PD168 - HIGH PREVALENCE OF OBESITY AND UNFAVORABLE MACRONUTRIENT DISTRIBUTION IN WOMEN FROM VERA CRUZ

PD168

HIGH PREVALENCE OF OBESITY AND UNFAVORABLE MACRONUTRIENT DISTRIBUTION IN WOMEN FROM VERA CRUZ

M. F. B. Tohmé¹, L. H. D. Barrachi¹, F. L. Hochman¹, M. L. G. Santos¹, E. D. Carli^1,2, A. M. P. Lottenberg ^1,3, M. S. F. Lavrador¹, H. Hachul¹, R. M. Machado^1,*

¹Hospital Israelita Albert Einstein, ²Department of Nutrition, School of Public Health, University of São Paulo, ³Hospital das Clínicas (HCFMUSP) da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil

Rationale: Inadequate dietary patterns, characterized by low consumption of fresh foods, high consumption of ultra-processed foods, and macronutrient imbalance are associated with adverse cardiometabolic outcomes. Vera Cruz has limited health and educational infrastructure, contributing to high burden of non-communicable diseases (NCDs).

Methods: Cross-sectional observational study included 217 women (≥18 years). Anthropometric data were collected; subsample (n=57) completed 24-hour dietary recall to estimate food intake. Statistical analyses performed using Stata 17.0; Kruskal-Wallis test; significance level p≤0.05.

Results: Among the subsample (n=57), prevalence of normal weight, overweight, and obesity was 19.3%, 36.8%, and 43.8%, respectively. Significant association was observed between total energy intake and BMI (p=0.042), with mean intakes of 1.482 kcal in normal-weight, 2.291 kcal in overweight, and 1.935 kcal in obese women. Significant differences were also observed in carbohydrates (P=0.007) and proteins (P<0.001) percentage distributions according to waist circumference (WC). Among women with normal WC (<80cm; 10.5%), carbohydrates and proteins contribution of total energy intake (TEI) was 35% 32.3%, respectively. Those with increased WC (≥80 and <88cm; 12.2%), carbohydrates accounted for 51.6% and proteins 15% of TEI. Women with substantially increased WC (≥88 cm; 77.2%), carbohydrates contributed for 45.5% and proteins 19.9% of TEI.

Conclusion: This population shows a high prevalence of excess weight and cardiometabolic risk, as evidenced by BMI and waist circumference. Higher energy intake was observed among overweight and obese women; increased waist circumference was associated with a higher proportion of energy from carbohydrates and a lower from protein.

Disclosure of Interest: None declared