title: Prevalence of Obesity and Overweight in an Indigenous Population in Central Brazil: A Population-Based Cross-Sectional Study.
abstract: OBJECTIVE
  To estimate the prevalence of obesity and overweight and associated factors in indigenous people of the Jaguapiru village in Central Brazil.
  
  
  METHODS
  We conducted a population-based cross-sectional study between January 2009 and July 2011 in the adult native population of the Jaguapiru village, Central Brazil. Sociodemographic and lifestyle data were obtained; anthropometric measures, arterial blood pressure, and blood glucose were measured. The independent variables were tested by Poisson regression, and the interactions between them were analyzed.
  
  
  RESULTS
  1,608 indigenous people (982 females, mean age 37.7 ± 15.1 years) were included. The prevalence of obesity was 23.2% (95% CI 20.9-25.1%). Obesity was more prevalent among 40- to 49-year-old and overweight among 50- to 59-year-old persons. Obesity was positively associated with female sex, higher income, and hypertension. Among indigenous people, interactions were found with hypertension and sedentary lifestyle - hypertension in males and sedentary lifestyle in females.
  
  
  CONCLUSIONS
  The prevalence of obesity and overweight in indigenous people of the Jaguapiru village is high. Males as well as hypertensive and higher family income individuals have higher rates. Sedentary lifestyle and hypertension leverage the rates of obesity. Prevention and adequate public health policies can be critical for the control of excess weight and its comorbidities among Brazilian indigenous people.
authors.affiliation: Clinical Medicine Department, Federal University of Grande Dourados, Dourados, MS, Brazil.
authors.forename: Geraldo F
authors.initials: GF
authors.lastname: Oliveira
authors.forename: Teresinha Regina R
authors.initials: TR
authors.lastname: Oliveira
authors.forename: Adauto T
authors.initials: AT
authors.lastname: Ikejiri
authors.forename: Tais F
authors.initials: TF
authors.lastname: Galvao
authors.forename: Marcus T
authors.initials: MT
authors.lastname: Silva
authors.forename: Mauricio G
authors.initials: MG
authors.lastname: Pereira
mesh_terms: D000328:Adult; D001938:Brazil / Q000453:epidemiology / Q000208:ethnology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D006973:Hypertension; D007199:Indians, South American / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology*; D050177:Overweight / Q000453:epidemiology; D016012:Poisson Distribution; D015995:Prevalence; D057185:Sedentary Behavior; D012959:Socioeconomic Factors; D055815:Young Adult