Obesity in Brazil is a major public health challenge and one of the leading risk factors for non-communicable diseases in the country. Brazil is the largest country in South America and the fifth most populous in the world, with approximately 215 million inhabitants. Since the early 21st century, Brazil has experienced a substantial increase in obesity and overweight prevalence among adults, reflecting changes in dietary patterns, physical activity levels, urbanisation, and socioeconomic conditions. According to data from the Brazilian Ministry of Health's Vigilância de Fatores de Risco e Proteção para Doenças Crônicas por Inquérito Telefônico (Vigitel), obesity prevalence among adults living in the 26 Brazilian state capitals and the Federal District more than doubled between 2006 and 2024.
History
Brazil's obesity epidemic accelerated sharply during the first two decades of the 21st century, driven by urbanisation, dietary transitions, and socioeconomic change. Successive national surveys documented a sustained rise in both overweight and obesity across all demographic groups. Data from the Consumer Expenditure Survey (Pesquisa de Orçamentos Familiares, POF) and the National Survey of Health (Pesquisa Nacional de Saúde, PNS) show that the proportion of obese adults aged 20 and over more than doubled between 2002–2003 and 2019, rising from 12.2% to 26.8%. Over the same period, the prevalence of overweight increased from 43.3% to 61.7%. Both sexes were affected, though women consistently showed higher rates of obesity across all age groups. In 2019, obesity prevalence stood at 29.5% among women and 21.8% among men. The 40–59 age group recorded the highest burden of excess weight, with 70.3% classified as overweight in 2019. A modest decline was observed among adults aged 60 and over. The 2019 PNS also assessed the quality of Primary Health Care (PHC) for the first time, finding an overall user satisfaction score of 5.9 out of 10 among adults attended at Basic Health Care Units (Unidades Básicas de Saúde, UBS) or Family Health Care Units (Unidades de Saúde da Família, USF) — below the 6.6 threshold considered indicative of high-quality service.
Epidemiology Obesity prevalence in Brazil has increased steadily over recent decades. Data from the Vigitel surveillance system indicate that the prevalence of obesity among adults increased from 11.8% in 2006 to 25.7% in 2024. During the same period, the prevalence of excess weight increased from 42.6% to 62.6%. The increase corresponds to a growth of approximately 118% in obesity prevalence over an eighteen-year period. No sustained decline was observed during the surveillance period. A systematic review and meta-analysis published in 2024 estimated the pooled prevalence of obesity among Brazilian adults at approximately 20%, with higher prevalence observed in the South and Southeast regions.
Sex differences
Women consistently presented higher obesity prevalence than men throughout the Vigitel surveillance period. In 2006, obesity affected 12.1% of women and 11.4% of men. By 2024, prevalence had increased to 26.7% among women and 24.4% among men. Both sexes experienced substantial increases in obesity prevalence, although women maintained higher rates throughout the period.
Trends observed by Vigitel Since its implementation in 2006, Vigitel has collected information from more than 833,000 Brazilian adults, making it one of the largest continuous surveillance systems for chronic disease risk factors in Latin America. The surveillance system has documented parallel increases in obesity, diabetes, and other chronic disease risk factors. Vigitel findings are frequently used by researchers, public health agencies, and policymakers to monitor population health trends in Brazil.
Associated conditions The increase in obesity prevalence has occurred alongside rising rates of diabetes and other metabolic disorders. According to Vigitel, the prevalence of self-reported medical diagnosis of diabetes increased from 5.5% in 2006 to 12.9% in 2024. The trend closely parallels the increase in obesity prevalence observed during the same period. Obesity is associated with a wide range of chronic diseases in Brazil, including type 2 diabetes, hypertension, dyslipidemia, obstructive sleep apnea, osteoarthritis, and several forms of cancer. The Brazilian Association for the Study of Obesity and Metabolic Syndrome (ABESO) and international clinical guidelines recognise obesity as a chronic, relapsing, multifactorial disease requiring long-term management. The Organisation for Economic Co-operation and Development (OECD) has identified obesity as one of the most important modifiable risk factors affecting population health in Brazil.
Risk factors The increase in obesity in Brazil has been associated with multiple factors, including increased consumption of ultra-processed foods, reduced levels of physical activity, urbanisation and lifestyle changes, socioeconomic inequalities, increased sedentary behaviour, and changes in transpiration and occupational patterns. Research has demonstrated associations between obesity and age, educational attainment, income, and regional disparities. Brazil's nutrition transition has been characterised by a gradual shift from traditional dietary patterns toward increased consumption of processed and ultra-processed foods.
Childhood obesity Childhood and adolescent obesity have also increased in Brazil. National surveys and international reports have identified Brazil as one of the countries experiencing a rapid rise in obesity among children and adolescents. Public health experts have expressed concern that increasing childhood obesity may contribute to future increases in diabetes, cardiovascular disease, and healthcare expenditures. The World Obesity Federation has highlighted childhood obesity as an emerging public health challenge in Brazil and throughout Latin America.
Public policy and prevention Brazil has implemented several public health measures aimed at preventing obesity and promoting healthy lifestyles. Major initiatives include:
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