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CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2018; 76(06): 367-372
DOI: 10.1590/0004-282X20180053
ARTICLE

Prevalence of obesity among stroke patients in five Brazilian cities: a cross-sectional study

Prevalência de excesso de peso em pacientes com acidente vascular cerebral em cinco cidades brasileiras
Vanessa Speckhahn Vicente
2   Universidade de Joinville (Univille), Joinville SC, Brasil.
,
Norberto Luiz Cabral
1   Registro de AVC de Joinville, Joinville SC, Brasil;
2   Universidade de Joinville (Univille), Joinville SC, Brasil.
,
Vivian Nagel
1   Registro de AVC de Joinville, Joinville SC, Brasil;
,
Vanessa V Guesser
1   Registro de AVC de Joinville, Joinville SC, Brasil;
,
Juliana Safanelli
1   Registro de AVC de Joinville, Joinville SC, Brasil;
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ABSTRACT

Objective There is gap in knowledge about obesity prevalence in stroke patients from low- and middle-income countries. Therefore, we aimed to measure the prevalence of overweight and obesity status among patients with incident stroke in Brazil.

Methods In a cross-sectional study, we measured the body mass index (BMI) of ischemic and hemorrhagic stroke patients. The sample was extracted in 2016, from the cities of Sobral (CE), Sertãozinho (SP), Campo Grande (MS), Joinville (SC) and Canoas (RS).

Results In 1,255 patients with first-ever strokes, 64% (95% CI, 62–67) were overweight and 26% (95%CI, 24–29) were obese. The obesity prevalence ranged from 15% (95%CI, 9–23) in Sobral to 31% (95%CI, 18–45) in Sertãozinho. Physical inactivity ranged from 53% (95%CI, 43-63) in Sobral to 80% (95%CI, 73–85) in Canoas.

Conclusions The number of overweight patients with incident stroke is higher than the number of patients with stroke and normal BMI. Although similar to other findings in high-income countries, we urgently need better policies for obesity prevention.

RESUMO

Objetivo Há uma lacuna de conhecimento sobre a prevalência de obesidade em pacientes com AVC (acidente vascular cerebral) de países de baixa e média renda. Portanto, objetivamos medir a prevalência de sobrepeso e obesidade entre pacientes com AVC no Brasil.

Métodos Em um estudo transversal, medimos o índice de massa corporal (IMC) em pacientes com AVC isquêmico e hemorrágico. A amostra foi extraída em 2016, nas cidades de Sobral (CE), Sertãozinho (SP), Campo Grande (MS), Joinville (SC) e Canoas (RS).

Resultados Entre 1255 casos de AVC, 64% (95%CI, 62–67) apresentavam sobrepeso e 26% (95%CI, 24–29) obesidade. A prevalência de obesidade variou de 15% (95%CI, 9–23) em Sobral a 31% (95%CI, 18–45) em Sertãozinho.

Conclusões A quantidade de pacientes com AVC e IMC anormal é maior do que a de pacientes com AVC e IMC normal. Embora esta prevalência seja similar às de países de alta renda, precisamos urgentemente de melhores políticas de prevenção da obesidade. Atividade física deveria ser parte da prescrição médica.

obesity - prevalence - stroke, epidemiology - cross-sectional studies
obesidade - prevalência - acidente vascular cerebral, epidemiologia - estudos transversais


Publication History

Received: 29 September 2017

Accepted: 03 March 2018

Article published online:
25 August 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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