CONSUMPTION OF ALCOHOLIC BEVERAGES AND INCIDENCE OF ABDOMINAL OBESITY IN ELSA-BRASIL PARTICIPANTS
Name: LAIS LAGO MARINHO
Publication date: 26/09/2022
Advisor:
Name |
Role |
|---|---|
| MARIA DEL CARMEN BISI MOLINA | Advisor * |
Examining board:
| Name |
Role |
|---|---|
| FABIANO KENJI HARAGUCHI | Internal Alternate * |
| JOSÉ LUIZ MARQUES ROCHA | Internal Examiner * |
| MARIA DEL CARMEN BISI MOLINA | Advisor * |
| TAÍSA SABRINA SILVA PEREIRA | External Alternate * |
Summary: The association between alcohol consumption and obesity has great relevance
for public health, considering the high prevalence of obesity at all stages
of life, with great repercussions on the health system and on the development
of chronic diseases. The aim of the present study was to evaluate the
association between alcohol consumption and abdominal obesity in participants
of the ELSA-Brasil cohort, after nine years of follow-up. This is a
longitudinal, quantitative and analytical study, developed from baseline
(2008 to 2010) and third wave (2017 to 2019) data from ELSA-Brasil. In the
baseline, 15,105 adults, civil servants, of both sexes, aged between 35 and
74 years, active workers and voluntary retirees, from five Federal Higher
Education Institutions and one research institution were enrolled. Of the
15,105 participants, those who underwent bariatric surgery, those with
implausible alcohol and calorie consumption and the prevalent cases of
abdominal obesity at baseline were excluded from the analysis of incidence.
Participants with missing data for these same variables were also excluded.
The final sample consisted of 3,591 participants. Anthropometric,
sociodemographic, lifestyle variables and alcohol consumption were analyzed.
For the diagnosis of obesity, the cutoff points of the abdominal perimeter
recommended by the World Health Organization (WHO) were used.
Kolmogorov-Smirnov test was used to assess the normality of variables.
Continuous variables were presented as means and standard deviations, and
categorical variables as percentages and comparisons were performed using the
t test and the chi-square test. Poisson models were tested, adjusted for age,
race/color, difference in per capita income, calories consumed and physical
activity. Of the total number of participants, more than 70% reported using
some type of alcoholic beverage. In nine years, an increase in waist
circumference (men: 4.96 ± 5.40 cm; women: 6.63 ± 6.36 cm, p < 0.001) and
alcohol consumption (men: 0.65 ± 9 .4 g/day; women: 0.59 ± 5.29 g/day, p <
0.05). 1,588 (44.2%) new cases of abdominal obesity were identified (men:
36.4%, women: 54.2%). Higher consumption of alcoholic beverages increased the risk of abdominal obesity only in men (1.15, 95%CI 1.01 - 1.31, p < 0.001).
It is important to adopt public policies to control the sale of alcoholic
beverages, as well as the strengthening of obesity prevention policies and
programs, as these two factors are of great relevance to public health.
