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Undernutrition, and overweight and obesity: the two faces of malnutrition in Brazil, analysis of the Global Burden of Disease, 1990 to 2019.
Malta, D C; Gomes, C S; Felisbino-Mendes, M S; Veloso, G A; Machado, I E; Cardoso, L de O; Azeredo, R T; Jaime, P C; Vasconcelos, L L C de; Naghavi, M; Ribeiro, A L P.
Afiliação
  • Malta DC; Departamento de Enfermagem Materno-Infatil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil. Electronic address: dcmalta@uol.com.br.
  • Gomes CS; Programa de Pós-graduação em Saúde Pública, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
  • Felisbino-Mendes MS; Departamento de Enfermagem Materno-Infatil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil. Electronic address: marianafelisbino@yahoo.com.br.
  • Veloso GA; Universidade Federal Fluminense, Instituto de Matemática e Estatística, Departamento de Estatística, Brazil. Electronic address: guilhermeaugustoveloso@yahoo.com.br.
  • Machado IE; Programa de Pós-graduação em Saúde e Nutrição, Universidade Federal de Ouro Preto, Ouro Preto, MG, Brazil. Electronic address: isiseloah@gmail.com.
  • Cardoso LO; Secretaria de vigilância em saúde e ambiente, Ministério da Saúde, Brasilia/DF, Brazil. Electronic address: leticia.cardoso@saude.gov.br.
  • Azeredo RT; Programa de Pós-graduação em Saúde Pública, Faculdade de Medicina da Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil. Electronic address: renato115@yahoo.com.
  • Jaime PC; Departamento de Nutrição, Universidade de São Paulo, São Paulo, SP, Brazil. Electronic address: constant@usp.br.
  • Vasconcelos LLC; Federal University of Sergipe, Lagarto, SE, Brazil. Electronic address: ledaluciavasconcelos@gmail.com.
  • Naghavi M; Institute for Health Metrics and Evaluation, Seattle, WA, United States.
  • Ribeiro ALP; Departamento de Clinica Médica, Faculdade de Medicina, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil. Electronic address: tom1963br@yahoo.com.br.
Public Health ; 229: 176-184, 2024 Apr.
Article em En | MEDLINE | ID: mdl-38452562
ABSTRACT

OBJECTIVES:

The objective of this study was to analyse the global burden of disease attributable to undernutrition and high body mass index (BMI) in Brazil and its 27 states, as well as its association with the socio-demographic index (SDI) from 1990 to 2019. STUDY

DESIGN:

This is an epidemiological time-series study.

METHODS:

This study analysed the undernutrition and high BMI estimated by the Global Burden of Disease study conducted from 1990 to 2019 for Brazil and its states, using the following metrics absolute number of deaths, standardised mortality rate, and disability-adjusted life years (DALYs). This study also analysed the correlation between the percentage variation of mortality rates and SDI.

RESULTS:

A decrease in the number of deaths (-75 %), mortality rate (-75.1 %), and DALYS (-72 %) attributable to undernutrition was found in Brazil and in all regions. As regarding the high BMI, an increase in the number of deaths was found (139.6 %); however, the mortality rate (-9.7) and DALYs (-6.4 %) declined in all regions, except in the North and Northeast regions, which showed an increase. A strong correlation was identified between undernutrition and high BMI with SDI.

CONCLUSION:

Our study observed a double burden of malnutrition in Brazil, with a reduction in the burden of diseases due to malnutrition in Brazil and variation in the burden due to high BMI according to the socioeconomic status of the region. Public policies are necessary in order to guarantee the human right to a healthy and sustainable diet, together with food and nutrition security and a diminishing of social inequality.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Desnutrição / Sobrepeso Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Public Health Ano de publicação: 2024 Tipo de documento: Article País de publicação: Holanda

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Desnutrição / Sobrepeso Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Public Health Ano de publicação: 2024 Tipo de documento: Article País de publicação: Holanda