Prevalência e fatores associados ao sobrepeso e obesidade em agentes comunitários de saúde do norte de Minas Gerais na pandemia da COVID-19

Abstract

In primary health care, the community health ervis is a fundamental professional. This worker has numerous work assignments and may undergo changes in lifestyle, such as inadequate diet and ervisse nte physical activity, which interfere with health status, causing, for example, overweight and obesity. This research aimed to verify the prevalence of overweight and obesity in community health workers in the north of Minas Gerais in the COVID-19 pandemic and the factors associated with it. This is a cross-sectional, analytical study carried out with 1220 community health workers from 36 municipalities in the northern region of the state of Minas Gerais. Data collection took place through na electronic form containing sociodemographic profile variables; occupational data, habits and health conditions and anthropometric variables. For data analysis, Poisson regression was used, adopting a significance level of 5%. As for the professional profile, 66.9% of the ACS had up to 10 years of ervisse in this function, 60.6% are Contractors-Celetistas / Celetistas / Providers. Regarding habits and health conditions during the pandemic, 58.6% declared their health status Very good/Good; 67.8% do not belong to any COVID-19 risk group, 47.5% did not self-medicate; 65.2% did not consume alcoholic beverages. The results showed that the prevalence of obesity among ACS was 24.8%; 38.1% were overweight, and 37.1% were eutrophic. ACS aged 26 years or older (OR=2.66), belonging to the risk group for COVID-19 (OR=1.38), were more likely to be overweight. That during the pandemic, body weight increased (OR=1.87); who during the pandemic maintained the practice of physical activity for 3 days or more (OR=1.48). As for obesity, female CHAs (OR=1.68), aged between 26 and 40 years (OR= 2.36), whose health status during the pandemic was classified as Regular/Poor (OR =1.42); those who belonged to the risk group for COVID-19 (OR=4.17), those who consumed alcohol during the pandemic (OR= 1.70) and among those who had increased body weight during the pandemic (OR=3.16 ). The results showed a high prevalence of overweight and obesity among community health workers during the COVID-19 pandemic, which is associated with internal and external factors related to sociodemographic characteristics, habits and health conditions.