Evolution of excess weight and obesity in Brazilian adults: evidence for health surveillance

Authors

DOI:

https://doi.org/10.36517/2175-6783.20252695361

Keywords:

Obesity; Overweight; Risk Factors; Noncommunicable Diseases; Behavioral Risk Factor Surveillance System.

Abstract

Objective: to analyze temporal trends in the prevalence of excess weight and obesity in the adult population of Brazilian state capitals. Methods: a time series epidemiological study using data from the Surveillance System for Risk and Protective Factors for Chronic Diseases by Telephone Survey, from 2006 to 2023. The prevalence of excess weight and obesity was analyzed by sex, age, education level, and the capital city of Brazil. The Prais-Winsten regression was used, and the Annual Percentage Change was calculated.  Results: There was an increase in the prevalence of excess weight and obesity. The increase was observed in both sexes, in all age groups, and all levels of education. Aracaju, Belém, and Belo Horizonte had the highest excess weight, and Brasília had the highest obesity. Conclusion: there was a significant increase in the prevalence of excess weight and obesity among adults in Brazilian state capitals between 2006 and 2023, with consistent growth in all sociodemographic strata analyzed. Contributions to practice: nursing can play a role in screening and monitoring excess weight and obesity, and in health education to promote healthy habits. Furthermore, it can contribute to intersectoral coordination and implementing public policies to address these conditions.

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References

1. Ng M, Gakidou E, Lo J, Abate YH, Abbafati C, Abbas N, et al. Global, regional, and national prevalence of adult overweight and obesity, 1990-2021, with forecasts to 2050: a forecasting study for the Global Burden of Disease Study 2021. Lancet. 2025;405(10481):813-38. doi: http://dx.doi.org/10.1016/S0140-6736(25)00355-1

2. GBD 2021 Adolescent BMI Collaborators. Global, regional, and national prevalence of child and adolescent overweight and obesity, 1990-2021, with forecasts to 2050: a forecasting study for the Global Burden of Disease Study 2021. Lancet. 2025;405(10481):785-812. doi: https://doi.org/10.1016/S0140-6736(25)00397-6

3. Tarozo M, Pessa RP. Impacto das consequências psicossociais do estigma do peso no tratamento da obesidade: uma revisão integrativa da literatura. Psicol Ciênc Prof. 2020;40:e190910. doi: https://doi.org/10.1590/1982-3703003190910

4. Nowell HP, Singleton RK, Zhou B, Heap RA, Mishra A, Bennett JE, et al. Worldwide trends in underweight and obesity from 1990 to 2022: a pooled analysis of 3663 population-representative studies with 222 million children, adolescents, and adults. Lancet. 2024;403(10431):1027-50. doi: https://doi.org/10.1016/S0140-6736(23)02750-2

5. Zhou XD, Chen QF, Yang W, Zuluaga M, Targher G, Byrne CD, et al. Burden of disease attributable to high body mass index: an analysis of data from the Global Burden of Disease Study 2021. EClinicalMedicine. 2024;76:102848. doi: http://doi.org/10.1016/j.eclinm.2024.102848

6. Ferreira APS, Szwarcwald CL, Damacena GN, Souza Júnior PRB. Increasing trends in obesity prevalence from 2013 to 2019 and associated factors in Brazil. Rev Bras Epidemiol. 2021(Suppl 2):e210009. doi: https://doi.org/10.1590/1980-549720210009.supl.2

7. Ministério da Saúde (BR). Cenário da obesidade no Brasil. Boletim Epidemiológico [Internet]. 2024 [cited Apr 2, 2025]. Available from: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/epidemiologicos/edicoes/2024/boletim-epidemiologico-volume-55-no-07.pdf

8. Swinburn BA, Kraak VI, Allender S, Atkins VJ, Baker PI, Bogard JR, et al. The global syndemic of obesity, undernutrition, and climate change: the Lancet Commission Report. Lancet. 2019;393(10173):791-846. doi: https://dx.doi.org/10.1016/S0140-6736(18)32822-8

9. Pineda E, Stockton J, Scholes S, Lassale C, Mindell JS. Food environment and obesity: a systematic review and meta-analysis. BMJ Nutr Prev Health. 2024;7(1):204-11. doi: https://doi.org/10.1136/bmjnph-2023-000663

10. Silva AG, Teixeira RA, Prates EJS, Malta DC. Monitoring and projection of targets for risk and protection factors for coping with noncommunicable diseases in Brazilian capitals. Ciênc Saúde Colet. 2021;26(4):1193-206. doi: https://dx.doi.org/10.1590/1413-81232021264.42322020

11. United Nations. Transforming our world: the 2030 Agenda for Sustainable Development [Internet]. 2015 [cited Apr 2, 2025]. Available from: https://sdgs.un.org/2030agenda

12. Malta DC, Morais Neto OL, Silva MMA, Rocha D, Silva Junior JB. The implantation of the Surveillance System for Non-communicable Diseases in Brazil, 2003 to 2015: successes and challenges. Rev Bras Epidemiol. 2017;20(4):661-75. doi: https://doi.org/10.1590/1980-5497201700040006

13. Ministério da Saúde (BR). Vigitel Brasil 2023: vigilância de fatores de risco e proteção para doenças crônicas por inquérito telefônico [Internet]. 2023 [cited Apr 02, 2025]. Available from: https://www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/svsa/vigitel/vigitel-brasil-2023-vigilancia-de-fatores-de-risco-e-protecao-para-doencas-cronicas-por-inquerito-telefonico/view

14. Antunes JLF, Cardoso MRA. Uso da análise de séries temporais em estudos epidemiológicos. Epidemiol Serv Saúde. 2015;24(3):565-76. doi: https://doi.org/10.5123/S1679-49742015000300024

15. Estivaleti JM, Guzman-Habinger J, Lobos J, Aedo C, Souza JD, Bielemann RM. Time trends and projected obesity epidemic in Brazilian adults between 2006 and 2030. Sci Rep. 2022;12:12699. doi: http://doi.org/10.1038/s41598-022-16934-5

16. Amiri M, Mousavi M, Azizi F, Tehrani FR. The relationship of reproductive factors with adiposity and body shape indices changes over time: findings from a community-based study. J Transl Med. 2023;21(1):137. doi: https://dx.doi.org/10.1186/s12967-023-04000-1

17. Parra-Peralbo E, Talamillo A, Barrio R. Origin and Development of the adipose tissue, a key organ in physiology and disease. Front Cell Dev Biol. 2021;9:786129. doi: https://dx.doi.org/10.3389/fcell.2021.786129

18. Mielke GI, Stopa SR, Gomes CS, Silva AG, Alves FTA, Vieira MLFP, et al. Leisure time physical activity among Brazilian adults: National Health Survey 2013 and 2019. Rev Bras Epidemiol. 2021;24(Suppl 2):e210008. doi: https://dx.doi.org/10.1590/1980-549720210008.supl.2

19. Macinko J, Mullachery PH. Education-related health inequities in noncommunicable diseases: an analysis of the Brazilian National Health Survey, 2013 and 2019. Cad Saúde Pública. 2022;38(Suppl 1):e00137721. doi: https://doi.org/10.1590/0102-311X00137721

20. Gaspar RS, Rossi L, Hone T, Dornelles AZ. Income inequality and non-communicable disease mortality and morbidity in Brazil States: a longitudinal analysis 2002-2017. Lancet Reg Health Am. 2021;2:100042. doi: https://doi.org/10.1016/j.lana.2021

21. Silva TPR, Matozinhos FP, Gratão LHA, Rocha LL, Inácio MLC, Oliveira CF, et al. The coexistence of obesogenic behaviors among Brazilian adolescents and their associated factors. BMC Public Health. 2022;22(1):1290. doi: https://dx.doi.org/10.1186/s12889-022-13708-6

22. Ribeiro ML, Spolador H. Saúde, renda e obesidade: uma análise para os estados brasileiros. J Bras Econ Saúde [Internet]. 2022 [cited Apr 02, 2025];14(1):8-20. Available from: https://www.jbes.com.br/index.php/jbes/article/view/79

23. Silva AG, Andrade FMD, Ribeiro EG, Malta DC. Temporal trends of morbidities, and risk and protective factors for noncommunicable diseases in elderly residents in Brazilian capitals. Rev Bras Epidemiol. 2023;26(Suppl 1):e230009. doi: https://doi.org/10.1590/1980-549720230009.supl.1

24. Wei S, Nguyen TT, Zhang Y, Ryu D, Gariani K. Sarcopenic obesity: epidemiology, pathophysiology, cardiovascular disease, mortality, and management. Front Endocrinol (Lausanne). 2023;14:1185221. doi: https://doi.org/10.3389/fendo.2023.1185221

25. Ellison-Barnes A, Johnson S, Gudzune K. Trends in obesity prevalence among adults aged 18 through 25 years, 1976-2018. JAMA. 2021;326(20):2073-4. doi: https://doi.org/10.1001/jama.2021.16685

26. Mendes LL, Gazzinelli A, Velasquez-Melendez G. Is the management of obesity in primary health care appropriate in Brazil? Cad Saúde Pública. 2021;37(Suppl 1):e00051620. doi: https://doi.org/10.1590/0102-311X00051620

27. Jesus JGL, Campos CMS, Scagliusi FB, Burlandy L, Bógus CM. Work process in the Family Health Strategy oriented to people with overweight and obesity in São Paulo. Saúde Debate. 2022;46(132):175-87. doi: https://dx.doi.org/10.1590/0103-1104202213212

28. Lindner SR, Coelho EBS, Campos DA, Warmling D, Faust SB, Conceição TB, et al. Nursing care for individuals with overweight and obesity: contributions of a remote specialization course. Texto Contexto Enferm. 2024;33:e20230297. doi: https://doi.org/10.1590/1980-265X-TCE-2023-0297en

29. Wang D, Benito PJ, Rubio-Arias JA, Ramos-Campo DJ, Rojo-Tirado MA. Exploring factors of adherence to weight loss interventions in population with overweight/obesity: an umbrella review. Obes Rev. 2024;25(9):e13783. doi: https://dx.doi.org/10.1111/obr.13783

30. Lopes MS, Freitas PP, Carvalho MCR, Ferreira NL, Menezes MC, Lopes ACS. Is the management of obesity in primary health care appropriate in Brazil? Cad Saúde Pública. 2021;37(Suppl 1):e00051620. doi: http://doi.org/10.1590/0102-311X0005162

Published

2025-06-11

How to Cite

Kavano, C. R., Silva, T. P. R. da, Silva, T. I. M., & Silva, A. G. da. (2025). Evolution of excess weight and obesity in Brazilian adults: evidence for health surveillance. Rev Rene, 26, e95361. https://doi.org/10.36517/2175-6783.20252695361

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Section

Research Article

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