Tendência da mortalidade por diabetes melito em capitais brasileiras, 1980-2007

Abstract

RESUMOObjetivo: Analisar o padrão de mortalidade por diabetes nas capitais brasileiras entre 1980 e 2007. Materiais e métodos: Foram calculadas taxas de mortalidade quadrienais e anuais, padronizadas por idade pela população mundial. Modelos de regressão linear foram estimados para análise da tendência nas capitais. Resultados: No primeiro quadriênio, a taxa mais elevada correspondeu a 42,89/100.000 em Aracaju e, no último, a 54,38/100.000 em São Luís. Foram observadas tendências estatisticamente significativas de incremento na maioria das capitais, embora com diferenças regionais. Belo Horizonte foi a única capital a mostrar tendência de declínio. Conclusões: Uma parte do incremento observado poderia ser atribuída a melhoras no acesso ao diagnóstico e na certificação da causa de morte, porém diferenças regionais na prevalência de fatores de risco e proteção para a doença possivelmente também estão implicadas. A não disponibilidade de série histórica de casos incidentes impossibilita determinar se esses resultados refletem tendências atuais da incidência do diabetes no Brasil. Arq Bras Endocrinol In the first quadrennial period, the highest rate was 42.89/100,000 in Aracaju; and in the last quadrennial period, 54.38/100,000 in São Luis. Although mortality rates showed statistically significant incremental trends in most capitals, there were regional differences. Belo Horizonte was the only capital to show a declining trend. Conclusions: Part of the observed increment could be attributed to improvements in access to diagnosis and death certification, but regional differences in the prevalence of diabetes risk and protective factors might also be implicated. The absence of a time series of incident cases makes it difficult to determine if these results reflect current trends in the incidence of diabetes in Brazil. InTRODUçãO O padrão epidemiológico do diabetes melito tipo 2 no mundo tem se modificado nas últimas déca-das e essas mudanças têm sido atribuídas a modificações nos hábitos alimentares, aumento da inatividade física e da obesidade, à urbanização e ao envelhecimento da população (1). Espera-se que, entre 2000 e 2030, sua prevalência global dobre, atingindo cerca de 366 mi-

Tendência de mortalidade por diabetes mellitus

“…It is reported that this data is particularly important, since, previously, the data pointed to a greater trend of DM mortality in the states and capitals of the Northeastern region. [7][8] When the data were stratified by sex, a trend curve for the trend of mortality for women in the State of Ceará was denoted. It is shown that this data is consistent with those obtained at the national level and in the Northeast region.…”

“…6 In recent decades, the high mortality rates and the burden generated by the disease in the capitals and states of the Northeast region of Brazil have been verified. [7][8] The need to evaluate the parameters of illness and death of a population is highlighted because this analysis can subsidize the proposal of public policies and the assessment of the management and planning of promotion and prevention actions carried out by the health services. It is understood that, this approach can be given by the historical series study of mortality trend.…”

Risk of developing diabetes mellitus in primary care health users: a cross-sectional study

“…The importance of the occurrence of DM2 lies in the morbidity and mortality associated with the disease. Recently published data indicates a signifi cant increase in deaths caused by DM2 in 25 Brazilian capitals cities (10) . In addition to the mortality, the consequences of DM2 on human health, such as problems related to vision, the heart and the circulatory system, sleep and back problems (11) , negatively aff ect the quality of life of suff erers.…”

Análise das arteriografias de diabéticos e não diabéticos com isquemia crítica da perna

“…A recent study shows an increase in mortality by diabetes in most Brazilian cities. 10 Diabetes is also an important risk factor for peripheral vascular disease and patients with critical limb ischemia have a mortality rate of around 20% as early as in the first year after disease presentation. 1 The literature shows particularities of atherosclerotic disease in diabetic patients, such as the fact that it occurs earlier, being more frequent and more severe, with diabetes being the leading cause of lower limb amputations in the world.…”