Food and Nutrition Surveillance System: temporal trend of coverage and nutritional status of adults registered on the system, Brazil, 2008-2019

Silva, Ruth Pereira Costa; Vergara, Clarice Maria Araújo Chagas; Sampaio, Helena Alves de Carvalho; Vasconcelos Filho, José Eurico; Strozberg, Felipe; Ferreira Neto, José Fernando Rodrigues; Mafra, Matheus Leite Pirani; Garcia Filho, Carlos; Carioca, Antonio Augusto Ferreira

Ruth Pereira Costa Silva

Universidade Estadual do Ceará, Mestrado em Nutrição e Saúde, Fortaleza, CE, Brasil

http://orcid.org/0000-0002-0653-8579

Clarice Maria Araújo Chagas Vergara

Universidade Estadual do Ceará, Mestrado em Nutrição e Saúde, Fortaleza, CE, Brasil

http://orcid.org/0000-0003-1709-9951

Helena Alves de Carvalho Sampaio

Universidade Estadual do Ceará, Programa de Pós-Graduação em Saúde Coletiva, Fortaleza, CE, Brasil

http://orcid.org/0000-0001-5353-8259

José Eurico Vasconcelos Filho

Universidade de Fortaleza, Centro de Ciências Tecnológicas, Fortaleza, CE, Brasil

http://orcid.org/0000-0002-6881-0814

Felipe Strozberg

Universidade de Fortaleza, Centro de Ciências Tecnológicas, Fortaleza, CE, Brasil

http://orcid.org/0000-0003-4471-7807

José Fernando Rodrigues Ferreira Neto

Universidade de Fortaleza, Centro de Ciências Tecnológicas, Fortaleza, CE, Brasil

http://orcid.org/0000-0003-0930-8207

Matheus Leite Pirani Mafra

Universidade de Fortaleza, Centro de Ciências Tecnológicas, Fortaleza, CE, Brasil

http://orcid.org/0000-0002-5099-2111

Carlos Garcia Filho

Universidade de Fortaleza, Centro de Ciência da Saúde, Fortaleza, CE, Brasil

http://orcid.org/0000-0002-0345-6033

Antonio Augusto Ferreira Carioca ^*Correspondence: Antônio Augusto Ferreira Carioca carioca@unifor.br.

Universidade de Fortaleza, Centro de Ciência da Saúde, Fortaleza, CE, Brasil

http://orcid.org/0000-0002-1194-562X

Correspondence: Antônio Augusto Ferreira Carioca carioca@unifor.br.

Associate editor

Doroteia Aparecida Höfelmann.

Authors’ contribution

Silva RPC collaborated with the discussion and interpretation of the results, drafting and reviewing of the manuscript. Vergara CMAC and Sampaio HAC collaborated with the discussion and interpretation of the results, and approved the final version. Vasconcelos Filho JE, Strozberg F, Ferreira Neto JFR, Mafra MLP and Garcia Filho C collaborated with data collection, analysis and interpretation, and approved the final version of the manuscript. Carioca AAF collaborated in planning the study, analyzing and discussing the results, and reviewing the manuscript. All authors have approved the final version of the manuscript and declared themselves to be responsible for all aspects of the work, including ensuring its accuracy and integrity.

Conflicts of Interest

The authors declared that they have no conflicts of interest.

Year	Total records available^a
	Brazil	North	Northeast	South	Midwest	Southeast
	N	n (%)^b	n (%)^b	n (%)^b	n (%)^b	n (%)^b
2008	5,247,693	604,802 (11.5)	2,712,431 (51.7)	431,790 (8.2)	253,542 (4.8)	1,245,128 (23.7)
2009	5,904,299	664,086 (11.2)	2,870,176 (48.6)	529,468 (9.0)	324,375 (5.5)	1,516,194 (25.7)
2010	6,368,657	754,001 (11.8)	3,049,285 (47.9)	586,918 (9.2)	348,951 (5.5)	1,629,502 (25.6)
2011	6,681,140	776,196 (11.6)	3,222,480 (48.2)	571,973 (8.6)	383,793 (5.7)	1,726,698 (25.8)
2012	8,131,142	1,004,703 (12.4)	4,083,271 (50.2)	632,485 (7.8)	430,642 (5.3)	1,980,041 (24.4)
2013	9,745,089	1,223,427 (12.6)	4,877,834 (50.1)	720,148 (7.4)	535,784 (5.5)	2,387,896 (24.5)
2014	9,524,380	1,239,230 (13.0)	4,781,309 (50.2)	685,076 (7.2)	519,041 (5.4)	2,299,724 (24.1)
2015	11,253,161	1,536,862 (13.7)	5,357,555 (47.6)	1,074,296 (9.5)	620,814 (5.5)	2,663,634 (23.7)
2016	12,223,606	1,674,147 (13.7)	5,514,786 (45.1)	1,396,231 (11.4)	709,455 (5.8)	2,928,987 (24.0)
2017	12,814,742	1,697,451 (13.2)	5,593,070 (43.6)	1,457,544 (11.4)	720,506 (5.6)	3,346,171 (26.1)
2018	14,328,154	1,862,037 (13.0)	6,144,625 (42.9)	1,625,461 (11.3)	845,357 (5.9)	3,850,674 (26.9)
2019	12,812,471	1,713,373 (13.4)	5,115,328 (39.9)	1,668,118 (13.0)	766,288 (6.0)	3,549,364 (27.7)
Total	115,034,534	14,750,315	53,322,150	11,379,508	6,458,548	29,124,013
Year	Brazilian adult population and by macro-region^c
	Brazil	North	Northeast	South	Midwest	Southeast
	N	n (%)^d	n (%)^d	n (%)^d	n (%)^d	n (%)^d
2008	105,478,071	7,826,671 (7.4)	27,998,237 (26.5)	15,625,410 (14.8)	7,793,984 (7.4)	46,233,769 (43.8)
2009	107,162,218	8,039,590 (7.5)	28,507,535 (26.6)	15,824,639 (14,8)	7,973,259 (7.4)	46,817,195 (43.7)
2010	108,789,565	8,252,230 (7.6)	28,991,195 (26.6)	16,017,771 (14.7)	8,153,452 (7.5)	47,374,917 (43.5)
2011	110,353,332	8,463,861 (7.7)	29,449,668 (26.7)	16,204,389 (14.7)	8,332,549 (7.6)	47,902,865 (43.4)
2012	111,850,510	8,674,210 (7.8)	29,885,857 (26.7)	16,383,253 (14.6)	8,508,712 (7.6)	48,398,478 (43.3)
2013	113,282,357	8,883,447 (7.8)	30,301,281 (26.7)	16,552,895 (14.6)	8,681,939 (7.7)	48,862,795 (43.1)
2014	114,651,442	9,091,776 (7.9)	30,696,900 (26.8)	16,713,165 (14.6)	8,851,970 (7.7)	49,297,631 (43.0)
2015	115,960,472	9,299,026 (8.0)	31,074,584 (26.8)	16,863,509 (14.5)	9,018,354 (7.8)	49,704,999 (42.9)
2016	117,212,002	9,504,265 (8.1)	31,435,993 (26.8)	17,004,004 (14.5)	9,180,140 (7.8)	50,087,600 (42.7)
2017	118,407,546	9,706,576 (8.2)	31,783,898 (26.8)	17,133,723 (14.5)	9,336,496 (7.9)	50,446,853 (42.6)
2018	119,545,473	9,905,001 (8.3)	32,121,150 (26.9)	17,249,071 (14.4)	9,486,219 (7.9)	50,784,032 (42.5)
2019	120,622,838	10,098,207 (8.4)	32,448,873 (26.9)	17,346,738 (14.4)	9,627,582 (8.0)	51,101,438 (42.4)

Year	Brazil	North	Northeast	South	Midwest	Southeast
Year	Underweight prevalence (%)
2008	5.8	5.5	6.4	3.9	5.4	5.1
2009	4.4	4.3	4.8	3.9	4.0	4.2
2010	4.6	4.6	5.2	3.7	3.9	3.9
2011	3.9	4.0	4.2	3.4	3.5	3.5
2012	3.5	3.5	3.8	2.6	3.3	3.2
2013	3.6	3.7	3.8	2.7	3.4	3.3
2014	3.4	3.7	3.5	2.7	3.4	3.2
2015	2.8	2.8	2.9	1.9	3.0	2.7
2016	2.8	2.9	3.1	2.0	2.7	2.7
2017	2.6	2.5	2.8	1.8	2.6	2.6
2018	2.4	2.4	2.7	1.6	2.4	2.4
2019	2.5	2.5	2.9	1.6	2.4	2.4
Annual change (%)^a	-7.0	-6.9	-7.0	-8.8	-6.1	-6.1
95%CI^b	-8.0;-6.1	-7.8;-6.0	-8.2;-5.7	-9.8;-7.8	-7.4;-4.8	-7.2;-4.9
p-value	<0.001	<0.001	<0.001	<0.001	<0.001	<0.001
Trend	Decreasing	Decreasing	Decreasing	Decreasing	Decreasing	Decreasing
Year	Eutrophy prevalence (%)
2008	51.4	53.1	54.4	44.0	49.1	47.3
2009	50.7	52.7	54.2	43.2	48.2	46.4
2010	49.3	52.1	52.5	42.0	48.3	44.8
2011	47.5	50.6	50.8	40.0	45.8	43.0
2012	44.7	47.4	47.6	37.9	42.2	40.2
2013	43.1	46.1	45.7	36.2	41.0	38.7
2014	41.2	44.3	43.3	35.1	39.5	37.5
2015	38.6	40.7	41.2	32.3	36.2	35.4
2016	38.2	41.0	40.9	32.4	35.7	34.9
2017	37.2	40.1	39.7	31.1	34.7	34.8
2018	35.6	37.9	37.9	30.0	33.7	33.7
2019	34.5	36.9	36.9	29.3	32.4	32.7
Annual change (%)^a	-3.8	-3.5	-3.7	-3.9	-4.0	-3.4
95%CI^b	-4.1;-3.4	-3.9;-3.1	-3.7;-4.1	-4.2;-3.6	-4.5;-3.5	-4.0;-2.7
p-value	<0.001	<0.001	<0.001	<0.001	<0.001	<0.001
Trend	Decreasing	Decreasing	Decreasing	Decreasing	Decreasing	Decreasing

Year	Brazil	North	Northeast	South	Midwest	Southeast
Year	Overweight prevalence (%)
2008	28.4	28.6	27.7	30.8	28.9	28.9
2009	29.3	29.4	28.7	30.9	29.5	29.7
2010	29.7	29.6	29.1	31.4	29.3	30.2
2011	30.6	30.4	30.4	31.6	30.2	30.9
2012	31.8	31.9	31.8	32.1	31.5	31.7
2013	32.4	32.3	32.6	32.1	31.6	32.1
2014	33.0	33.1	33.5	32.1	32.2	32.4
2015	34.0	34.8	34.7	33.3	32.5	33.0
2016	33.9	34.4	34.5	33.6	32.9	33.1
2017	34.3	35.2	35.0	33.8	33.6	33.0
2018	34.7	36.1	35.5	33.9	33.8	33.3
2019	34.5	36.1	35.2	34.0	33.6	33.2
Annual change (%)^a	1.8	2.3	2.3	1.0	1.5	1.3
95%CI^b	1.2;2.5	2.0;2.6	1.4;3.1	0.8;1.2	1.2;1.8	0.7;1.9
p-value	<0.001	<0.001	<0.001	<0.001	<0.001	<0.001
Trend	Increasing	Increasing	Increasing	Increasing	Increasing	Increasing

Year	Brazil	North	Northeast	South	Midwest	Southeast
Year	Obesity prevalence (%)
2008	14.5	12.8	11.6	21.4	16.6	18.8
2009	15.6	13.6	12.4	21.9	18.3	19.7
2010	16.5	13.7	13.3	22.9	18.5	21.1
2011	18.0	15.0	14.6	25.0	20.5	22.6
2012	19.9	17.2	16.7	27.4	23.1	24.9
2013	21.0	17.8	17.9	29.0	24.1	25.9
2014	22.4	19.0	19.7	30.1	25.0	27.0
2015	24.6	21.7	21.2	32.5	28.4	28.9
2016	25.0	21.7	21.5	32.0	28.8	29.3
2017	25.9	22.2	22.5	33.3	29.1	29.6
2018	27.2	23.6	24.0	34.4	30.1	30.5
2019	28.5	24.5	25.0	35.1	31.6	31.6
Annual change (%)^a	6.4	6.4	7.3	4.7	6.1	4.9
95%CI^b	5.3;7.5	5.3;7.5	5.8;8.9	3.5;6.0	4.9;7.4	3.6;6.2
p-value	<0.001	<0.001	<0.001	<0.001	<0.001	<0.001
Trend	Increasing	Increasing	Increasing	Increasing	Increasing	Increasing

[1] Correspondence: Antônio Augusto Ferreira Carioca carioca@unifor.br.

Brasil

Brasil

Food and Nutrition Surveillance System: temporal trend of coverage and nutritional status of adults registered on the system, Brazil, 2008-2019

Abstract

Objective

Methods

Results

Conclusion