Intersectoral Actions for the Promotion and Prevention of Obesity, Diabetes and Hypertension in Brazilian Cities: A Systematic Review and Meta-Analysis

Abstract

This study showed the effectiveness of biomedical interventions in obesity, diabetes and hypertension (NCDs), but innovative and intersectoral elements in the fight against obesity, type 2 diabetes and hypertension were rare. Background: Is it possible to find effective and innovative actions to promote health and prevent NCDs in Brazilian municipalities? Can they be replicated? Objective: Our objectives were to identify innovative and effective intersectoral actions for promoting and preventing NCDs in Brazilian municipalities. Methods: This is a systematic review in an exploratory theoretical essay with a qualitative and quantitative approach. It is descriptive and analytical in terms of reporting findings and results. Inclusion and exclusion criteria favored health promotion work. Bias risk assessments was performed using the Cochrane GRADE and bias risk, with meta-analyses using RevMan and Iramuteq. Results: Meta-analysis of biometric markers resulted in −4.46 [95% IC; −5.42, −3.49], p = 0.00001, indicating a reduction in NCD risk rates. The textual meta-analysis revealed P(r) ≈ 83% (Reinert), meaning low connectivity between the ‘halos’. Conclusions: There is evidence of the effectiveness in interventions, but innovative and intersectoral elements to combat and prevent NCDs were barely seen. While evidence of intervention effectiveness was observed, innovative and intersectoral elements to combat and prevent NCDs were barely noticed.

EVAPOTRANSPIRAÇÃO AUTOMATIZADA: uma revisão sistemática e meta-análise

“…Em todos os procedimentos dos processos de seleção, extração e sumarização com filtros de avaliação de qualidade com o auxílio do software StArt® em identificar nos estudos elementos e termos chaves da pesquisa conforme as strings programadas gerando para cada estudo um score conforme a incidência dos termos, facilitando a identificação dos estudos mais correlacionados ao escopo da pesquisa (Guyatt et al, 2008(Guyatt et al, , 2011. Na sumarização contou-se com a meta-análise textual com o Software Iramuteq® 0.7 alpha 2 (Klant;Santos, 2021;Kunihiro et al, 2022).…”

“…Identificando 11235 formas, com 221731 ocorrências, 9560 lemas que são as formas lematizadas das palavras em construção lógica para interpretação, 7882 formas ativas de expressões e 1678 formas complementares de expressões, e 3918 hapax (palavras que aparecem uma única vez no conjunto dos 32 estudos). Identificou-se que as formas ativas tiveram uma frequência >= 4:2472, com uma média de forma por seguimento de texto de 34,857884, sendo compostos por tão somente duas classes com e-ISSN nº 2447-4266 Palmas, v. 9, n. 1, p. 1-34, 2023 http://dx.doi.org/10.20873/uft.2447-4266.2023v9n1a41pt 24 6116 seguimentos classificados de 6361 seguimentos de texto obtendo-se 𝑃 (𝑟) ≈96,15% (Reinert) com significância p<0,0001 (Klant & Santos, 2021;Kunihiro et al, 2022).…”

Cross-Sector Collaboration to Improve Access to Community Services for People Living With Diabetes: Contributions From Actor-Network Theory

“…9 Studies on intersectoral actions for people living with diabetes have pointed out how the implementation process can be effective, but few have looked into the impact of intersectoral collaboration on people health. 14 , 15 Social support systems that focus on the complex empowerment processes of people living with chronic diseases can also reduce social inequalities and inequities and impact of diabetes on health. 9…”