title: Ten-year increase in the prevalence of obesity and reduction in fat intake in Brazilian women aged 35 years and older.
abstract: BACKGROUND
  Data from two population-based surveys conducted in 1995 and 2005 in the city of Rio de Janeiro, Brazil were examined to determine changes in the prevalence of obesity and macronutrient intake among women according to socio-economic level.
  
  
  METHODS
  Weight and height were measured, and food intake was based on a food-frequency questionnaire. A probabilistic sample of about 1000 women aged 35 years or older participated in each survey.
  
  
  RESULTS
  Prevalence of obesity (BMI>30 kg/m(2)) increased in the 10-year period (17-24%), as well as energy intake (2.408-2.912 kcal) (p<0.0001). These changes were largely dependent on education, but not on income. Over the 10-year period, there was an increase in carbohydrate intake adjusted for energy, although lipid intake decreased among those women of low education but not among the more educated women. An overall reduction in the intake of cholesterol was also observed (273 mg vs 212 mg; p<0.001).
  
  
  CONCLUSIONS
  In line with an advertised reduction in fat intake, Brazilian women at greatest risk of obesity had a reduction in fat intake and cholesterol, and increased intake of carbohydrate. This group needs to be given a clear message regarding energy reduction in order to curb the obesity epidemic.
authors.affiliation: Social Medicine Institute, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
authors.forename: Roseli Gomes
authors.initials: RG
authors.lastname: de Andrade
authors.forename: Rosangela Alves
authors.initials: RA
authors.lastname: Pereira
authors.forename: Rosely
authors.initials: R
authors.lastname: Sichieri
mesh_terms: D000328:Adult; D001938:Brazil / Q000453:epidemiology; D004034:Diet Surveys; D018752:Diet, Fat-Restricted / Q000639:trends*; D004040:Dietary Carbohydrates / Q000008:administration & dosage; D002149:Energy Intake; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology*; D015995:Prevalence; D012307:Risk Factors; D011795:Surveys and Questionnaires
chemical_list: D004040:Dietary Carbohydrates