Agregação de fatores de risco para doenças e agravos crônicos não transmissíveis em adultos de Florianópolis, SC

BackgroundThe four common non-communicable diseases (NCDs) account for 80% of NCD-related deaths worldwide. The four NCDs share four common risk factors. As most of the existing evidence on the common NCD risk factors is based on analysis of a single factor at a time, there is a need to investigate the co-occurrence of the common NCD risk factors, particularly in an urban slum setting in sub-Saharan Africa.ObjectiveTo determine the prevalence of co-occurrence of the four common NCDs risk factors among urban slum dwellers in Nairobi, Kenya.DesignThis analysis was based on the data collected as part of a cross-sectional survey to assess linkages among socio-economic status, perceived personal risk, and risk factors for cardiovascular and NCDs in a population of slum dwellers in Nairobi, Kenya, in 2008–2009. A total of 5,190 study subjects were included in the analysis. After selecting relevant variables for common NCD risk factors, we computed the prevalence of all possible combinations of the four common NCD risk factors. The analysis was disaggregated by relevant background variables.ResultsThe weighted prevalences of unhealthy diet, insufficient physical activity, harmful use of alcohol, and tobacco use were found to be 57.2, 14.4, 10.1, and 12.4%, respectively. Nearly 72% of the study participants had at least one of the four NCD risk factors. About 52% of the study population had any one of the four NCD risk factors. About one-fifth (19.8%) had co-occurrence of NCD risk factors. Close to one in six individuals (17.6%) had two NCD risk factors, while only 2.2% had three or four NCD risk factors.ConclusionsOne out of five of people in the urban slum settings of Nairobi had co-occurrence of NCD risk factors. Both comprehensive and differentiated approaches are needed for effective NCD prevention and control in these settings.

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“…It may also reach 70% in rural Asian populations ( 27 ). Prevalence of clustering in Florianopolis was 43% in men and 37% in women ( 28 ).…”

Section: Discussionmentioning

confidence: 99%

Co-occurrence of behavioral risk factors of common non-communicable diseases among urban slum dwellers in Nairobi, Kenya

Haregu

Oti

Egondi

et al. 2015

Global Health Action

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“…There is a high prevalence of hypertension (20.3%), abdominal obesity (30.0%), hyperglycaemia (14.4%) and dyslipidaemia (65.0%) found among Brazilian adolescents [ 4 ], and the risk of these diseases could be reduced by acting on modifiable risk factors for NCDs (such as physical inactivity, excessive alcohol consumption, smoking, sedentary behaviour and unhealthy diet). Behavioural factors are more sensitive to interventions than clinical factors [ 5 ]. Moreover, habits acquired at this stage of life tend to persist in adulthood [ 6 – 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…Each of these risk factors for NCDs has a different impact on health. Adolescents with low levels of physical activity have a higher risk of hypertension [ 3 , 5 ]. Sedentary adolescents have a higher risk of obesity [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…Physical inactivity and sedentary behaviour are different constructs and represent different causes and consequences that affect health [ 10 ]. Another risk factor for NCDs that has a negative impact on the health of adolescents is unhealthy diet, either through the low consumption of fruits and vegetables or the high intake of foods rich in sugars that cause diabetes mellitus type II [ 5 , 7 ]. Additionally, excessive alcohol use causes changes in the central nervous system that may be a cause of depression among adolescents [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

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Clustering of Risk Factors for Non-Communicable Diseases among Adolescents from Southern Brazil

et al. 2016

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IntroductionThe aim of this study was to investigate the simultaneous presence of risk factors for non-communicable diseases and the association of these risk factors with demographic and economic factors among adolescents from southern Brazil.MethodsThe study included 916 students (14–19 years old) enrolled in the 2014 school year at state schools in São José, Santa Catarina, Brazil. Risk factors related to lifestyle (i.e., physical inactivity, excessive alcohol consumption, smoking, sedentary behaviour and unhealthy diet), demographic variables (sex, age and skin colour) and economic variables (school shift and economic level) were assessed through a questionnaire. Simultaneous behaviours were assessed by the ratio between observed and expected prevalences of risk factors for non-communicable diseases. The clustering of risk factors was analysed by multinomial logistic regression. The clusters of risk factors that showed a higher prevalence were analysed by binary logistic regression.ResultsThe clustering of two, three, four, and five risk factors were found in 22.2%, 49.3%, 21.7% and 3.1% of adolescents, respectively. Subgroups that were more likely to have both behaviours of physical inactivity and unhealthy diet simultaneously were mostly composed of girls (OR = 3.03, 95% CI = 1.57–5.85) and those with lower socioeconomic status (OR = 1.83, 95% CI = 1.05–3.21); simultaneous physical inactivity, excessive alcohol consumption, sedentary behaviour and unhealthy diet were mainly observed among older adolescents (OR = 1.49, 95% CI = 1.05–2.12). Subgroups less likely to have both behaviours of sedentary behaviour and unhealthy diet were mostly composed of girls (OR = 0.58, 95% CI = 0.38–0.89); simultaneous physical inactivity, sedentary behaviour and unhealthy diet were mainly observed among older individuals (OR = 0.66, 95% CI = 0.49–0.87) and those of the night shift (OR = 0.59, 95% CI = 0.43–0.82).ConclusionAdolescents had a high prevalence of simultaneous risk factors for NCDs. Demographic (gender and age) and economic (school shift) variables were associated with the most prevalent simultaneous behaviours among adolescents.

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“…Similar studies 44,48 with the adult population of Florianópolis found that men were two and ten times more likely to simultaneously have three or four risk behaviors for NCDs than women, respectively. The same studies corroborate the present research in relation to education, which showed that less educated participants aggregated and accumulated more risk behaviors.…”

Section: Discussionmentioning

confidence: 60%

Prevalência e simultaneidade de fatores de risco cardiovasculares em idosos participantes de um estudo de base populacional no sul do Brasil

Medeiros

Cembranel

Figueiró

et al. 2019

Rev. bras. epidemiol.

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RESUMO: Objetivo: Investigar a prevalência da simultaneidade de fatores de risco cardiovasculares e sua associação com características sociodemográficas em idosos no sul do Brasil. Metodologia: Estudo transversal com 1.553 idosos participantes do Estudo Epidemiológico das Condições de Saúde dos Idosos de Florianópolis (EpiFloripa Idoso), Santa Catarina. Os fatores de risco foram: insuficiência no consumo de frutas, legumes e vegetais (FLV), insuficiência de atividade física no lazer, consumo abusivo de álcool e tabagismo. Construiu-se a variável desfecho através da combinação de todos os fatores, categorizada em nenhum, um, dois, três e quatro fatores de risco. Foram realizadas análises bivariadas e multivariadas empregando-se a regressão de Poisson. Resultados: Constatou-se que 57,6% dos idosos convivem com a simultaneidade de fatores de risco para doenças cardiovasculares. A maior prevalência observada tanto nas mulheres quanto nos homens foi da insuficiência de atividade física com a insuficiência no consumo de FLV, sendo de 46,4 e 28,1%, respectivamente. A prevalência observada dos quatro fatores simultâneos foi maior entre os homens (2,5%) em comparação às mulheres (0,3%). O sexo masculino apresentou 11,0% mais probabilidade de acumular fatores de risco comparado ao sexo feminino. E cada ano a mais de escolaridade representa 4,0% a menos de probabilidade de acumular fatores de risco cardiovasculares. Conclusões: As diferenças entre a simultaneidade de fatores de risco e aspectos sociodemográficos devem ser consideradas na abordagem do idoso tanto em nível individual quanto na construção de políticas públicas.

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Agregação de fatores de risco para doenças e agravos crônicos não transmissíveis em adultos de Florianópolis, SC

Cited by 24 publications

References 18 publications

Co-occurrence of behavioral risk factors of common non-communicable diseases among urban slum dwellers in Nairobi, Kenya

Co-occurrence of behavioral risk factors of common non-communicable diseases among urban slum dwellers in Nairobi, Kenya

Clustering of Risk Factors for Non-Communicable Diseases among Adolescents from Southern Brazil

Prevalência e simultaneidade de fatores de risco cardiovasculares em idosos participantes de um estudo de base populacional no sul do Brasil

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