Diabetes mellitus mortality in a municipality in the state of São Paulo, 2010 to 2014

Abstract

OBJECTIVE: To describe diabetes mellitus mortality according to sex and age in a municipality in the state of São Paulo, in the period ranging from 2010 to 2014. METHODS: This was a temporal series ecological study carried out in Ribeirão Preto, state of São Paulo. The data was comprised of information on 583 deaths of Ribeirão Preto residents – regardless of the place of death – from 2010 to 2014. The data source was the electronic system of the Epidemiological Surveillance of the Municipal Health Department of the evaluated municipality. Sex, age group, premature death and year of death were chosen as variables. Subsequently, age-standardized mortality rates were calculated using the World Health Organization’s standard population, in addition to total and average per death potential years of life lost. RESULTS: Mortality due to diabetes mellitus in the municipality increased during the studied period. There was a higher occurrence of female deaths, especially in the ≥ 80 years age group. The highest rates of age-standardized mortality were male. For both sexes, there was an annual mean increase of 9% in premature mortality during the studied period. Diabetes decreased life expectancy by 10 years. CONCLUSIONS: As a diagnosis of local health care, the significant increase in agestandardized mortality rates, premature mortality and potential years of life lost in the studied municipality point to the need for improvements in health promotion and disease prevention measures. It is our hope that the results presented in this study contribute to the monitoring of mortality rates in the coming years.

Diabetes como causa básica e associada do óbito na cidade do Recife.

“…Outro achado é que nesse estudo não foi observado diferença significativa dos sexos para os grupos de DM como causa básica e associada. Contudo, há estudos no Brasil que destacam que os óbitos no sexo feminino por DM, concentraram-se na faixa etária dos idosos, sendo mais que o dobro dos óbitos no sexo masculino, nessa mesma faixa etária (SCHMIDT; BARTHOLOW, 2012;KLAFKE et al, 2014;LIMA et al, 2019;SAEEDI et al, 2020).…”

Hospitalizations and deaths by Diabetes Mellitus / Internações e óbitos por Diabetes Mellitus

“…10 In relation to deaths, a discrete prevalence among women was observed, a finding that corroborates studies conducted in other contexts, in which 55.1% and 54% of deaths due to DM occurred in female individuals. [16][17] An international study points out some contributing factors to a less favorable condition of diabetic women, such as reproductive factors, differences between symptoms and psychosocial stress. 18 In addition, an Italian study showed that the general cardiovascular risk is higher in diabetic women who are older and obese and have had DM for longer, in general, have worse glycemic control and lipid profile in relation to men, although they undergo a similar or more intense pharmacological treatment.…”

“…This result is in agreement with research conducted in Ribeirão Preto--SP, in which mortality was higher among elderly people over 80 years of age (33.3%). 16 The growth in mortality rates by DM at older ages may result from the frailties of the systems and physiological organs, common to the aging process, as well as from the comorbidities that arise over time, added to unsatisfactory self-care. 21 Thus, it is understood that DM is a significant contributor to increased risk of death and reduced life expectancy in the older population.…”

Carga de mortalidad atribuible a inactividad física, Colombia 2015

“…Sin embargo, este resultado sugiere que se requiere más esfuerzo para promover la actividad física en Colombia. En el Plan Decenal de Salud Pública 2012-2021 (Ministerio de Salud y Protección Social, 2013) y en el Plan decenal del deporte, la recreación, la educación física y la actividad física, para el desarrollo humano, la convivencia y la paz -2019(Coldeportes, 2009 se plasmó la política de promoción de la actividad física en Colombia. Desde la publicación de estos documentos se han lanzado otros documentos y estrategias locales para promover la actividad física.…”

“…Por otra parte, se debe considerar la calidad de la información de mortalidad en su cobertura y su contenido. Es probable que haya problemas de subregistro y mala clasificación de los casos, debido a que muchas veces se registran las complicaciones de las patologías consideradas (Anderson y Le Riche, 1970;Garne, Aspegren y Balldin, 1996;Lackland et al, 2014;Lima, Istilli, Teixeira, Zanetti y Torquato, 2019;Visser, Keegan, Martin y Wren, 2009).…”