The aim of this study was to investigate the trend in the prevalence of overweight and obese adults in São Paulo, Brazil, between 2006 and 2019 across chronic diseases and the domains of physical activity. A descriptive retrospective study was carried out on the trend in the prevalence of 26.612 overweight and obese adults (10.150 men and 16.462 women). All data analyzed were based on information from the national system for monitoring risk factors called Protective and Risk Factors for Chronic Diseases by Telephone Survey—VIGITEL. The variables obese and overweight were analyzed in general and stratified by sex, age group, education level, each type of physical activity domain (yes or no), presence of hypertension and diabetes (yes or no), and smoking (yes or no). The prevalence of obesity significantly increased from 11.1% in 2006 to 19.8% in 2019, regardless of age, sex, physical activity practice, and presence of diabetes or hypertension, except for people aged 55–64 y, working people, and smokers. The total prevalence of overweight adults significantly increased overall (from 30.5% in 2006 to 33.4% in 2019) but it significantly increased only in females, in people aged 18–24 y, those who are non-white, those with an education level of 9–11 y, those who are not working, those who are non-smokers, those who did not have diabetes or hypertension, and those who were not physically active during leisure time but physically active at work and at home. There was a significant increase in the prevalence of overweight adults and especially of obese adults living in the city of São Paulo (Brazil) between 2006 and 2019, the latter being observed in nearly every analyzed sub-category, regardless of age, sex, physical activity practice, and presence of diabetes or hypertension.

中文翻译：

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巴西圣保罗成人超重和肥胖患病率趋势：2006 年至 2019 年分析

本研究的目的是调查 2006 年至 2019 年间巴西圣保罗超重和肥胖成年人在慢性病和体力活动领域的患病率趋势。对 26.612 名超重和肥胖成年人（10.150 名男性和 16.462 名女性）的患病率趋势进行了描述性回顾性研究。所有分析数据均基于国家风险因素监测系统（称为“电话调查慢性病的保护性和风险因素”—VIGITEL）的信息。对肥胖和超重变量进行总体分析，并按性别、年龄组、教育水平、每种类型的身体活动领域（是或否）、是否存在高血压和糖尿病（是或否）以及吸烟（是或否）进行分层。无论年龄、性别、体力活动情况以及是否存在糖尿病或高血压，肥胖患病率均从 2006 年的 11.1% 显着上升至 2019 年的 19.8%，但 55-64 岁人群、工作人群和吸烟者除外。成年人超重的总患病率总体显着增加（从 2006 年的 30.5% 增加到 2019 年的 33.4%），但仅在女性、18-24 岁人群、非白人、受教育程度为9-11岁，那些没有工作的人，那些不吸烟的人，那些没有糖尿病或高血压的人，以及那些在闲暇时间不进行身体活动但在工作和家庭中进行身体活动的人。 2006 年至 2019 年间，超重成年人的患病率显着增加，尤其是居住在圣保罗市（巴西）的肥胖成年人，几乎在每个分析的子类别中都观察到肥胖成年人的患病率，无论年龄、性别、身体状况如何。活动实践以及是否存在糖尿病或高血压。