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INTRODUCTION: The growing older population increases proportionately the demand for hospital care due to the increase in health problems. OBJECTIVE: To estimate the prevalence and incidence of hospitalizations, and to investigate associated factors in older adults from the Zona da Mata of Minas Gerais, Brazil, between 2016-2018. Secondly, to provide a more comprehensive epidemiological overview of hospitalizations, the following were estimated: monthly hospitalization rate; hospital mortality rate; frequency of hospitalizations according to diagnosis, hospitalizations for conditions sensitive to primary care and in-hospital death; and hospital costs. METHODS: This is an ecological and descriptive-analytic study. Data were obtained from the Brazilian Hospital Information System (SIH/SUS). RESULTS: The prevalence of hospitalizations was 35.1% (31.2% in women and 39.7% in men). The monthly rate of hospitalizations was higher in older men when compared with older women (Rate-Ratio=1.35 [95% CI=1.27-1.43]) and adult men between 40­59 years (Rate Ratio=2.42 [95% CI=2.26-2.58]). The cumulative incidence of hospitalization was 144/1,000 older persons (125/1,000 women and 169/1,000 men). Factors significantly associated with hospitalizations were: male sex (PR=1.52 [95% CI=1.11-2.08]); hospitalization in surgical bed (PR=1.93 [95% CI=1.05-3.56]); absence of death (PR=1.94 [95% CI=1.03-3.65]); and hospital stay ≥15 days (PR=0.71 [95% CI=0.54 0.95]). The cost of hospitalizations was R$ 220,8 million (mean of R$ 201,700/day). CONCLUSÃO: The findings strengthen the need for preventive healthcare for the older population living in the Zona da Mata of Minas Gerais and alert managers to the substantial socioeconomic impact of hospitalizations.

INTRODUÇÃO: O crescente aumento da população idosa faz aumentar proporcionalmente a demanda por cuidados hospitalares devido ao aumento dos problemas de saúde. OBJETIVO: Estimar a prevalência e incidência de hospitalizações, e investigar fatores associados, em idosos da Zona da Mata Mineira, Brasil, entre 2016-2018. Secundariamente, com intuito de fornecer um panorama epidemiológico mais abrangente acerca das hospitalizações, foram estimadas: taxa mensal de hospitalização; taxa de mortalidade hospitalar; frequência de hospitalizações conforme o diagnóstico, internações por condições sensíveis à atenção primária (ICSAP) e óbito hospitalar; e custos hospitalares. MÉTODO: Trata-se de um estudo ecológico e descritivo-analítico. Os dados foram obtidos do Sistema de Informação Hospitalar brasileiro (SIH/SUS). RESULTADOS: A prevalência de hospitalizações em idosos foi de 35,1% (31,2% em mulheres e 39,7% em homens). A taxa mensal de hospitalização foi maior em homens idosos quando comparados com mulheres idosas (Razão-de-Taxas=1,35 [IC 95%=1,27-1,43]) e homens adultos entre 40­59 anos (Razão-de-Taxas=2,42 [IC 95%=2,26-2,58]). A incidência acumulada de hospitalização foi de 144/1.000 idosos (125/1.000 mulheres e 169/1.000 homens). Os fatores significativamente associados com as hospitalizações foram: sexo masculino (RP=1,52 [IC 95%=1,11­2,08]), internação em leito cirúrgico (RP=1,93 [IC 95%=1,05­3,56]), ausência de óbito (RP=1,94 [IC 95%=1,03-3,65]) e permanência hospitalizado ≥15 dias (RP=0,71 [IC 95%=0,54-0,95]). O custo das hospitalizações foi de R$ 220,8 milhões (média de R$ 201,7 mil/dia). CONCLUSÃO: Os resultados reforçam a necessidade de cuidados preventivos à saúde da população idosa da Zona da Mata Mineira e alertam gestores para o substancial impacto socioeconômico gerado pelas hospitalizações.

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Objetivo: identificar a percepção de gestantes quanto à atuação do enfermeiro no pré-natal. Método: pesquisa fenomenológica que entrevistou 10 gestantes de um município de Minas Gerais, Brasil. Os depoimentos foram organizados em categorias e analisados segundo a fenomenologia social de Alfred Schütz e literatura temática. Resultados: emergiram as categorias "Assistência centrada em ações técnicas", "Fragilidade na comunicação entre enfermeiro e gestante" e a expectativa de "orientações qualificadas desenvolvidas mediante atividades coletivas". Considerações finais: os resultados suscitam a necessidade de valorizar os aspectos subjetivos e comunicacionais no pré-natal, para além das ações técnicas, com vistas a efetivação do vínculo entre os atores, ampliação da adesão e da qualidade do pré-natal. Para tal, recomenda-se atividades de educação permanente

Objective: to identify the perception of pregnant women regarding the role of nurses in prenatal care. Method: phenomenological research that interviewed 10 pregnant women in a city in Minas Gerais, Brazil. The statements were organized into categories and analyzed according to Alfred Schütz's social phenomenology and thematic literature. Results: the categories "Care centered on technical actions", "Fragility in communication between nurse and pregnant woman" and the expectation of "qualified guidelines developed through collective activities" emerged. Final considerations: the results raise the need to value subjective and communicational aspects in prenatal care, in addition to technical actions, with a view to establishing the bond between actors, expanding adherence and quality of prenatal care. To this end, continuing education activities are recommended

Objetivos: identificar la percepción de las gestantes sobre el papel del enfermero en el prenatal. Método: investigación fenomenológica que entrevistó a 10 mujeres embarazadas en una ciudad de Minas Gerais, Brasil. Los enunciados fueron organizados en categorías y analizados según la fenomenología social y la literatura temática de Alfred Schütz. Resultados: surgieron las categorías "Cuidado centrado en acciones técnicas", "Fragilidad en la comunicación entre enfermero y gestante" y la expectativa de "orientaciones calificadas desarrolladas a través de actividades colectivas". Consideraciones finales: los resultados plantean la necesidad de valorar los aspectos subjetivos y comunicacionales en el prenatal, además de las acciones técnicas, con miras a establecer el vínculo entre los actores, ampliando la adherencia y la calidad del prenatal. Para ello, se recomiendan actividades de educación continua

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Objetivo: compreender as experiências de cuidadores familiares de pessoas idosas com dependência, atendidas pela Atenção Primária à Saúde, no contexto da pandemia da COVID-19. Método: pesquisa de abordagem qualitativa e fenomenológica realizada com 11 cuidadores familiares de idosos dependentes de um município de Minas Gerais, Brasil. As entrevistas foram gravadas, transcritas e organizadas em categorias. A análise ocorreu segundo a fenomenologia social de Alfred Schütz e a literatura temática. Resultados: emergiram as categorias: "Os cuidados ao familiar idoso foram intensificados na pandemia da COVID-19", "Acesso ao apoio formal da Atenção Primária à Saúde no momento da pandemia", "Esperam que o familiar idoso melhore e não seja infectado pela COVID-19". Considerações finais: é imperativo que a equipe de Atenção Primária à Saúde estabeleça uma relação efetiva com os cuidadores familiares de idosos de modo que o cuidado ofertado esteja alinhado às reais necessidades de ambos. (AU)

Objective: to understand the experiences of family caregivers of dependent older adults cared for by Primary Health Care, in the context of the COVID-19 pandemic. Method: research qualitative and phenomenological approach carried with 11 family caregivers of dependent elderly people in a municipality in Minas Gerais, Brazil. The interviews were recorded, transcribed and organized into categories. The analysis according to Alfred Schütz's social phenomenology and thematic literature. The interviews were recorded and transcribed to be later organized into categories and analyzed. Results: the categories "The care of older adult family member was intensified in the pandemic of COVID-19", "Access to formal support from Primary Health Care at the time of the pandemic", and "They hope that older adult family member will get better and not be infected by COVID-19" emerged. Final considerations: it is imperative that the Primary Health Care team establish an effective relationship with family caregivers of older adult so that the care offered is aligned to the real needs of both.(AU)

Objetivo: comprender las vivencias de cuidadores familiares de ancianos con dependencia, atendidos por la Atención Primaria de Salud, en el contexto de la pandemia del COVID-19. Método: investigación con enfoque cualitativo y fenomenológico realizada con 11 cuidadores familiares de ancianos dependientes en un municipio de Minas Gerais, Brasil. Las entrevistas fueron grabadas, transcritas y organizadas en categorías. El análisis se realizó de acuerdo con la fenomenología social de Alfred Schütz y la literatura temática. Resultados: surgieron las siguientes categorías: "Se intensificó el cuidado del anciano familiar en la pandemia del COVID-19", "Acceso al apoyo formal de la Atención Primaria de Salud en el momento de la pandemia", "Esperan que el anciano familiar mejore y no sea infectado por la enfermedad del COVID-19". Consideraciones finales: es imperativo que el equipo de Atención Primaria a la Salud establezca una relación efectiva con los cuidadores familiares del anciano, de modo que el cuidado ofrecido esté alineado con las necesidades reales de ambos.(AU)

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The objective of this study was to analyze factors associated with the body adiposity index. A population-based, cross-sectional study was conducted with 964 adults between 20 and 59 years of age, in Viçosa, State of Minas Gerais, Brazil. Household questionnaires and anthropometric measurements were applied to obtain data. Multiple analysis was performed using linear regression, adjusted for the sampling design effect. The prevalence of excess body adiposity was 36.89 (CI 30.81 to 43.43), being higher among men (48.18% - CI 39.09 to 57.34). Factors positively associated with body adiposity index were: female sex (p = 0.002); age in years (p < 0.001); those living with a partner (p = 0.022). Self-evaluation of positive health (p = 0.048) was negatively associated with the body adiposity index. The prevalence of excess body fat was high and the sex, age, marital status, health self-evaluation and dissatisfaction with body image were determinant factors to the increase in body adiposity in this population, indicating a marked risk for chronic diseases resulting from excess body fat.

Objetivou-se analisar os fatores associados ao índice de adiposidade corporal. Um estudo transversal de base populacional foi conduzido com 964 adultos, de 20 e 59 anos, em Viçosa, MG, Brasil. Aplicou-se questionários domiciliares e medidas antropométricas para se obter os dados. A análise múltipla foi realizada por meio de regressão linear, ajustada pelo efeito do desenho amostral. A prevalência de excesso de adiposidade corporal foi 36,89 (IC 30,81­43,43), sendo mais elevada nos homens (48,18% - IC 39,09­57,34). Associou-se positivamente com o índice de adiposidade corporal o sexo feminino (p = 0,002), idade em anos (p < 0,001), aqueles que viveram com companheiro (p = 0,022) e com insatisfação com a imagem corporal (p < 0,001). A autoavaliação da saúde positiva (p = 0,048) esteve associada negativamente com o índice de adiposidade corporal. A prevalência de excesso de adiposidade corporal foi elevada, sendo o sexo, a faixa etária, o estado civil, a autoavaliação da saúde e a insatisfação com a imagem corporal fatores determinantes para o aumento da adiposidade corporal, nesta população, indicando um forte risco para doenças crônicas não transmissíveis decorrentes do excesso de adiposidade.

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INTRODUCTION: The identification of risk or protective behavioral patterns associated with abdominal adiposity may aid in prevention and health promotion measures. OBJECTIVE: To identify and to associate behavioral patterns of risk and protection to abdominal adiposity in adults in a Brazilian city. MATERIAL AND METHODS: A population-based cross-sectional study was carried out in Viçosa, Brazil, with 1,226 adults of both sexes. Information on social-demographic characteristics, food intake, level of physical activity, alcohol consumption and smoking were collected by using a questionnaire. The anthropometric measurement of waist circumference and anthropometric indices waist/hip ratio and waist/height ratio were indicators of abdominal adiposity. To identify behavioral patterns, exploratory factor analysis was applied for the variables considered as risk or protective factors. The association of the identified patterns with abdominal adiposity was estimated by multiple linear regression, adjusted for gender, age and social economical class. RESULTS: Two patterns were obtained, "healthy" and "risk". The "healthy" pattern, comprised of the clustering of the variables food consumption, fruits, fresh fruit juices, raw and cooked vegetables and the appropriate level of physical activity, was negatively associated with abdominal adiposity identified by waist circumference (p = 0.048), waist/hip (p = 0.013) and waist/height (p = 0.018) indices. The "risk" pattern, composed of smoking, alcohol beverage abuse and habit of consuming visible fat in fat-rich red meat or poultry skin, was positively associated with abdominal adiposity identified by waist circumference (p = 0.002) and waist/hip (p = 0.007) and waist/height indices (p = 0.006). CONCLUSIONS: Two behavioral patterns were identified, a risk pattern and a protective pattern for abdominal adiposity in the assessed population. The study shows the importance of conducting clustering of multiple risk and protective factors to better explain the health conditions of a group.

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Resumo Objetivou-se analisar os fatores associados ao índice de adiposidade corporal. Um estudo transversal de base populacional foi conduzido com 964 adultos, de 20 e 59 anos, em Viçosa, MG, Brasil. Aplicou-se questionários domiciliares e medidas antropométricas para se obter os dados. A análise múltipla foi realizada por meio de regressão linear, ajustada pelo efeito do desenho amostral. A prevalência de excesso de adiposidade corporal foi 36,89 (IC 30,81-43,43), sendo mais elevada nos homens (48,18% - IC 39,09-57,34). Associou-se positivamente com o índice de adiposidade corporal o sexo feminino (p = 0,002), idade em anos (p < 0,001), aqueles que viveram com companheiro (p = 0,022) e com insatisfação com a imagem corporal (p < 0,001). A autoavaliação da saúde positiva (p = 0,048) esteve associada negativamente com o índice de adiposidade corporal. A prevalência de excesso de adiposidade corporal foi elevada, sendo o sexo, a faixa etária, o estado civil, a autoavaliação da saúde e a insatisfação com a imagem corporal fatores determinantes para o aumento da adiposidade corporal, nesta população, indicando um forte risco para doenças crônicas não transmissíveis decorrentes do excesso de adiposidade.

Abstract The objective of this study was to analyze factors associated with the body adiposity index. A population-based, cross-sectional study was conducted with 964 adults between 20 and 59 years of age, in Viçosa, State of Minas Gerais, Brazil. Household questionnaires and anthropometric measurements were applied to obtain data. Multiple analysis was performed using linear regression, adjusted for the sampling design effect. The prevalence of excess body adiposity was 36.89 (CI 30.81 to 43.43), being higher among men (48.18% - CI 39.09 to 57.34). Factors positively associated with body adiposity index were: female sex (p = 0.002); age in years (p < 0.001); those living with a partner (p = 0.022). Self-evaluation of positive health (p = 0.048) was negatively associated with the body adiposity index. The prevalence of excess body fat was high and the sex, age, marital status, health self-evaluation and dissatisfaction with body image were determinant factors to the increase in body adiposity in this population, indicating a marked risk for chronic diseases resulting from excess body fat.

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Introduction: The identification of risk or protective behavioral patterns associated with abdominal adiposity may aid in prevention and health promotion measures. Objective: To identify and to associate behavioral patterns of risk and protection to abdominal adiposity in adults in a Brazilian city. Material and methods: A population-based cross-sectional study was carried out in Viçosa, Brazil, with 1,226 adults of both sexes. Information on social-demographic characteristics, food intake, level of physical activity, alcohol consumption and smoking were collected by using a questionnaire. The anthropometric measurement of waist circumference and anthropometric indices waist/hip ratio and waist/height ratio were indicators of abdominal adiposity. To identify behavioral patterns, exploratory factor analysis was applied for the variables considered as risk or protective factors. The association of the identified patterns with abdominal adiposity was estimated by multiple linear regression, adjusted for gender, age and social economical class. Results: Two patterns were obtained, "healthy" and "risk". The "healthy" pattern, comprised of the clustering of the variables food consumption, fruits, fresh fruit juices, raw and cooked vegetables and the appropriate level of physical activity, was negatively associated with abdominal adiposity identified by waist circumference (p = 0.048), waist/hip (p = 0.013) and waist/height (p = 0.018) indices. The "risk" pattern, composed of smoking, alcohol beverage abuse and habit of consuming visible fat in fat-rich red meat or poultry skin, was positively associated with abdominal adiposity identified by waist circumference (p = 0.002) and waist/hip (p = 0.007) and waist/height indices (p = 0.006). Conclusions: Two behavioral patterns were identified, a risk pattern and a protective pattern for abdominal adiposity in the assessed population. The study shows the importance of conducting clustering of multiple risk and protective factors to better explain the health conditions of a group (AU)

Introducción: la identificación de los riesgos o los patrones de comportamiento de protección asociados con la adiposidad abdominal puede ayudar en las medidas de prevención y promoción de la salud. Objetivo: identificar y establecer la asociación entre los patrones de comportamiento de riesgo y de protección y la adiposidad abdominal en adultos en una ciudad brasileña. Material y métodos: se llevó a cabo un estudio transversal basado en la población en Viçosa, Brasil, con 1.226 adultos de ambos sexos. Se recogió información sobre las características sociodemográficas, la ingesta de alimentos, el nivel de actividad física, el consumo de bebidas alcohólicas y el hábito tabáquico mediante un cuestionario. La medición antropométrica de la circunferencia de la cintura y de los índices antropométricos cintura/cadera y cintura/altura fueron los indicadores de adiposidad abdominal. Para identificar los patrones de comportamiento, se aplicó un análisis factorial exploratorio de las variables de riesgo o factores de protección considerados. La asociación de los patrones identificados con la adiposidad abdominal se estimó por regresión lineal múltiple, ajustada por género, edad y nivel socioeconómico. Resultados: se establecieron dos patrones, "sano" y "riesgo". El patrón "sano", compuesto por la agrupación de las variables consumo de alimentos, frutas, zumos de fruta fresca, verdura cruda y cocida y el nivel apropiado de actividad física, se asoció negativamente con la adiposidad abdominal identificada por la circunferencia de la cintura (p = 0,048) y los índices cintura/cadera (p = 0,013) y cintura/altura (p = 0,018). El patrón de "riesgo", compuesto por hábito tabáquico, abuso de alcohol y consumo de grasa visible en carnes rojas ricas en grasa o piel de las aves, se asoció positivamente con la adiposidad abdominal identificada por la circunferencia de la cintura (p = 0,002) y las ratios cintura/cadera (p = 0,007) y cintura/altura (p = 0,006). Conclusiones: fueron identificados dos patrones de comportamiento, el patrón de riesgo y el patrón de protección, relacionados con la adiposidad abdominal en la población estudiada. El estudio muestra la importancia de agrupar múltiples factores de riesgo y de protección para explicar mejor las condiciones de salud de un grupo (AU)

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The article describes the relative frequency ok of risk and protective behaviors for chronic non-communicable diseases (NCDs) in adults residing in Viçosa, Brazil. A cross-section-al population-based study including 1,226 adults living in the municipality. We used a structured questionnaire containing questions sociodemographic and behavioral The risk and protection factors evaluated were: smoking, physical activity, excessive consumption of alcohol and food consumption. The proportion of risk and protection factors was calculated in the total population, according to gender, education and socioeconomic status. The studied population has a high frequency of risk factors for NCDs, such as excessive consumption of alcoholic beverages, habit of consuming whole milk, habit of eating meat with visible fat, regular consumption of soft drinks and 78.5% did not achieve the minimum recommendation for physical activity in leisure time. With regard to protective factors, 86.2% of the population reported regular consumption of fruits and vegetables, and 73%, of beans. It was found the highest frequency of risk factors in among males, in younger people and middle socioeconomic status. This population has an urgent need for public policy of municipal planning to change this current scenario.

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Abstract The article describes the relative frequency ok of risk and protective behaviors for chronic non-communicable diseases (NCDs) in adults residing in Viçosa, Brazil. A cross-section-al population-based study including 1,226 adults living in the municipality. We used a structured questionnaire containing questions sociodemographic and behavioral The risk and protection factors evaluated were: smoking, physical activity, excessive consumption of alcohol and food consumption. The proportion of risk and protection factors was calculated in the total population, according to gender, education and socioeconomic status. The studied population has a high frequency of risk factors for NCDs, such as excessive consumption of alcoholic beverages, habit of consuming whole milk, habit of eating meat with visible fat, regular consumption of soft drinks and 78.5% did not achieve the minimum recommendation for physical activity in leisure time. With regard to protective factors, 86.2% of the population reported regular consumption of fruits and vegetables, and 73%, of beans. It was found the highest frequency of risk factors in among males, in younger people and middle socioeconomic status. This population has an urgent need for public policy of municipal planning to change this current scenario.

Resumo Este artigo descreve a frequência relativa de comportamentos de risco e de proteção para doenças crônicas não transmissíveis (DCNT) em adultos de Viçosa, Brasil. Foi realizado um estudo transversal de base populacional, incluindo 1226 adultos residentes do município. Utilizou-se um questionário estruturado, contendo questões sociodemográficas e comportamentais. Os fatores de risco/proteção avaliados foram: tabagismo, prática de atividade física, consumo abusivo de bebida alcóolica e consumo alimentar. A proporção dos fatores de risco/proteção foi calculada na população total, de acordo com sexo, escolaridade e nível socioeconômico. A população avaliada apresenta elevada frequência de fatores de risco para DCNT, como consumo abusivo de bebidas alcoólicas, hábito de consumir leite integral, ingerir carnes com gorduras visíveis, consumo regular de refrigerantes e 78,5% não atingiram a recomendação mínima para atividade física no lazer. Em relação aos fatores de proteção, 86,2% da população relataram consumir regularmente frutas e vegetais, e 73%, feijões. Verificou-se a maior frequência de fatores de riscos no sexo masculino, em indivíduos de menor idade e nível socioeconômico intermediário. Nesta população há urgência nas políticas públicas de planejamento municipal para mudar o atual cenário.

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OBJECTIVE: To analyze factors associated with chronic joint symptoms (CJS) in adults. METHOD: A population-based, cross-sectional study was performed with a sample of 1,217 adults aged between 20 and 59 years, in the city of Viçosa, in 2014. The sampling process was performed by conglomerates and sample was selected using a two-stage cluster-sampling scheme. First, 30 of the 99 census tracts of Viçosa were randomly selected using a random sampling scheme, without replacement. Household questionnaires were applied to obtain CJS data, sociodemographic conditions, behavioral factors and health status. Multivariable analysis was conducted using Poisson regression, adjusted for the sampling design effect, using the svy commands in Stata software. RESULTS: Prevalence of CJS totaled 31.27%, significantly higher in women (18.45). Age ranges 40-49 (PR 1.50; 95CI 1.16-1.92) and 50-59 years (PR 1.55; 95CI 1.07-2.25); overweight (PR 1.60; 95CI 1.28-2.00); obesity (PR 1.60; 95CI 1.11-2.29); and those who self-reported performing heavy work (PR 1.27; 95CI 1.09-1.48) showed higher prevalences of CJS. CONCLUSION: Women and individuals who were older, overweight and performing heavy work had a higher risk of CJS in this adult population residing in Viçosa, MG, Brazil.

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Summary Objective: To analyze factors associated with chronic joint symptoms (CJS) in adults. Method: A population-based, cross-sectional study was performed with a sample of 1,217 adults aged between 20 and 59 years, in the city of Viçosa, in 2014. The sampling process was performed by conglomerates and sample was selected using a two-stage cluster-sampling scheme. First, 30 of the 99 census tracts of Viçosa were randomly selected using a random sampling scheme, without replacement. Household questionnaires were applied to obtain CJS data, sociodemographic conditions, behavioral factors and health status. Multivariable analysis was conducted using Poisson regression, adjusted for the sampling design effect, using the svy commands in Stata software. Results: Prevalence of CJS totaled 31.27%, significantly higher in women (18.45). Age ranges 40-49 (PR 1.50; 95CI 1.16-1.92) and 50-59 years (PR 1.55; 95CI 1.07-2.25); overweight (PR 1.60; 95CI 1.28-2.00); obesity (PR 1.60; 95CI 1.11-2.29); and those who self-reported performing heavy work (PR 1.27; 95CI 1.09-1.48) showed higher prevalences of CJS. Conclusion: Women and individuals who were older, overweight and performing heavy work had a higher risk of CJS in this adult population residing in Viçosa, MG, Brazil.

Resumo Objetivo: Analisar os fatores associados aos sintomas articulares crônicos (SAC) em adultos. Método: Trata-se de um estudo transversal, de base populacional, com 1.217 adultos, na faixa etária de 20 a 59 anos, na cidade de Viçosa, MG, 2014. A amostragem foi realizada por conglomerados em duplo estágio, sendo as unidades de primeiro estágio os setores censitários, e, em seguida, os domicílios. Foram sorteados 30 setores dentre os 99 de Viçosa, por meio de amostragem casual simples, sem reposição. A coleta de dados foi composta por aplicação de questionário contendo questões relativas a variáveis de SAC, sociodemográficas, comportamentais e de saúde. Para verificar as associações, apresentaram-se proporções, razões de prevalência e seus respectivos intervalos de confiança de 95%. A análise múltipla foi realizada por meio da regressão de Poisson, utilizando o conjunto de comandos svy do software Stata, o qual considera o efeito da expansão da amostra na análise dos dados. Resultados: A prevalência estimada de SAC foi de 31,27%, maior nas mulheres (18,45%). Estiveram associadas ao SAC as mulheres (RP 1,49; IC95% 1,23-1,81); as idades de 40 e 49 (RP 1,50; IC95% 1,16-1,92) e 50 e 59 anos (RP 1,55; IC95% 1,07-2,25); o sobrepeso (RP 1,60; IC95% 1,28-2,00); a obesidade (RP 1,60; IC95% 1,11-2,29); e aqueles que autorreferiram realização de trabalho pesado (RP 1,27; IC95% 1,09-1,48). Conclusão: O sexo feminino, a faixa etária de 40 a 59 anos, o sobrepeso, a obesidade e a realização de trabalho pesado foram fatores de risco para SAC em adultos de Viçosa, MG.

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OBJECTIVES: The aim of this study was to compare various methods of assessing body compositions with body adiposity index (BAI) and to identify the validity of BAI as a predictor of body fat in Brazilian adults. METHODS: This study included 706 individuals (average age 37.3 years, SD = 12.1). Anthropometric data included percent body fat obtained by skinfold thicknesses, bioelectrical impedance analysis and DXA. Body mass index (BMI), waist/hip ratio, and BAI were calculated. The correlation between variables was assessed by Pearson's correlation coefficient, and the Bland-Altman and Kaplan Meier graphic approaches were used to verify the agreement between BAI and DXA. RESULTS: There was a strong correlation between BAI and BMI (r = 0.84 in men and r = 0.86 in women, P < .001), waist circumference (r = 0.77 in men and r = 0.75 in women, P < .001) percent fat by skinfold thicknesses (r = 0.71 in men and r = 0.71 in women, P < .001) and by DXA (r = 0.72 in men and r = 0.78 in women, P < .001). The Bland-Altman approach showed an overestimation of BAI in males and an underestimation in women using DXA as the reference method. The agreement between BAI and DXA through the Kaplan-Meier analysis was 41%. CONCLUSIONS: It was found that BAI does not replace other measurements of body fat, but compared with more complex methods can be an alternative for estimating the body fat in the absence of these methods.

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Introduction: obesity is a public health problem that has increased considerably. Several techniques have been developed and used to measure the amount of body fat, or a combination of excess fat with some comorbidities. The Body Adiposity Index is a new method proposed to determine body fat and its validation is still limited. Methods and logistics of a population-based study reported in the literature are few, mainly multidiciplinas team. Objective: the objective was to report the proceedings of a population-based study, the denouement is the index of adiposity in adults. Design: the design of this study was cross-sectional, with a sample of 1085 adults aged 20-59 years living in the city of Viçosa, MG. A questionnaire was applied at home with sociodemographic, behavioral issues, health and level of physical activity. Then anthropometric and biochemical data were collected. The training for data collection involved the calibration of evaluators, being the correlation between the measurements checked by the intraclass correlation test and was adopted as the acceptable value of 0.60. Results: it is noted that, with the exception of assessors 1, the triceps and subscapular skin folds, and the evaluator 4, in the pectoral skinfolds and suprailiac, all other measures reached acceptable cutoff point for agreement among evaluators. Conclusions: multidisciplinary research is important to understand the various factors that may be operating in health and disease process tool. Methodological and logistical aspects described in this study should be followed, which will lead to a steady decrease in research biases (AU)

Introducción: la obesidad es un problema de salud pú- blica que ha aumentado considerablemente. Se han desarrollado distintas técnicas para medir la cantidad de grasa corporal, o una combinación de exceso de grasa con ciertas comorbilidades. El Índice de Adiposidad Corporal es un nuevo método propuesto para determinar la grasa corporal y su validación es aún limitada. Solo hay algunos métodos y logísticas de estudios poblacionales recogidos en la bibliografía, la mayoría de equipos multidisciplinares. Objetivo: el objetivo consistió en informar de los procedimientos de un estudio poblacional, para concluir en el índice de adiposidad en adultos. Diseño: el diseño de este estudio fue transversal, con una muestra de 1.085 adultos con edades entre 20 y 59 años, que vivían en la ciudad de Viçosa, MG. Se aplicó un cuestionario para completar en casa, con aspectos sociodemográficos, conductuales, de salud y del nivel de actividad física. Después se recopilaron los valores antropométricos y bioquímicos. La formación para la recogida de datos incluyó el calibrado de los evaluadores, estableciéndose la correlación entre las mediciones a partir de una comprobación mediante una prueba de correlación intraclase, siendo 0,60 el valor definido como aceptable. Resultados: se observa que, a excepción del evaluador 1, para los pliegues cutáneos subescapulares, y del evaluador 4, para los pliegues cutáneos pectorales y suprailiacos, el resto de mediciones alcanzaron un nivel aceptable de acuerdo entre los evaluadores. Conclusiones: la investigación multidisciplinar es importante para comprender los distintos factores que podrían intervenir en la herramienta de evaluación de salud y enfermedad. Se deberían seguir los aspectos metodológicos y logísticos descritos en este estudio, los cuales llevan a una reducción continua de los sesgos de la investigación (AU)

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Objective: The aim of this study is to investigate the abdominal perimeter determinants in adults who live in the city of Lages, SC. Design: A population-based cross-sectional study in adults from 20 to 59 years-old of the urban area (n=2.022). The dependent variable is the abdominal perimeter, the independent variables are: age, skin color self-reported, marital status, number of children, per capita income, education, physical activity, smoking, nutrition, self-reported diabetes mellitus, high blood pressure, body weight index. The differences between the mean perimeters were tested using ANOVA test and multiple linear regression for confounding adjustment. Results: The response rate was 98.2%, 52.3% were women. The mean abdominal perimeter for men was 93.66 cm (SD 13.8) and for women 92.80 cm (SD 14.5). Therewas a positive association of abdominal circumference with age (p<0.001) and negative regarding education. The abdominal perimeter means were higher for those insufficiently active (p<0.001), for former smokers (p<0.001), for those who consumed meat without fat removal (p = 0.001), for those who consumed fruit less than 5 times a week (p<0.001) and for those who were overweight (p<0.001). Remained positively associated with changes in abdominal obesity, insufficient physical activity, smoking, former smoker and consumption of meat without fat removal. All proximal variables remained positively associated with abdominal perimeter. Conclusions: The results have confirmed that diet, lifestyle and sociodemographic conditions determine a different distribution in abdominal fat, it is needed actions to promote a healthy lifestyle (AU)

Objetivo: El objetivo de este estudio fue investigar los determinantes del perímetro abdominal en adultos que viven en la ciudad de Lages, SC. Diseño: Estudio transversal de base poblacional en adultos 20-59 años de edad, de la zona urbana (n= 2022). La variable dependiente fue el perímetro abdominal y las variables independientes fueron: edad, color de la piel auto dicho, estado civil, número de hijos, renta per cápita, nivel educacional, actividad física, tabaquismo, nutrición, diabetes mellitus auto dicho, presión arterial alta e índice de masa corporal. Las diferencias entre los promedios de perímetros se probaron a través de la ANOVA y de la regresión lineal múltiple, ajustada para los factores de confusión. Resultados: La tasa de respuesta fue de un 98,2%, de los cuales un 52,3% eran mujeres. El perímetro abdominal promedio para los hombres fue 93,66 cm (SD= 13,8 cm) y para las mujeres 92,80 cm (SD= 14,5). Hubo asociación positiva entre la circunferencia abdominal y la edad (p<0,001) y negativa entre la circunferencia abdominal y el nivel educacional. El promedio de perímetro abdominal fue más grande en personas insuficientemente activas (p<0,001), en los ex fumadores (p<0,001), en los que consumen carne sin la eliminación de grasa (p=0,001), en aquellos que consumían frutos menos de 5 veces a la semana (p<0,001) y en los que tenían sobrepeso (p<0,001). Se mantuvo na asociación positiva con los cambios en la obesidad abdominal, la insuficiente actividad física, el tabaquismo, ex fumador y el consumo de carne sin la eliminación de grasa. Todas las variables proximales se mantuvieron asociadas positivamente con el perímetro abdominal. Conclusiones: Los resultados confirman que la dieta, el estilo de vida y las condiciones sociodemográficas determinan una distribución diferente de la grasa abdominal, siendo necesarias acciones para promover un estilo de vida saludable (AU)

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OBJECTIVE: The aim of this study is to investigate the abdominal perimeter determinants in adults who live in the city of Lages, SC. DESIGN: A population-based cross-sectional study in adults from 20 to 59 years-old of the urban area (n=2.022). The dependent variable is the abdominal perimeter, the independent variables are: age, skin color self-reported, marital status, number of children, per capita income, education, physical activity, smoking, nutrition, self-reported diabetes mellitus, high blood pressure, body weight index. The differences between the mean perimeters were tested using ANOVA test and multiple linear regression for confounding adjustment. RESULTS: The response rate was 98.2%, 52.3% were women. The mean abdominal perimeter for men was 93.66 cm (SD 13.8) and for women 92.80 cm (SD 14.5). There was a positive association of abdominal circumference with age (p.

Objetivo: El objetivo de este estudio fue investigar los determinantes del perímetro abdominal en adultos que viven en la ciudad de Lages, SC. Diseño: Estudio transversal de base poblacional en adultos 20-59 años de edad, de la zona urbana (n= 2022). La variable dependiente fue el perímetro abdominal y las variables independientes fueron: edad, color de la piel auto dicho, estado civil, número de hijos, renta per cápita, nivel educacional, actividad física, tabaquismo, nutrición, diabetes mellitus auto dicho, presión arterial alta e índice de masa corporal. Las diferencias entre los promedios de perímetros se probaron a través de la ANOVA y de la regresión lineal múltiple, ajustada para los factores de confusión. Resultados: La tasa de respuesta fue de un 98,2%, de los cuales un 52,3% eran mujeres. El perímetro abdominal promedio para los hombres fue 93,66 cm (SD= 13,8 cm) y para las mujeres 92,80 cm (SD= 14,5). Hubo asociación positiva entre la circunferencia abdominal y la edad (p.

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