{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T07:30:48Z","timestamp":1781940648928,"version":"3.54.5"},"reference-count":49,"publisher":"Sociedade Brasileira de Cardiologia","issue":"11","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Bras. Cardiol."],"abstract":"<jats:p>Resumo  Fundamento: A diabesidade \u00e9 uma condi\u00e7\u00e3o caracterizada pela coexist\u00eancia de diabetes tipo 02 e obesidade. As causas s\u00e3o multifatoriais, resultantes de uma complexa intera\u00e7\u00e3o de fatores gen\u00e9ticos e comportamentais. Entre os fatores comportamentais, destacam-se a inatividade f\u00edsica, os h\u00e1bitos alimentares inadequados e o consumo excessivo de \u00e1lcool e tabaco.  Objetivo: Investigar o agrupamento (clustering) da inatividade f\u00edsica e outros fatores de risco e a associa\u00e7\u00e3o entre as combina\u00e7\u00f5es de fatores de risco e a presen\u00e7a de diabesidade em adultos quilombolas.  M\u00e9todos: Trata-se de estudo transversal com amostra composta por 332 adultos de meia idade e idosos (idade \u2265 50 anos), selecionados entre os participantes do estudo \"Perfil epidemiol\u00f3gico dos quilombolas baianos\". Os dados foram obtidos por meio de entrevistas e avalia\u00e7\u00e3o antropom\u00e9trica. Para a an\u00e1lise dos dados, foram utilizadas estat\u00edsticas descritivas, an\u00e1lise de cluster e procedimentos de regress\u00e3o log\u00edstica multinominal.  Resultado: A maior preval\u00eancia de agrupamento foi identificada para as combina\u00e7\u00f5es de consumo regular de \u00e1lcool sem a presen\u00e7a dos demais fatores (O\/E=14,2; IC95%= 0,87-1,15), seguido de consumo regular de \u00e1lcool e tabaco (O\/E=10,3; IC95%= 0,64-0,95) e consumo regular de \u00e1lcool, tabaco e alimentos ricos em a\u00e7\u00facar e gorduras (O\/E=6,8; IC95%= 1,31-1,75). Na an\u00e1lise bruta, foram observadas associa\u00e7\u00f5es entre inatividade f\u00edsica sem a presen\u00e7a dos demais fatores (OR= 0,82 IC95%= 0,78-0,86) e diabesidade.  Conclus\u00e3o: O consumo de \u00e1lcool foi o fator mais prevalente nas maiores combina\u00e7\u00f5es avaliadas. Al\u00e9m disso, inatividade f\u00edsica, sem os outros comportamentos analisados, e a aus\u00eancia de todos os comportamentos associaram-se \u00e0 diabesidade apenas na an\u00e1lise bruta.<\/jats:p>","DOI":"10.36660\/abc.20230715","type":"journal-article","created":{"date-parts":[[2024,12,17]],"date-time":"2024-12-17T10:10:03Z","timestamp":1734430203000},"source":"Crossref","is-referenced-by-count":1,"title":["Cluster de Inatividade F\u00edsica e Outros Fatores de Risco na Diabesidade em Adultos Quilombolas"],"prefix":"10.36660","volume":"121","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1086-4593","authenticated-orcid":false,"given":"Poliana Pereira","family":"Santana","sequence":"first","affiliation":[{"name":"Universidade Estadual do Sudoeste da Bahia,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2730-5117","authenticated-orcid":false,"given":"Clarice Alves","family":"dos Santos","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Sudoeste da Bahia,  Brasil; Universidade Estadual do Sudoeste da Bahia,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1515-9121","authenticated-orcid":false,"given":"Ricardo Franklin de Freitas","family":"Mussi","sequence":"additional","affiliation":[{"name":"Universidade do Estado da Bahia,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6421-1718","authenticated-orcid":false,"given":"Hector Luiz Rodrigues","family":"Munaro","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Sudoeste da Bahia,  Brasil; Universidade Estadual do Sudoeste da Bahia,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8655-5151","authenticated-orcid":false,"given":"Saulo Vasconcelos","family":"Rocha","sequence":"additional","affiliation":[{"name":"Universidade Estadual do Sudoeste da Bahia,  Brasil; Universidade Estadual do Sudoeste da Bahia,  Brasil; 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2009-2010: Constitui\u00e7\u00e3o Cidad\u00e3, seguridade social e seus efeitos sobre as assimetrias de cor ou ra\u00e7a"},{"issue":"1","key":"ref18","doi-asserted-by":"crossref","first-page":"226","DOI":"10.22278\/2318-2660.2019.v43.n1.a2988","article-title":"Condi\u00e7\u00f5es de vida, sa\u00fade e morbidade de comunidades quilombolas do semi\u00e1rido baiano, Brasil. Rev","volume":"43","author":"Ara\u00fajo RLM de S","year":"2019","journal-title":"Baiana Sa\u00fade P\u00fablica"},{"issue":"2","key":"ref19","doi-asserted-by":"crossref","DOI":"10.33448\/rsd-v10i2.11055","article-title":"Subdiagn\u00f3stico da Hipertens\u00e3o Arterial em adultos quilombolas de regi\u00e3o baiana, Brasil","volume":"10","author":"Matos F","year":"2021","journal-title":"Research, Society and Development"},{"key":"ref20","doi-asserted-by":"crossref","DOI":"10.1590\/interface.200478","article-title":"Artigos Cartografia das condi\u00e7\u00f5es de trabalho de a informalidade e a sa\u00fade mental","volume":"25","author":"Miranda S","year":"2021","journal-title":"Interface (Botucatu)"},{"key":"ref21","doi-asserted-by":"crossref","DOI":"10.5402\/2012\/408079","article-title":"Racial\/ethnic variability in diabetes mellitus among United States residents is unexplained by lifestyle, sociodemographics and prognostic factors","author":"Holmes LJ","year":"2012","journal-title":"ISRN Public Health"},{"key":"ref22","series-title":"IDF DIABETES ATLAS Eighth edition 2017"},{"key":"ref23","series-title":"Socioeconomic and health conditions associated with quality of life of elderly quilombolas","volume":"25","author":"Santos VC","year":"2016"},{"issue":"8","key":"ref24","doi-asserted-by":"crossref","first-page":"2999","DOI":"10.1590\/1413-81232020258.27752018","article-title":"Simultaneidade de comportamentos de risco para a obesidade em adultos das capitais do Brasil","volume":"25","author":"Streb AR","year":"2020","journal-title":"Ci\u00eanc sa\u00fade coletiva"},{"key":"ref25","series-title":"Funda\u00e7\u00e3o Palmares","year":"2016"},{"issue":"4","key":"ref26","first-page":"1193","article-title":"Overweight and associated factors in Quilombolas from the middle San Francisco, Bahia, Brazil","volume":"23","author":"Mussi RFF","year":"2018","journal-title":"Cien Saude Colet"},{"issue":"2","key":"ref27","first-page":"5","article-title":"Question\u00e1rio Internacional de Atividade F\u00edsica (IPAQ): um estudo de validade e reprodutibilidade no Brasil","volume":"6","author":"Matsudo S","year":"2001","journal-title":"Revista Brasileira de Atividade F\u00edsica e Sa\u00fade"},{"issue":"4","key":"ref28","first-page":"532","article-title":"Diabesity","volume":"63","author":"Kalra S","year":"2013","journal-title":"J Pak Med Assoc"},{"issue":"2","key":"ref29","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1177\/1753944711403189","article-title":"Epidemic of cardiometabolic diseases: a Latin American point of view","volume":"5","author":"Lopez-Jaramillo P","year":"2011","journal-title":"Ther Adv Cardiovasc Dis"},{"issue":"19","key":"ref30","doi-asserted-by":"crossref","first-page":"4101","DOI":"10.3390\/nu14194101","article-title":"Influence of Educational Level and Healthy Habits on the Prevalence of Diabesity in a Spanish Working Population","volume":"14","author":"Ram\u00edrez-Manent JI","year":"2022","journal-title":"Nutrients"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"12s","DOI":"10.1590\/s1518-8787.2017051000011","article-title":"Factors associated with self-reported diabetes according to the 2013","volume":"51","author":"Malta DC","year":"2017","journal-title":"Rev Sa\u00fade P\u00fablica"},{"issue":"3","key":"ref32","article-title":"Obesidade abdominal e fatores associados em comunidades quilombolas do Norte de Minas Gerais, 2019","volume":"30","author":"Queiroz P de SF","year":"2021","journal-title":"Epidemiologia e Servi\u00e7os de Sa\u00fade"},{"issue":"3","key":"ref33","doi-asserted-by":"crossref","first-page":"315","DOI":"10.4103\/ijcm.IJCM_324_19","article-title":"Prevalence and Factors Influencing Diabesity among Persons with Type 2 Diabetes Mellitus in Urban Puducherry: A Cross-Sectional Analytical Study","volume":"45","author":"Rehman T","year":"2020","journal-title":"Indian J Community Med"},{"issue":"9","key":"ref34","doi-asserted-by":"crossref","first-page":"3293","DOI":"10.1590\/1413-81232018249.28002017","article-title":"Preval\u00eancia autorreferida de hipertens\u00e3o e fatores associados em comunidades quilombolas do Rio Grande do Sul, Brasil","volume":"24","author":"Pauli S","year":"2019","journal-title":"Ci\u00eanc sa\u00fade coletiva"},{"issue":"1","key":"ref35","article-title":"Avalia\u00e7\u00e3o da Preval\u00eancia de Diabetes Mellitus tipo 2 e Hipertens\u00e3o Arterial Sist\u00eamica em uma Popula\u00e7\u00e3o Quilombola do Norte do Rio Grande do Sul. VIII Semin\u00e1rio de Ensino, Pesquisa e Extens\u00e3o da UFFS","volume":"8","author":"F\u00fchr NB","year":"2018","journal-title":"Anais do SEPE"},{"issue":"3","key":"ref36","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1590\/1413-81232015203.12702014","article-title":"Preval\u00eancia do consumo moderado e excessivo de \u00e1lcool e fatores associados entre residentes de Comunidades Quilombolas de Vit\u00f3ria da Conquista, Bahia, Brasil","volume":"20","author":"Cardoso LGV","year":"2015","journal-title":"Ci\u00eanc sa\u00fade coletiva"},{"issue":"3","key":"ref37","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1007\/s00127-005-0883-4","article-title":"Social inequality and alcohol consumption-abuse in Bahia, Brazil Interactions of gender, ethnicity and social class","volume":"40","author":"Almeida Filho N","year":"2005","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"issue":"4","key":"ref38","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1590\/1414-462x201600040093","article-title":"Fatores de risco para doen\u00e7as cr\u00f4nicas n\u00e3o transmiss\u00edveis em quilombolas do norte de Minas Gerais","volume":"24","author":"Oliveira SKM","year":"2016","journal-title":"Cad Saude Colet"},{"issue":"1","key":"ref39","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1186\/s13098-023-01099-6","article-title":"Correction: Smoking and diabetes: dangerous liaisons and confusing relationships","volume":"15","author":"Campagna D","year":"2023","journal-title":"Diabetol Metab Syndr"},{"key":"ref40","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1590\/S0034-89102005000400003","article-title":"Disponibilidade domiciliar de alimentos no Brasil: distribui\u00e7\u00e3o e evolu\u00e7\u00e3o (1974-2003)","volume":"39","author":"Levy-Costa RB","year":"2005","journal-title":"Rev Sa\u00fade P\u00fablica"},{"issue":"9","key":"ref41","doi-asserted-by":"crossref","first-page":"1889","DOI":"10.1590\/S0102-311X2013001300027","article-title":"Comunidades quilombolas de Vit\u00f3ria da Conquista, Bahia, Brasil: hipertens\u00e3o arterial e fatores associados","volume":"29","author":"Bezerra VM","year":"2013","journal-title":"Cad Sa\u00fade P\u00fablica"},{"issue":"3","key":"ref42","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1590\/1413-81232015203.03922014","article-title":"Indicadores nutricionais combinados e fatores associados em popula\u00e7\u00e3o Quilombola no Sudoeste da Bahia, Brasil","volume":"20","author":"Soares DA","year":"2015","journal-title":"Ci\u00eanc sa\u00fade coletiva"},{"key":"ref43","series-title":"Quilombos do Brasil: seguran\u00e7a alimentar e nutricional em territ\u00f3rios titulados","volume-title":"Multidimensionalidade da pobreza em comunidades quilombolas: aspectos anal\u00edticos para a seguran\u00e7a alimentar e nutricional","author":"Frozi DS","year":"2005"},{"issue":"5","key":"ref44","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1590\/S1516-18462011005000033","article-title":"Sa\u00fade e comunidades quilombolas: uma revis\u00e3o da literatura","volume":"13","author":"Freitas DA","year":"2011","journal-title":"Rev CEFAC [online]"},{"issue":"2","key":"ref45","doi-asserted-by":"crossref","first-page":"673","DOI":"10.1113\/jphysiol.2003.045591","article-title":"Suppression of skeletal muscle lipoprotein lipase activity during physical inactivity: a molecular reason to maintain daily low\u2010intensity activity","volume":"551","author":"Bey L.","year":"2003","journal-title":"The Journal of Physiology"},{"issue":"15","key":"ref46","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1186\/s12889-015-1426-x","article-title":"Socio-demographic, clinical and health behavior correlates of sitting time in older adults","volume":"31","author":"Meneguci J","year":"2015","journal-title":"BMC Public Health"},{"issue":"6","key":"ref47","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1590\/S0104-42302010000600021","article-title":"Atividade f\u00edsica na preven\u00e7\u00e3o de diabetes em etnia negra: quanto \u00e9 necess\u00e1rio? 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