Fatores de risco e proteção para doenças crônicas por inquérito telefônico nas capitais brasileiras, Vigitel 2014

Malta, Déborah Carvalho; Stopa, Sheila Rizzato; Iser, Betine Pinto Moehlecke; Bernal, Regina Tomie Ivata; Claro, Rafael Moreira; Nardi, Antonio Carlos Figueiredo; Chioro, Arthur; Monteiro, Carlos Augusto

doi:10.1590/1980-5497201500060021

Cited by 51 publications

(50 citation statements)

References 11 publications

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“…Brazil has innovated epidemiological surveys 9 , such as household surveys (e.g. the National Health Survey -PNS) 10 , telephone surveys 11 , surveys with teenagers 12 , surveys in emergency rooms 13 , longitudinal follow-up studies 14 , among others. Furthermore, the information obtained through surveys complements the knowledge of health inequalities, supporting policies, to achieve greater equity 4,15,16 .…”

Section: Introductionmentioning

confidence: 99%

Fatores de risco relacionados à carga global de doença do Brasil e Unidades Federadas, 2015

Malta

Felisbino-Mendes

Machado

et al. 2017

Rev. bras. epidemiol.

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ABSTRACT:Objective: To analyze the global burden of disease related to disability adjusted life years (DALYs) attributed to selected risk factors in Brazil and its 27 Federated Units. Methods: Databases from the Global Burden of Disease study in Brazil and its Federated Units were used, estimating the summary exposure value (SEV) for selected environmental, behavioral, and metabolic risk factors (RFs), and their combinations. The DALYs were used as the main metric. The ranking of major RFs between 1990 and 2015 was compiled, comparing data by sex and states. Results: The analyzed RFs account for 38.8% of the loss of DALYs in the country. Dietary risks was the main cause of DALYs in 2015. In men, dietary risks contributed to 12.2% of DALYs and in women, to 11.1%. Other RFs were high systolic blood pressure, high body mass index, smoking, high fasting plasma glucose and, among men, alcohol and drug use. The main RFs were metabolic and behavioral. In most states, dietary risks was the main RF, followed by high blood pressure. Conclusion: Dietary risks leads the RF ranking for Brazil and its Federated Units. Men are more exposed to behavioral risk factors, and women are more exposed to metabolic ones.

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Section: Introductionmentioning

confidence: 99%

Fatores de risco relacionados à carga global de doença do Brasil e Unidades Federadas, 2015

Malta

Felisbino-Mendes

Machado

et al. 2017

Rev. bras. epidemiol.

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“…Nowadays excess weight affects more than 50% of the Brazilian population, and around 20% of the whole population has obesity [8]. These numbers are very close to other prevalence numbers in Latin America.…”

Section: Government Powermentioning

confidence: 56%

The Role of States in Controlling the Obesity Epidemic, and a Personal Autonomy to Decide

Fonseca¹,

Toloi²,

Sá³

et al. 2017

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Obesity has reached pandemic proportions in the world. Who is to blame for this: the person or the State (or both?). An increase in diseases associated with excess weight is also worldwide reported, such as Diabetes, Hypertension and some types of cancers. Therefore, the economic impacts of these comorbidities are an important issue to be discussed by States and citizens. Although the World Health Organization (WHO) has set and classified obesity as a disease more than 30 years ago, the American Medical Society was until recently (2010) not so sure about this definition. This article discusses the relevance of the implementation of public health policies for prevention and control of obesity, along with the possible ethical limitations to these actions, considering the autonomy of individuals regarding their health.

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“…In Cuiabá (Mato Grosso), on the other hand, older adults who used public health services were more polymedicated 22 . Chronic diseases affect older people and people with low purchasing power, conditions that result from less access to and use of health services 29 . According to the SABE Study, about 70.0% of older adults without health insurance had no schooling and 58.7% of women and 81.6% of men received less than one minimum wage.…”

Section: Discussionmentioning

confidence: 99%

Polypharmacy in community-based older adults: results of the Fibra study

Marques

Assumpção

Rezende

et al. 2019

Rev. bras. geriatr. gerontol.

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Objectives : To estimate the prevalence of polypharmacy among older adults (≥65 years); to verify its association with sociodemographic variables, nutritional status and health conditions; to describe the prevalence of polypharmacy according to the presence of specific chronic diseases, and to report the method of acquiring drugs. Method : A cross-sectional study was performed with older adults (n=2,217) from seven Brazilian municipal regions. The prevalence of polypharmacy and its 95% confidence intervals were estimated. Associations were verified using Pearson’s Chi-squared test with a significance level of 5%, and the independent associations between the selected variables and polypharmacy were verified by multiple hierarchical Poisson regression. Results : The prevalence of polypharmacy was 18.4% (CI95%:16.8-20.0), and was significantly lower among non-white individuals, those who did not have a health plan, and those who assessed their health as very good/good (p<0.05). Obesity: (PR=1.36; CI95%:1.06-1.75), increased waist circumference (PR=1.54; CI95%:1.08-2.20) and presence of two (PR=2.24; CI95%:1.52-3.31) or three or more (PR=4.22; CI95%:2.96-6.02) chronic diseases were positively associated with polypharmacy. Polypharmacy was observed in about 30.0% of older adults with heart disease, diabetes mellitus and/or strokes/CVA/ischemia. The frequency of older adults who acquired drugs in Basic Health Units was 20.3% and those who obtained them via their own/family resources was 13.5%. Conclusion : Among older adults, the identification of segments with a higher prevalence of polypharmacy enables a better structuring of the provision of treatment during their care pathway, allowing special attention to be paid to problems related to the use of drugs.

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Fatores de risco e proteção para doenças crônicas por inquérito telefônico nas capitais brasileiras, Vigitel 2014

Abstract: The results from Vigitel 2014 indicate that risk factors are, in general, more frequent among men, older adults and less educated individuals, characterizing the socioeconomic and cultural dimensions in determining chronic diseases.

Cited by 51 publications

References 11 publications

Fatores de risco relacionados à carga global de doença do Brasil e Unidades Federadas, 2015

Fatores de risco relacionados à carga global de doença do Brasil e Unidades Federadas, 2015

The Role of States in Controlling the Obesity Epidemic, and a Personal Autonomy to Decide

Polypharmacy in community-based older adults: results of the Fibra study

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