 59 years) (n = 4,868)
No	2,729	77.0	(75.6;78.4)	1,174	88.7	(86.8;90.3)
Yes	815	23.0	(21.6;24.4)	150	11.3	(9.7;13.2)
Overweight (≥ 20 years) (n = 6,050)
No	1,852	44.0	(42.5;45.5)	1,059	56.0	(55.4;59.9)
Yes	2,361	57.6	(54.5;57.5)	778	42.4	(40.1;44.6)

Traditional peoples or communities	< 20 years	< 5 years		≥ 20 years		≥ 20 and ≤ 59 years
	Chronic malnutrition	Acute malnutrition	Chronic decompensated malnutrition	Overweight	BUnderweight	Overweight	Obesity
	n (%)^a	n (%)^b	n (%)^c	n (%)^d	n (%)^e	n (%)^f	n (%)^g
Riverine dwellers	758 (18.5)	39 (6.5)	24 (4.0)	11 (1.8)	132 (4.8)	1,323 (47.7)	383 (16.0)
Geraizeiros	48 (5.3)	9 (2.4)	6 (1.6)	24 (6.4)	58 (6.4)	479 (53.2)	133 (21.7)
Quilombolas	44 (6.4)	4 (2.7)	2 (1.3)	7 (4.7)	48 (7.0)	370 (54.3)	123 (22.7)
Caiçaras	28 (4.9)	5 (1.4)	1 (0.3)	26 (7.2)	3 (3.4)	57 (64.0)	20 (33.9)
Vazanteiros	14 (7.5)	1 (2.0)	1 (2.0)	3 (5.9)	30 (8.5)	184 (52.4)	60 (26.2)
Caatingueiros	6 (3.6)	0 (0.0)	0 (0.0)	4 (14.8)	17 (5.4)	164 (51.9)	48 (21.1)
Agro-extractivist communities	21 (7.6)	3 (4.5)	2 (3.0)	5 (7.5)	8 (4.2)	107 (56.0)	41 (24.7)
Artisanal fishermen	9 (15.5)	2 (14.3)	2 (14.3)	0 (0.0)	6 (2.9)	125 (61.0)	41 (23.2)
Cerrado communities	7 (7.4)	1 (4.0)	1 (4.0)	0 (0.0)	3 (2.7)	68 (61.3)	26 (29.2)
extractivist communities	6 (8.6)	0 (0.0)	0 (0.0)	0 (0.0)	5 (4.0)	78 (62.4)	33 (27.7)
Pantanal dwellers	3 (4.5)	1 (3.7)	0 (0.0)	2 (7.4)	5 (6.8)	39 (53.4)	17 (27.4)
Shellfish gatherers	2 (3.4)	0 (0.0)	0 (0.0)	3 (12.5)	2 (3.0)	41 (61.2)	8 (15.7)
Retireiros	10 (12.5)	0 (0.0)	0 (0.0)	3 (11.1)	2 (5.1)	25 (64.1)	8 (25.0)
Fundo e fecho de pasto communities	6 (9.4)	0 (0.0)	0 (0.0)	0 (0.0)	1 (2.0)	31 (62.0)	9 (20.9)
Pomeranians	3 (3.3)	1 (2.0)	1 (2.0)	4 (7.8)	0 (0.0)	12 (80.0)	3 (21.4)
Terreiro communities	6 (7.5)	1 (2.0)	0 (0.0)	3 (6.1)	0 (0.0)	7 (41.2)	2 (18.2)
Rubber tappers	4 (6.7)	0 (0.0)	0 (0.0)	1 (6.3)	1 (3.4)	19 (65.5)	5 (21.7)
Roma people	4 (44.4)	0 (0.0)	0 (0.0)	0 (0.0)	1 (12.5)	5 (62.5)	2 (33.3)
Faxinalenses	1 (10.0)	0 (0.0)	0 (0.0)	1 (16.7)	0 (0.0)	5 (83.3)	3 (75.0)
Babassu coconut breakers	0 (0.0)	0 (0.0)	0 (0.0)	0 (0.0)	0 (0.0)	0 (0.0)	0 (0.0)
Total	980 (12.8)	67 (3.5)	40 (2.1)	97 (5.1)	322 (5.3)	3,139 (51.9)	965 (19.8)

[TFN1] a) 95%CI: 95% confidence interval b) SISVAN: Sistema de Vigilância Alimentar e Nutricional (Food and Nutrition Surveillance System).

Indicadores antropométricos en pueblos y comunidades tradicionales en Brasil: análisis de registros individuales del Sistema de Vigilancia Alimentaria y Nutricional, 2019

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