Chronic non-communicable diseases in Brazil: burden and current challenges

Schmidt, María Inês; Duncan, Bruce Bartholow; Silva, Gulnar Azevedo e; Menezes, Ana Maria B.; Monteiro, Carlos Augusto; Barreto, Sandhi Maria; Chor, Dóra; Menezes, Paulo Rossi

doi:10.1016/s0140-6736(11)60135-9

Cited by 1,159 publications

(1,219 citation statements)

References 73 publications

Supporting

Mentioning

769

Contrasting

Unclassified

419

Order By: Relevance

“…New science fi elds that have just started to develop, called genomics and proteomics, will enable, in a future that is not so distant, a better prediction of chronic diseases that constitute public health problems in many countries, including Brazil. 21 The advances in these areas may enable the treatment of certain diseases in preclinical stages.…”

Section: Continuementioning

confidence: 99%

Aspectos eticos em estudos longitudinais: o caso do ELSA-Brasil

et al. 2013

View full text Add to dashboard Cite

The debate about ethics in research with human beings has historically emphasized experimental studies because of their greater potential to harm the subjects involved. However, observational studies also include risks and relevant questions to be discussed. This article aims to present and discuss the ethical aspects involved in the implementation of ELSA-Brasil (Brazilian Longitudinal Study for Adult Health), a longitudinal multicenter study, with public funding, in which the research subjects and investigators are employees of the same institutions. The procedures adopted to meet the ethical requirements and commitments are described, as well as the casuistics that guided the actions according to their guiding principles (benefi cence, autonomy and social justice). We present some moral problems that required consideration of risks and benefi ts at the confl uence with the study's objectives, and we conclude with comments on the peculiarities and the potential benefi ts of a longitudinal study.

show abstract

Section: Continuementioning

confidence: 99%

Aspectos eticos em estudos longitudinais: o caso do ELSA-Brasil

et al. 2013

View full text Add to dashboard Cite

show abstract

“…In Brazil, the prevalence of obesity has increased among children and adolescents mainly in the last decade. From 1975 to 1989, the prevalence of overweight was similar for all income groups, but from 1989 to 2003 there was a greater increase in this prevalence among lower than among higher economic groups (2,3) , although a positive association between socio-economic position (SEP) and prevalence of overweight remained.…”

mentioning

confidence: 95%

Effects of social mobility from childhood to adolescence on BMI

Muraro

Gonçalves-Silva

Ferreira

et al. 2015

Public Health Nutr.

View full text Add to dashboard Cite

Objective: Little is known about the contribution of childhood socio-economic position (SEP) and social mobility to weight change. The present study evaluated the effect of family SEP during the pre-school years and social mobility on BMI between birth and adolescence. Design: Longitudinal. The SEP of each child's family was classified according to an asset-based wealth index as low, medium or high. Four different categories of childhood-adolescence SEP groups were created in order to examine social mobility: low-medium/high, medium-medium, medium-high and high-high/ medium. For each of these categories, BMI was tracked from birth to adolescence. Linear mixed-effects models were used to analyse the data. Setting: Cuiabá-MT, Brazil. Subjects: A population-based cohort of children born between 1994 and 1999 was assessed between 1999 and 2000, and again between 2009 and 2011. Results: A total of 1716 adolescents were followed from childhood to adolescence (71·4 % of baseline). The prevalence of overweight/obesity was 20·4 % in childhood and 27·7 % in adolescence. A higher SEP in childhood was associated with a greater prevalence of overweight in adolescence. Expressive upward social mobility occurred, mainly in the lowest SEP group. There was a greater rate of change in BMI between birth and adolescence among children with a higher SEP in childhood and children who remained in the higher SEP from childhood to adolescence. Conclusion: Individuals from a higher SEP in childhood and those who remained in the higher social classes showed greater rate of change in BMI. Thus, initial SEP was the major determinant of changes in BMI.

show abstract

“…NTCDs are the main cause of death in the world 3 , impacting on health expenditures 4,5 . In Brazil, NTCDs have become prominent in recent years 6 , being responsible for 72% of the cases of death in the country, affecting mainly the elderly population 7,8 .…”

Section: Introductionmentioning

confidence: 99%

Nível de atividade física e ocorrência de doenças crônicas em pacientes atendidos pelo Sistema Único de Saúde de Presidente Prudente – SP

Trindade

Araújo²,

Rocha³

et al. 2016

J Physical Edu

View full text Add to dashboard Cite

Aging is associated with a higher prevalence of chronic diseases, which can be minimized by a healthy and active lifestyle. The aim of this study was to analyze the occurrence of chronic diseases in Public Healthcare System patients, according to the level of physical activity. In total 542 patients, 29.7% (n = 161) male and 70.3% (n = 381) female, were evaluated in two Basic Health Units. The level of physical activity, presence of diseases and economic condition were verified through the use of questionnaires. Obesity was assessed using the Body Mass index (in kg/m²). Cardiac arrhythmia diseases (p = 0.033), arthritis/osteoarthritis (p = 0.010) and a herniated disc (p = 0.006) were associated with the level of physical activity. It is concluded that the level of physical activity is associated with the occurrence of chronic diseases in patients over the age of 50 years served by the Public Healthcare System of Presidente Prudente/SP city. Keywords: Public Healthcare System. Chronic diseases. Physical activity. RESUMOO envelhecimento está associado a maior prevalência de doenças crônicas não transmissíveis, fato que pode ser minimizado em decorrência de estilo de vida saudável e ativo. O objetivo deste estudo foi analisar a ocorrência de doenças crônicas em pacientes atendidos pelo Sistema Único de Saúde, de acordo com o nível de atividade física. Participaram 542 pacientes, 29,7% (n=161) do sexo masculino e 70,3% (n=381) feminino, que foram avaliados em duas Unidades Básicas de Saúde. O nível de atividade física, presença de doenças e condição econômica foram verificados através de questionários. Obesidade foi verificada utilizando o índice da Massa Corporal (em Kg/m²). As doenças arritmia cardíaca (p=0,033), artrite/artrose (p=0,010) e hérnia de disco (p=0,006) foram associadas com o nível de atividade física. Conclui-se que o nível de atividade física está associado ao acometimento de doenças crônicas não transmissíveis em pacientes com idade acima de 50 anos atendidos pelo Sistema único de Saúde de Presidente Prudente/SP. Palavras-chave: Sistema Único de Saúde. Doenças crônicas. Atividade física.

show abstract

Chronic non-communicable diseases in Brazil: burden and current challenges

Cited by 1,159 publications

References 73 publications

Aspectos eticos em estudos longitudinais: o caso do ELSA-Brasil

Aspectos eticos em estudos longitudinais: o caso do ELSA-Brasil

Effects of social mobility from childhood to adolescence on BMI

Nível de atividade física e ocorrência de doenças crônicas em pacientes atendidos pelo Sistema Único de Saúde de Presidente Prudente – SP

Contact Info

Product

Resources

About